NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching with a client who is starting to use a cervical cap for contraception. Which client statement would require follow-up?
Correct Answer: C
Rationale: Leaving the cervical cap in for at least 24 hours increases infection risk; it should remain for 6-8 hours post-intercourse. Applying spermicide and inserting hours before intercourse are correct practices for effective use.
Question 2 of 5
Which comment by the client is most significant in light of the fact that he has Ménière's disease?
Correct Answer: C
Rationale: Cigarette smoking has been shown to aggravate Ménière's disease. The client will be told to stop smoking to decrease the frequency and severity of Ménière's. Walking, listening to an IPOD or other electronic device, and exposure to noise have not been shown to be related to Ménière's disease.
Question 3 of 5
A client’s partner asks the nurse if ‘staring off into space’ is a seizure because the client ‘does that sometimes when having a seizure.’ Which response from the nurse is the most helpful?
Correct Answer: A
Rationale: Explaining that absence seizures can appear as staring or daydreaming educates the partner accurately and encourages reporting without alarm. Dismissing the concern, assuming it’s a seizure, or discouraging monitoring is unhelpful and potentially unsafe.
Question 4 of 5
A client is admitted with suspected pheochromocytoma. The physiological alteration associated with pheochromocytoma is:
Correct Answer: A
Rationale: Pheochromocytoma causes catecholamine release, leading to extreme hypertension . Rash , iris flecks , and nasolabial creases are not associated.
Question 5 of 5
When performing an assessment on the client with emphysema, the nurse finds that the client has a barrel chest. The alteration in the client's chest is due to:
Correct Answer: B
Rationale: Clients with emphysema develop a barrel chest due to the trapping of air in the lungs, causing them to hyperinflate. Answers C and D are common in those with emphysema but do not cause the chest to become barrel shaped. Answer A does not occur in emphysema.