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
If a client has been taking corticosteroid medication for a prolonged period, which statement provides the best indication that the danger related to this medication is understood?
Correct Answer: A
Rationale: Abruptly stopping corticosteroids can cause adrenal insufficiency, a life-threatening condition, indicating the client understands this risk.
Question 3 of 5
A client is brought to the emergency department by a friend who states that the client has attempted suicide. When assessing a client who has attempted suicide by taking an overdose of medication, which question is most appropriate?
Correct Answer: C
Rationale: Identifying the drug is critical for determining the appropriate antidote or treatment to reverse the overdose.
Question 4 of 5
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
Correct Answer: B
Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.
Question 5 of 5
The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?
Correct Answer: B
Rationale: A. The client is correct in using sterile technique for the injection. B. The nurse should correct the statement about an erection not lasting long. Alprostadil (Caverject) injection therapy has the potential of producing a prolonged erection. C. Alprostadil will begin to produce the desired effect within 30 minutes. D. Dizziness is a side effect of alprostadil and should be reported.