NCLEX Questions, Best NCLEX-PN Practice Questions Questions,

Extract:

Question 1 of 5

The nurse reviews the serology report of the hospitalized adolescent who has a history of ongoing IV drug use since age 13 years. After considering the serology report results, the nurse makes which correct conclusion?

Correct Answer: A

Rationale: IV drug use is a risk factor for hepatitis B, which is transmitted via blood and body fluids, consistent with acute infection.

Question 2 of 5

To initiate a relationship with a child who may be autistic, the nurse would probably be most effective by using which of these approaches?

A. Playing peek-a-boo B. Having him point to designated body parts C. Sitting with him D. Playing an action game like Ring around the Rosy

Correct Answer: C

Rationale: Sitting quietly with the child respects their social sensitivities, fostering trust without overwhelming them, unlike interactive games.

Question 3 of 5

The nurse is teaching a group of persons in the community about risk factors for cancer. Which of the following is not a risk factor and should not be included in the teaching?

A. A change in bowel habits B. Difficulty in swallowing C. Unexplained weight gain D. Nagging hoarseness

Correct Answer: C

Rationale: Unexplained weight gain is not a typical cancer risk factor, unlike bowel changes, swallowing difficulty, or hoarseness, which may indicate malignancy.

Question 4 of 5

At 0800 hours the nurse assesses the 3-year-old with rubeola and finds that the child is restless, hard to calm, feverish, reporting pain, is tachycardic, and has crackles and rhonchi in the lung bases. The nurse compares the 0800-hour VS to the previously obtained VS (See VS chart). Acetaminophen was last given at 0600 hours. What should be the nurse's priority?

A. Recheck the vital signs again in one-half hour. B. Administer another dose of antipyretic medication. C. Ensure that the chart is available and notify the HCP. D. Implement airborne and standard infection precautions.

Correct Answer: C

Rationale: Crackles and rhonchi suggest possible pneumonia, a serious complication of rubeola. Notifying the HCP is critical for timely intervention.

Question 5 of 5

A 15-year-old client's mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter's dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?

A. OCPs inhibit uterine inflammation, which indirectly causes the dysmenorrhea. B. OCPs increase blood flow to the uterus during menstruation, thereby reducing pain. C. OCPs inhibit the progesterone production that causes uterine contractions and pain. D. OCPs suppress ovulation and thus prostaglandin production, which causes pain.

Correct Answer: D

Rationale: A. OCPs do not inhibit inflammation. B. OCPs do not increase uterine blood flow; the amount of menstrual discharge may decrease with OCP usage as a result of decreased endometrial stimulation. C. OCPs do inhibit progesterone production, but it is not progesterone that stimulates uterine contractions and pain; rather, it is prostaglandins. D. OCPs block ovulation by preventing the release of follicle stimulating hormone from the pituitary. The absence of ovulation decreases the sequential stimulation of the endometrium by estrogen and progesterone. This results in a decrease in the prostaglandin production by the endometrium and thus a decrease in pain.