NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?
Correct Answer: 980 mL.
Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.
Question 2 of 5
A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?
Correct Answer: D
Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.
Question 3 of 5
The nurse is caring for a client with a history of Parkinson's disease. Which intervention promotes mobility?
Correct Answer: B
Rationale: Small, deliberate steps help overcome shuffling gait in Parkinson's disease.
Question 4 of 5
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?
Correct Answer: C
Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.
Question 5 of 5
The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?
Correct Answer: C
Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.