NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client's discharge instructions?
Correct Answer: C
Rationale: A. Sexual intercourse should not resume until the client is reexamined in about 2 weeks. B. Vaginal douching is not recommended. C. Foul-smelling vaginal discharge is a sign of vaginal infection and/or retained tissue and should be reported as soon as it is noted by the client. D. There is no evidence to support the need to wait a week before returning to work. Many women resume their usual activities the same day as the abortion.
Question 2 of 5
The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?
Correct Answer: C
Rationale: Convert 18 lb to kg: 18 ÷ 2.2 = 8.18 kg. Safe range: 6.25–25 mg/kg/day = 51.13–204.5 mg/day. Prescribed dose: 50 mg × 4 = 200 mg/day, which is within the safe range.
Question 3 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 4 of 5
The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?
Correct Answer: A
Rationale: Increasing spices enhances flavor, encouraging intake, as chemotherapy often dulls taste buds, impacting nutritional status.
Question 5 of 5
The nurse in a retirement home has noticed that Mr. A. and Ms. C. have been holding hands frequently. One day, the nurse enters Mr. A.'s room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Both residents are alert and oriented, indicating consensual activity; leaving and closing the door respects their privacy and autonomy.