NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
You are asked to see Mr. J, a 45-year-old male admitted to the medical floor. He has a temperature of 103°F, complains of urgency, frequency, and perineal pain. He states his urine is somewhat cloudy in appearance. Mr. K denies any trauma to the genital area. On physical assessment, Mr. J appears acutely ill, flank tenderness is negative to percussion, abdominal assessment is unrevealing. Rectal exam reveals a tender prostate.
Question 1 of 5
You anticipate all of the following to be ordered except:
Correct Answer: D
Rationale: The patient's symptoms are suggestive of prostatitis, likely infectious. PSA is not typically ordered in acute infection as it is more relevant for prostate cancer screening.
Extract:
Question 2 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP—nitrogen mustard, vincristine (Oncovin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy (e.g., vincristine) and radiation, significantly affecting body image. Pathologic fractures are not typical, and sterility or cushingoid appearance have less direct impact on body image. Physiological Adaptation
Question 3 of 5
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
Correct Answer: A
Rationale: Erythropoietin stimulates red blood cell production, requiring iron, folic acid, and B12 for effectiveness. The other options are not directly related to erythropoiesis. Physiological Adaptation
Question 4 of 5
A nurse is caring for a patient who is receiving gentamicin (Garamycin). Which of the following findings should be reported immediately?
Correct Answer: B
Rationale: Tinnitus indicates potential ototoxicity, a serious gentamicin side effect, requiring immediate reporting to prevent hearing loss. Nausea, headache, and fatigue are less urgent.
Question 5 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).