NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The married couple tells the nurse they have been unsuccessful at achieving a pregnancy. What should be the nurse's initial question when they ask if they should begin testing for infertility?
Correct Answer: D
Rationale: A. Using tobacco products and drinking alcohol are risk factors for infertility, but this is not the initial question. B. Advancing age is a risk factor for infertility, but this is not the initial question. C. A reproductive tract infection is a risk factor for infertility, but this is not the initial question. D. The definition of infertility is the inability to achieve a pregnancy after 1 year of regular intercourse without contraception. If the couple has not been attempting to achieve a pregnancy for that length of time, then there is no need for infertility testing. The other questions address risk factors for infertility, but those questions would be inconsequential if the criterion in option 4 were not met.
Question 2 of 5
A hospitalized client diagnosed with cancer has a sealed source of radiation inserted into the vagina. Which information is most important for the charge nurse to obtain to ensure the safety of the nurse assigned to care for the client?
Correct Answer: B
Rationale: Pregnancy contraindicates caring for clients with internal radiation due to fetal risk, making this the most critical information.
Question 3 of 5
The nurse is teaching a client about digoxin (Lanoxin) therapy. Which statement by the client indicates understanding?
Correct Answer: A
Rationale: Checking the pulse before digoxin helps detect bradycardia, a sign of toxicity.
Question 4 of 5
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
Correct Answer: B
Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.
Question 5 of 5
A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?
Correct Answer: D
Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.