NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The high school student is crying and says to the school nurse, "I had unprotected sex last week with someone who has been doing IV drugs; now I'm scared I might have HIV!" Which is the nurse's best initial response?
Correct Answer: D
Rationale: Acknowledging the student's fear validates their emotions and opens a supportive dialogue for further guidance.
Question 2 of 5
The nurse is caring for a client who is being treated for cancer. Which question by the client indicates that the client is not ready for teaching?
Correct Answer: B
Rationale: Asking about a second opinion suggests denial or doubt about the diagnosis, indicating the client is not ready to engage in teaching about treatment.
Question 3 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 4 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 5 of 5
The nurse is reviewing content prepared by the student nurse, who is planning a presentation on risk reduction for developing ovarian cancer. Which statement should the nurse delete from the student's prepared content?
Correct Answer: C
Rationale: A. Nulliparity increases the risk of developing ovarian cancer. B. A high-fat diet increases the risk of developing ovarian cancer. C. The nurse should delete the statement about avoiding oral contraceptives. Using oral contraceptives is associated with a lower ovarian cancer risk if they are used for more than 5 years. D. Breastfeeding reduces the risk of developing ovarian cancer.