NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
Correct Answer: B
Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.
Question 2 of 5
A client with a history of peptic ulcer disease reports epigastric pain. Which instruction should the nurse provide?
Correct Answer: B
Rationale: Small, frequent meals reduce gastric acid irritation in peptic ulcer disease.
Question 3 of 5
In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?
Correct Answer: C
Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.
Question 4 of 5
After being off for the holiday, a nurse returns to work and attempts to log on to the computer to document care for a client. The nurse tries to log on, but both times the computer will not grant access. The nurse rechecks the password and finds it correct. Which action by the nurse is most appropriate in this circumstance?
Correct Answer: C
Rationale: Calling technical support ensures the issue is resolved appropriately without compromising security or documentation integrity.
Question 5 of 5
A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?
Correct Answer: D
Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.