NCLEX Questions, Best NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is caring for the 30-year-old female client. Which concems stated by the client should alert the nurse to the possibility of endometriosis? Select all that apply.

Correct Answer: C,D,E

Rationale: A. Vaginal dryness is not a symptom of endometriosis. B. Premenstrual tension headache is not a symptom of endometriosis. C. Endometriosis is the presence of normal endometrial tissue in sites outside the endometrial cavity. The tissue responds to hormonal influence, and therefore during menstruation the tissue bleeds. This bleeding causes inflammation and pain at the time of menstruation. D. Women with endometriosis are at increased risk for infertility, although the exact reason is unknown. E. Depending on the location of the endometrial tissue, clients may experience pain with intercourse.

Question 2 of 5

An adolescent with a diagnosis of severe anorexia nervosa is now on the adolescent psychiatric unit after being in intensive care to achieve fluid and electrolyte balance. In developing the nursing care plan, which of the following will be of highest priority?

Correct Answer: B

Rationale: Observing after meals prevents purging, a critical behavior to address in anorexia to ensure nutritional retention.

Question 3 of 5

In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:

Correct Answer: C

Rationale: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.

Question 4 of 5

The nurse is teaching a group of persons in the community about risk factors for cancer. Which of the following is not a risk factor and should not be included in the teaching?

Correct Answer: C

Rationale: Unexplained weight gain is not a typical cancer risk factor, unlike bowel changes, swallowing difficulty, or hoarseness, which may indicate malignancy.

Question 5 of 5

A woman has been having auditory hallucinations. When the nurse approaches her, she whispers, 'Did you hear that terrible man? He is scary!' Which would be the best response for the nurse to take initially?

Correct Answer: D

Rationale: Acknowledging her fear while gently noting the nurse's perception validates her emotions without reinforcing the hallucination.

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