NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.
Question 2 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 3 of 5
Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?
Correct Answer: B
Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.
Question 4 of 5
The nurse is teaching a client about self-administration of insulin. Which site is most appropriate for insulin injection?
Correct Answer: D
Rationale: The abdomen has consistent subcutaneous tissue and rapid absorption, making it ideal for insulin injections.
Question 5 of 5
The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?
Correct Answer: A
Rationale: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.