NCLEX-PN
2024 PN NCLEX Questions Questions
Extract:
Question 1 of 5
A sexually active adolescent asks the school nurse about the use of latex condoms and the reduction of the risk of sexually transmitted infections (STIs). The nurse provides which information to the adolescent?
Correct Answer: D
Rationale: The correct answer is that using a condom during intercourse can reduce the risk of STI transmission. Abstinence is a way to prevent STIs, but not the only way. Using a spermicide along with a condom can help prevent pregnancy, not STIs. While condoms may fail to prevent pregnancy, they are effective in reducing the risk of STI transmission.
Therefore, using a latex condom for pregnancy prevention is not directly related to preventing the transmission of STIs.
Question 2 of 5
A nurse is caring for an older client who has a bronchopulmonary infection. The nurse monitors the client's ability to maintain a patent airway because of which factor involved in the normal aging process?
Correct Answer: C
Rationale: The correct answer is 'Decreased older client's ability to clear secretions.' Respiratory changes related to the normal aging process decrease an older adult's ability to clear secretions and protect the airway. In healthy older adults, the number of alveoli does not change significantly; their structure, however, is altered. Respiratory system compliance decreases with advancing age because of a progressive loss of elastic recoil of the lung parenchyma and conducting airways, and reduced elastic recoil of the lung and opposing forces of the chest wall. Production of surfactant in the lung does not usually decrease with aging, nor does it increase. However, the production of alveolar cells responsible for surfactant production is diminished.
Choices A, B, and D are incorrect.
Choice A is incorrect because respiratory system compliance decreases with aging.
Choice B is incorrect as the number of alveoli does not significantly decrease in healthy older adults.
Choice D is incorrect as the production of surfactant does not usually decrease with aging.
Question 3 of 5
A sexually active married couple, discussing birth control methods with the nurse, expresses the need for a method that is convenient. Because the couple has told the nurse that family-planning goals have been met, which method of birth control does the nurse suggest?
Correct Answer: B
Rationale: In this scenario, since the couple has indicated that their family-planning goals have been met, a permanent method of contraception like sterilization would be most suitable. Sterilization offers long-term effectiveness and convenience once the decision to stop having children is made. Options like the diaphragm, male condom, or spermicide are more suitable for temporary contraception or when the family-planning goals have not yet been achieved.
Therefore, the correct answer is sterilization, as it aligns with the couple's need for a convenient and permanent birth control method.
Question 4 of 5
When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?
Correct Answer: D
Rationale: The correct answer is 'soronal.' The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as sororal. Polyandry refers to multiple husbands, which is rare. Nonsororal polygamy is when the wives are not sisters. Sororate polygamy specifies that a husband must marry his wife’s sister if she dies.
Therefore, in this scenario, the family structure described by the client fits the definition of soronal polygamy.
Question 5 of 5
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
Correct Answer: C
Rationale: For a 2-year-old child, saying 'Mine!' when playing with toys is an example of age-appropriate play.
Toddlers at this age are possessive and asserting their sense of ownership. Building towers with blocks and trying to color within the lines involve more advanced motor skills and cognitive abilities that are typically not fully developed in a 2-year-old. Jumping rope requires coordination and balance beyond what a 2-year-old can usually achieve.
Therefore, choices A, B, and D are not considered age-appropriate plays for a 2-year-old child.