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
A 45-year-old woman tells the nurse that she is having difficulty reading the newspaper. She states that she holds it away from her but still cannot see it. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Difficulty reading at age 45 suggests presbyopia, a common age-related vision change, best addressed by an eye doctor for accurate prescription glasses.
Question 3 of 5
The client has been receiving chemotherapy for cancer and has stomatitis. What nursing care is indicated because the client has stomatitis?
Correct Answer: D
Rationale: Viscous lidocaine mouthwash relieves pain from stomatitis, encouraging eating and improving comfort without irritating the oral mucosa.
Question 4 of 5
Lithium carbonate is ordered for a client with overactive behavior. The nurse should observe the client for which of these side effects?
Correct Answer: A
Rationale: Diarrhea is a common side effect of lithium, requiring monitoring to prevent dehydration or toxicity.
Question 5 of 5
An elderly woman is admitted to the hospital with a productive cough, progressive forgetfulness, an inability to concentrate, and disinterest in her personal hygiene. What should be of greatest priority as the nurse assesses this client?
Correct Answer: D
Rationale: A productive cough is a priority as it may indicate a respiratory infection, which can be life-threatening in the elderly, requiring immediate assessment.