NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?
Correct Answer: B
Rationale: Diabetes mellitus and eczema increase the risk of bacterial skin infections like impetigo due to impaired skin barriers and immune responses.
Question 2 of 5
The home health nurse is completing a follow-up visit at the home of the child recovering from a serious salmonella infection. The nurse should address a concern about reinfection with salmonella after noting that the family has which pets? Select all that apply.
Correct Answer: B,C,E
Rationale: Reptiles (salamanders, turtles) and poultry (chicks) are common sources of Salmonella, increasing reinfection risk.
Question 3 of 5
The treatment goal for a client with severe anxiety will have been achieved when the client demonstrates which of these behaviors?
Correct Answer: B
Rationale: The goal for severe anxiety is to channel it into constructive actions, such as problem-solving, rather than eliminating it entirely or only recognizing its source.
Question 4 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 5 of 5
A woman who has had surgery for colon cancer asks the nurse why the doctor has her come back for a blood test called CEA. What is the best response for the nurse to make?
Correct Answer: B
Rationale: CEA (carcinoembryonic antigen) is a tumor marker; low levels post-surgery suggest no recurrence of colon cancer, explaining the test's purpose.