NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client has been receiving chemotherapy for cancer and has stomatitis. What nursing care is indicated because the client has stomatitis?
Correct Answer: D
Rationale: Viscous lidocaine mouthwash relieves pain from stomatitis, encouraging eating and improving comfort without irritating the oral mucosa.
Question 2 of 5
At 0800 hours the nurse assesses the 3-year-old with rubeola and finds that the child is restless, hard to calm, feverish, reporting pain, is tachycardic, and has crackles and rhonchi in the lung bases. The nurse compares the 0800-hour VS to the previously obtained VS (See VS chart). Acetaminophen was last given at 0600 hours. What should be the nurse's priority?
Correct Answer: C
Rationale: Crackles and rhonchi suggest possible pneumonia, a serious complication of rubeola. Notifying the HCP is critical for timely intervention.
Question 3 of 5
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?
Correct Answer: C
Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.
Question 4 of 5
Chlorpromazine hydrochloride (Thorazine) is prescribed for a young adult with schizophrenia. For three days, the chlorpromazine (Thorazine) is to be administered intramuscularly. Before administering chlorpromazine (Thorazine) intramuscularly to the client, the nurse should make which of these assessments?
Correct Answer: A
Rationale: Chlorpromazine can cause orthostatic hypotension, so checking blood pressure before intramuscular administration ensures safety.
Question 5 of 5
A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?
Correct Answer: D
Rationale: Brief, non-demanding interactions show presence and support, respecting his depression without forcing engagement.