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
If the physician orders 'diet as tolerated' for a client the evening of surgery, which diet is most appropriate initially?
Correct Answer: C
Rationale: A clear liquid diet is easiest to digest and minimizes gastrointestinal stress, making it appropriate to start post-surgery.
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 teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?
Correct Answer: B
Rationale: A. The client is correct in using sterile technique for the injection. B. The nurse should correct the statement about an erection not lasting long. Alprostadil (Caverject) injection therapy has the potential of producing a prolonged erection. C. Alprostadil will begin to produce the desired effect within 30 minutes. D. Dizziness is a side effect of alprostadil and should be reported.
Question 5 of 5
A pregnant client in the third trimester calls the obstetrician's office and reports to the nurse that she has had a severe headache for the past 2 days. Which nursing action is most appropriate?
Correct Answer: D
Rationale: A severe headache in the third trimester may indicate preeclampsia, a medical emergency. Immediate evaluation is critical.