NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse overheats the client talking with her husband about her new diagnosis of stage 1 breast cancer. Which statement by the client indicates that she does not fully understood the diagnosis?
Correct Answer: A
Rationale: A. Ninety percent of women with localized tumors (stage 1 and 2) can be expected to achieve long-term disease-free survival. This statement indicates she did not understand the diagnosis of stage 1 breast cancer. B. Both chemotherapy and radiation are recommended for stage 1 and 2 breast cancer. C. Both chemotherapy and radiation are recommended for stage I and 2 breast cancer. D. Stage 1 cancer means that it was contained in the area where the first abnormal cells began to develop.
Question 2 of 5
The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse's response?
Correct Answer: D
Rationale: A. Tamoxifen does not have anti-inflammatory properties. B. Tamoxifen is a hormonal rather than a chemotherapeutic agent. C. A major side effect of tamoxifen is that it increases the risk of developing endometrial cancer. D. Tamoxifen (Soltamox) blocks estrogen receptors on tumor cells, and thus the cell growth declines and the tumor regresses.
Question 3 of 5
The 1-year-old with a temperature of 103°F (39.4°C) is diagnosed with roseola. Which information should the nurse provide to the parent? Select all that apply.
Correct Answer: A,D
Rationale: Roseola is characterized by a high fever followed by a rose-pink rash after the fever subsides. Hand hygiene reduces transmission. Aspirin is contraindicated due to Reye's syndrome risk, oatmeal baths are not typically needed, and isolation beyond standard precautions is unnecessary.
Question 4 of 5
A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?
Correct Answer: C
Rationale: Increased anxiety and symptoms are common early in psychotherapy as clients confront underlying issues, an expected response.
Question 5 of 5
The college health nurse is teaching the student athlete diagnosed with infectious mononucleosis. The student asks, "Will I be able to play soccer after I rest up for a few days?" Which is the nurse's best response?
Correct Answer: D
Rationale: Mononucleosis causes splenomegaly, increasing the risk of spleen rupture. Contact sports like soccer should be avoided for 4–6 weeks.