NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse's response?
Correct Answer: D
Rationale: A. Tamoxifen does not have anti-inflammatory properties. B. Tamoxifen is a hormonal rather than a chemotherapeutic agent. C. A major side effect of tamoxifen is that it increases the risk of developing endometrial cancer. D. Tamoxifen (Soltamox) blocks estrogen receptors on tumor cells, and thus the cell growth declines and the tumor regresses.
Question 2 of 5
An adult man is being treated for depression and has been taking amitriptyline (Elavil) for three days. His wife says to the nurse, 'I don't think the medicine is doing anything for him. He is still depressed.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Amitriptyline requires 2-3 weeks to reach therapeutic levels, so no significant improvement is expected after only three days.
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
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
Correct Answer: C
Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.
Question 5 of 5
The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client's discharge instructions?
Correct Answer: C
Rationale: A. Sexual intercourse should not resume until the client is reexamined in about 2 weeks. B. Vaginal douching is not recommended. C. Foul-smelling vaginal discharge is a sign of vaginal infection and/or retained tissue and should be reported as soon as it is noted by the client. D. There is no evidence to support the need to wait a week before returning to work. Many women resume their usual activities the same day as the abortion.