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 nurse is caring for a client with a history of Parkinson's disease. Which intervention promotes mobility?
Correct Answer: B
Rationale: Small, deliberate steps help overcome shuffling gait in Parkinson's disease.
Question 3 of 5
The client, who had been prescribed sildenafil 2 weeks ago for erectile dysfunction, calls the clinic to report that nothing happens, despite taking sildenafil orally and waiting for his erection to develop. Which fact should the nurse consider before responding to the client?
Correct Answer: C
Rationale: A. In clinical trials, some improvement in erectile hardness and duration was reported by 70% of men taking sildenafil. B. Sildenafil should be taken orally. C. Sildenafil (Viagra) enhances the normal erectile response to sexual stimuli by promoting relaxation of arterial and trabecular smooth muscle. The resultant arterial dilation causes engorgement of sinusoidal spaces in the corpus cavernosum. In the absence of sexual stimuli, however, nothing will happen. D. A fatty meal delays absorption, and, as a result, plasma levels peak in 2 hours instead of an hour; it does not cause sildenafil to be ineffective.
Question 4 of 5
A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?
Correct Answer: D
Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.
Question 5 of 5
A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?
Correct Answer: D
Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.