NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Which statement provides the best indication that a client understands the nurse's teaching about alprazolam (Xanax), a newly prescribed medication?
Correct Answer: A
Rationale: Alcohol can potentiate alprazolam's sedative effects, increasing the risk of adverse events, so avoiding it indicates understanding.
Question 2 of 5
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Sunken eyes, increased thirst, tachypnea, and poor skin turgor are signs of dehydration; bradycardia is not.
Question 3 of 5
A homeless person has an enlarged, tender liver, and a hepatitis B infection is suspected. Which information in the client's history is most likely the etiologic factor for the disease?
Correct Answer: D
Rationale: Hepatitis B is primarily transmitted through blood, such as via shared needles, making this the most likely etiologic factor.
Question 4 of 5
Which assessment finding in a client with heart failure indicates fluid overload? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Weight gain, crackles, jugular vein distention, and peripheral edema are signs of fluid overload in heart failure.
Question 5 of 5
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
Correct Answer: B
Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.