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 glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?
Correct Answer: A
Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.
Question 3 of 5
A client with a history of angina is prescribed nitroglycerin tablets. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking up to three doses 5 minutes apart is the correct protocol for persistent chest pain.
Question 4 of 5
A client with pneumonia is receiving IV antibiotics. Which assessment finding suggests the client is responding to treatment?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the infection is resolving, showing a response to antibiotics.
Question 5 of 5
A client with a recent stroke has dysphagia. Which nursing action promotes safe swallowing?
Correct Answer: B
Rationale: An upright position at 90 degrees reduces aspiration risk in clients with dysphagia.