NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is planning care for the adolescent client being admitted with newly diagnosed active TB secondary to AIDS. Which intervention is most important for the nurse to plan?
Correct Answer: C
Rationale: Active TB requires airborne precautions to prevent transmission, especially in an immunocompromised patient with AIDS.
Question 2 of 5
The nurse in the ED plans to assess three children: a 5-year-old with measles (rubeola), a 2-year-old with roseola, and a 6-year-old with rubella. Based on the severity of the infection, which child should the nurse plan to assess first?
Correct Answer: B
Rationale: Rubeola has a higher risk of severe complications (e.g., pneumonia, encephalitis) compared to roseola or rubella, which are generally milder.
Question 3 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 4 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 5 of 5
The client tells the nurse that she is considering breast reduction but wants to know if she could breastfeed in the future after this procedure. Which response by the nurse is correct?
Correct Answer: B
Rationale: A. Breast reduction has the potential to negatively affect lactation (breastfeeding) if large amounts of breast tissue are removed. B. Lactation can usually be accomplished if the nipples are left connected to breast tissue. C. The amount of breast tissue removed will determine whether or not lactation is possible. D. The nipple structure is not changed with breast reduction; however, some surgeries may necessitate relocation of the nipple.