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NCLEX PN Practice Test Questions

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Question 1 of 5

The hospice nurse is providing end-of-life care to a client who is experiencing anorexia and cachexia. Which interventions are appropriate? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Allowing food refusal (
A) respects autonomy, assessing pain/nausea (
B) addresses barriers to eating, shared mealtimes (
D) provide comfort, and oral care (E) improves appetite. Meal planning (
C) may overwhelm a cachectic client.

Question 2 of 5

A student nurse performs morning rounds and obtains a urine specimen from a client with methicillin-resistant Staphylococcus aureus who is in contact precautions. The nurse preceptor intervenes when the student performs which action?

Correct Answer: A

Rationale: Chlorhexidine (
A) is not standard for stethoscope cleaning in contact precautions; alcohol or approved disinfectants are used to prevent MRSA transmission. Sealed bags for specimens (
B), scrubbing the port (
C), and hand hygiene (
D) are correct actions to maintain infection control.

Question 3 of 5

The nurse is reinforcing discharge teaching with the parent of a 6-year-old client who had a tonsillectomy 4 hours ago. The nurse should reinforce that it would be a priority to notify the health care provider if the client experiences

Correct Answer: C

Rationale: Frequent swallowing (
C) may indicate bleeding, a serious post-tonsillectomy complication requiring immediate reporting. Ear pain (
A), bad breath (
B), and low-grade fever (
D) are common and less urgent.

Question 4 of 5

An adult client is showing signs of developing hypovolemic shock. Which finding is most likely to be present?

Correct Answer: C

Rationale: Hypovolemic shock reduces circulating volume, decreasing renal perfusion and causing oliguria (decreased urine output). Blood pressure typically narrows, heart rate increases, and respiratory rate rises.

Question 5 of 5

The nurse prepares a client for discharge following a vasectomy. The client asks, 'When can I have sexual intercourse with my wife without using a condom?' What is the best response by the nurse?

Correct Answer: D

Rationale: A vasectomy requires confirmation of azoospermia via semen analysis, typically after 6-12 weeks or 15-20 ejaculations, to ensure sterility. Alternative birth control (
C) is needed until this confirmation. Immediate unprotected intercourse (
A) risks pregnancy, and 6 months (
B) is unnecessarily long.

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