NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
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
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
Correct Answer: B
Rationale: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.
Question 3 of 5
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
Correct Answer: C
Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.
Question 4 of 5
The treatment goal for a client with severe anxiety will have been achieved when the client demonstrates which of these behaviors?
Correct Answer: B
Rationale: The goal for severe anxiety is to channel it into constructive actions, such as problem-solving, rather than eliminating it entirely or only recognizing its source.
Question 5 of 5
The 21-year-old who has been diagnosed with polycystic ovary syndrome (PCOS) asks about changes she could make to help control her disease. Which statement is the nurse's best response?
Correct Answer: D
Rationale: A. Although an anti-inflammatory medication such as ibuprofen (Advil) may help reduce pelvic pain, this is not a lifestyle change. B. Oral contraceptives are useful in regulating the menstrual cycle for clients with PCOS and are utilized (not avoided) to treat this syndrome. C. Maintaining a monogamous sexual relationship will not impact PCOS. D. Obesity exacerbates insulin resistance and hyperinsulinemia associated with PCOS.