NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for four pediatric clients who have the skin conditions illustrated. For which client should the nurse expect to administer acyclovir orally?
Correct Answer: B
Rationale: Acyclovir is used for herpes simplex virus (HSV) infections, which present with grouped vesicles, as likely shown in image B.
Question 2 of 5
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
Correct Answer: A
Rationale: A. Monitoring the perineal pad will alert the nurse to any increase in vaginal bleeding. Infection and hemorrhage are the major risks following a hysterectomy. B. HRT is needed only if the ovaries have been removed (oophorectomy). C. The client should be encouraged to ambulate in the early postoperative period, rather than remain on bedrest. Development of DVT is a concern after abdominal hysterectomy. D. Peristalsis is typically suppressed after abdominal hysterectomy, and the client will be on restricted oral intake until physical signs indicate the return of peristalsis.
Question 3 of 5
The mother of the 13-year-old female tells the clinic nurse, "I hope that no one tries to get me to agree to have my daughter get that new vaccine that is supposed to prevent some STIs. My daughter is not and will not be having sex until she is married." What is the nurse's best response?
Correct Answer: C
Rationale: Exploring the mother's knowledge about the HPV vaccine (Gardasil) opens a dialogue to address misconceptions and provide education.
Question 4 of 5
The client asks the nurse how a woman can recognize when she is ovulating. Which should be the nurse's response?
Correct Answer: A
Rationale: A. At the time of ovulation, the mucus produced by the cervix becomes more abundant and stretchy. It looks and feels like egg whites. The ability of the mucus to be stretched indicates the time of maximum fertility. B. At the time of ovulation, the basal body temperature drops slightly and then, under the influence of progesterone, increases and stays elevated until 2 to 4 days before menstruation starts. C. Home measurement of luteinizing hormone (LH) is possible with dipstick urine tests. A positive test (not negative) for LH indicates ovulation. LH causes the egg to be released from the ovary. D. At the time of ovulation, most females note an increase (not decrease) in libido.
Question 5 of 5
The HCP prescribed mifepristone for the 35-year-old female to treat a leiomyoma. Before the client begins the medication, which information is most important for the nurse to obtain?
Correct Answer: C
Rationale: A. Mifepristone does not cause changes in BP. B. Mifepristone does not cause changes in liver enzymes. C. The pregnancy test results should be known because mifepristone is also used in conjunction with other medications for termination of early intrauterine pregnancy. D. Although weight can influence the dose, this information is not the most important. Mifepristone does not cause changes in weight.