NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client, who had been prescribed sildenafil 2 weeks ago for erectile dysfunction, calls the clinic to report that nothing happens, despite taking sildenafil orally and waiting for his erection to develop. Which fact should the nurse consider before responding to the client?
Correct Answer: C
Rationale: A. In clinical trials, some improvement in erectile hardness and duration was reported by 70% of men taking sildenafil. B. Sildenafil should be taken orally. C. Sildenafil (Viagra) enhances the normal erectile response to sexual stimuli by promoting relaxation of arterial and trabecular smooth muscle. The resultant arterial dilation causes engorgement of sinusoidal spaces in the corpus cavernosum. In the absence of sexual stimuli, however, nothing will happen. D. A fatty meal delays absorption, and, as a result, plasma levels peak in 2 hours instead of an hour; it does not cause sildenafil to be ineffective.
Question 2 of 5
The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?
Correct Answer: D
Rationale: A. Information about females being infected more than males is important, and the client should be informed of this, but this is not the priority. B. Information about the mode of transmission is important, and the client should be informed of this, but this is not the priority. C. Typically in the first year after the diagnosis, the client will have four to five outbreaks, not two to three. D. The priority information to tell the client is that transmission can occur from a partner who does not have a visible sore.
Question 3 of 5
The nurse is preparing to perform a sterile dressing change. Which action maintains the sterile field?
Correct Answer: A
Rationale: Opening the sterile kit away from the body prevents contamination of the sterile field.
Question 4 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking allopurinol with food reduces gastrointestinal irritation.
Question 5 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.