NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 2 of 5
The nurse is caring for a 75-year-old widow admitted to the psychiatric hospital by her daughter, who became concerned when her mother began to talk in a confused manner about her husband who has been dead for seven years. In the hospital, especially at night, the client wanders into the other clients' rooms looking for her husband. What is the most appropriate action for the nurse to take when this woman wanders into the rooms of the other clients?
Correct Answer: C
Rationale: Gently guiding her back to her room is safe and respectful, addressing confusion without punitive measures like locking or threats.
Question 3 of 5
A woman has been having auditory hallucinations. When the nurse approaches her, she whispers, 'Did you hear that terrible man? He is scary!' Which would be the best response for the nurse to take initially?
Correct Answer: D
Rationale: Acknowledging her fear while gently noting the nurse's perception validates her emotions without reinforcing the hallucination.
Question 4 of 5
A young woman is admitted for the first time with a diagnosis of catatonic schizophrenia and is receiving chlorpromazine (Thorazine) daily. She is to go home for a weekend pass. What is the most important instruction to give her relative to her medications?
Correct Answer: A
Rationale: Chlorpromazine causes photosensitivity and interacts dangerously with alcohol, necessitating sunscreen use and alcohol avoidance.
Question 5 of 5
A 15-year-old girl is brought to the hospital by her parents. She is 5 feet, 7 inches tall and weighs 80 pounds. Her parents report that she eats very little. This evening, she is very difficult to arouse and had to be carried into the emergency room. A diagnosis of anorexia nervosa is made. Which of the following is the nurse most likely to observe/measure when assessing this client?
Correct Answer: D
Rationale: Tachycardia is common in severe anorexia due to dehydration and electrolyte imbalances, reflecting cardiovascular stress.