NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Sunken eyes, increased thirst, tachypnea, and poor skin turgor are signs of dehydration; bradycardia is not.
Question 2 of 5
The client, who had been prescribed sildenafil 2 weeks ago for erectile dysfunction, calls the clinic to report that nothing happens, despite taking sildenafil orally and waiting for his erection to develop. Which fact should the nurse consider before responding to the client?
Correct Answer: C
Rationale: A. In clinical trials, some improvement in erectile hardness and duration was reported by 70% of men taking sildenafil. B. Sildenafil should be taken orally. C. Sildenafil (Viagra) enhances the normal erectile response to sexual stimuli by promoting relaxation of arterial and trabecular smooth muscle. The resultant arterial dilation causes engorgement of sinusoidal spaces in the corpus cavernosum. In the absence of sexual stimuli, however, nothing will happen. D. A fatty meal delays absorption, and, as a result, plasma levels peak in 2 hours instead of an hour; it does not cause sildenafil to be ineffective.
Question 3 of 5
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
Order the Items
Source Container
Correct Answer: B,D,E,A,C
Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.
Question 4 of 5
When applying nitroglycerin ointment to a client's chest, which nursing technique is most appropriate?
Correct Answer: A
Rationale: Squeezing a ribbon of ointment onto an applicator paper ensures accurate dosing and prevents contamination or overuse.
Question 5 of 5
The nurse caring for a middle-aged adult would expect which characteristic behavior indicating the developmental task of generativity?
Correct Answer: C
Rationale: Generativity involves contributing to future generations, such as through writing a memoir to share life experiences.