NCLEX Questions, 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

A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?

A. Young women at this age are at increased risk of breast cancer development. B. A nondiscrete possible mass or thickening has a high index of suspicion for breast cancer. C. Benign fibroadenomas are the most frequent cause of breast masses in women under 25 years. D. Close personal contact required in dormitory living can cause infectious breast disorders-

Correct Answer: C

Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.

Question 3 of 5

During a home visit to the adolescent just diagnosed with hepatitis A, the nurse provides education to the client and family to prevent the spread of the disease. Which information should the nurse provide? Select all that apply.

A. The client should use strict hand washing after bowel movements. B. Everyone should avoid eating raw foods for the next 2 weeks. C. Use hot water when washing all the family's laundry together. D. Clean the common toilet seat with bleach after each use by the client. E. The client should avoid kissing anyone until symptoms disappear.

Correct Answer: A,D

Rationale: Hepatitis A spreads via the fecal-oral route. Hand washing and cleaning the toilet seat reduce transmission risk.

Question 4 of 5

The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?

A. Diabetes insipidus, moisture, anorexia B. Obesity, diabetes mellitus, eczema C. Obesity, acne, congenital heart defect D. Systemic corticosteroids, strabismus

Correct Answer: B

Rationale: Diabetes mellitus and eczema increase the risk of bacterial skin infections like impetigo due to impaired skin barriers and immune responses.

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?

A. You may not be physically active playing soccer for at least 3 months. B. You may be as active as you wish now if you are not feeling fatigued. C. There are no limitations on activity with infectious mononucleosis. D. You need to avoid activities that can injure your abdomen for a few weeks.

Correct Answer: D

Rationale: Mononucleosis causes splenomegaly, increasing the risk of spleen rupture. Contact sports like soccer should be avoided for 4–6 weeks.