NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client, who is postmenopausal, reports pain with sexual intercourse. Which effective treatments should the nurse review with the client? Select all that apply.
Correct Answer: A,B,E
Rationale: A. Estradiol vaginal tablets increase vaginal lubrication production and have been shown to be effective for vaginal dryness and pain with intercourse. B. Increased blood flow to the vagina through regular intercourse effectively helps to prevent further tissue atrophy. C. Fragrant bath oil or bubble bath will cause further drying of vaginal tissues. D. Feminine cleansing cloths or douches will cause further drying of vaginal tissues. E. Vaginal lubricants have been shown to be effective for vaginal dryness and pain with intercourse.
Question 2 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.
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
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.
Question 5 of 5
The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?
Correct Answer: A
Rationale: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.