NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?
Correct Answer: C
Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.
Question 2 of 5
During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?
Correct Answer: A
Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.
Question 3 of 5
A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?
Correct Answer: D
Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.
Question 4 of 5
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?
Correct Answer: D
Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.
Question 5 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.