NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Question 1 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.
Question 2 of 5
At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.
Correct Answer: A,F
Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.
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
The nurse is preparing to perform a sterile dressing change. Which action maintains the sterile field?
Correct Answer: A
Rationale: Opening the sterile kit away from the body prevents contamination of the sterile field.
Question 5 of 5
A client with a history of multiple sclerosis reports blurred vision. Which nursing intervention is most appropriate?
Correct Answer: D
Rationale: Blurred vision in multiple sclerosis may indicate optic neuritis, requiring specialist evaluation.