NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.
Correct Answer: A,F
Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.
Question 2 of 5
The nurse is assessing a client with suspected appendicitis. Which finding supports this diagnosis?
Correct Answer: B
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis.
Question 3 of 5
The nurse is caring for a client with a history of dementia. Which approach promotes communication?
Correct Answer: B
Rationale: Simple, clear sentences enhance understanding in clients with dementia.
Question 4 of 5
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
Order the Items
Source Container
Correct Answer: B,D,E,A,C
Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.
Question 5 of 5
While visiting a client who takes a prescribed diuretic, how can a home health care nurse best evaluate the drug's effectiveness?
Correct Answer: A
Rationale: Diuretics reduce fluid retention, leading to weight loss. Monitoring weight is the best way to evaluate their effectiveness.