NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
Correct Answer: B,D,E,A,C
Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.
Question 2 of 5
A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?
Correct Answer: D
Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.
Question 3 of 5
Which assessment finding provides the earliest indication that a client is hypoxic?
Correct Answer: B
Rationale: Disorientation is an early sign of hypoxia, as the brain is highly sensitive to oxygen deprivation.
Question 4 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.
Question 5 of 5
A 75-year-old client has a perineal prostatectomy for prostate cancer. Which nursing action is essential to include in the client's care plan?
Correct Answer: D
Rationale: Perineal care after bowel movements prevents infection at the surgical site, a critical post-prostatectomy action.