NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?
Correct Answer: D
Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.
Question 2 of 5
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?
Correct Answer: C
Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.
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
Which action provides the best evidence that a client with a colostomy is adjusting to the change in body image?
Correct Answer: C
Rationale: Providing self-care for the colostomy appliance indicates acceptance and adaptation to the body image change.
Question 5 of 5
A client with a history of peptic ulcer disease reports epigastric pain. Which instruction should the nurse provide?
Correct Answer: B
Rationale: Small, frequent meals reduce gastric acid irritation in peptic ulcer disease.