NCLEX-PN
NCLEX PN Exam Cram Questions
Extract:
Question 1 of 5
Which of the following symptoms is most characteristic of a client with lung cancer?
Correct Answer: B
Rationale: The most characteristic symptom of lung cancer is a persistent changing cough. This cough may worsen over time and may produce blood-tinged sputum. Exertional dyspnea (
Choice
A) is more common in chronic obstructive pulmonary disease (COP
D) due to airway obstruction. Air hunger and dyspnea (
Choice
C) are more typical of conditions like asthma. Cough with night sweats (
Choice
D) is commonly associated with tuberculosis rather than lung cancer.
Question 2 of 5
Which of the following is not typically considered one of the main mechanisms of Type II Diabetes treatment?
Correct Answer: D
Rationale: Continuous Insulin is not typically considered one of the main mechanisms for treating Type II Diabetes. While medications, nutrition, and increased activity play crucial roles in managing Type II Diabetes, continuous insulin therapy is more common in Type I Diabetes or in specific cases of Type II Diabetes where other treatments are ineffective.
Therefore, the correct answer is Continuous Insulin.
Choices A, B, and C are mainstays in the treatment of Type II Diabetes, making them incorrect answers.
Question 3 of 5
A nurse working in a surgical unit notices a patient experiencing SOB, calf pain, and warmth over the posterior calf. All of these symptoms may indicate which of the following medical conditions?
Correct Answer: A
Rationale: The correct answer is that the patient may have a DVT (Deep Vein Thrombosis). SOB (Shortness of Breath), calf pain, and warmth over the posterior calf are classic signs and symptoms of DVT. DVT is a serious condition where a blood clot forms in a deep vein, commonly in the legs.
Choices B, C, and D are incorrect because dermatitis does not typically present with these symptoms, late stages of CHF would manifest with other signs, and anxiety after surgery usually does not produce these specific symptoms.
Question 4 of 5
Which instruction should be given in a health education class regarding testicular cancer?
Correct Answer: D
Rationale: The correct instruction for testicular cancer education is that testicular exams should be performed after a warm bath or shower as it relaxes the scrotum and makes the exam easier. Testicular exams should be done monthly by all men starting around age 15, not after the age of 30 (
Choice
A) or on a daily basis (
Choice
B), which is unnecessary and may lead to unnecessary anxiety. Reddening or darkening of the scrotum is not a normal finding (
Choice
C) and should be reported to a healthcare provider for further evaluation.
Question 5 of 5
A nurse is working in a pediatric clinic, and a 25-year-old mother comes in with a 4-week-old baby. The mother is stressed out about the loss of sleep, and the baby exhibits signs of colic. Which of the following techniques should the nurse teach the mother?
Correct Answer: D
Rationale: Neural warmth techniques involve the caregiver providing a warm, soothing touch to the baby, which can help to lower the baby's agitation level and promote relaxation. This technique is beneficial for calming colicky babies.
Choices A, B, and C are incorrect because distraction with a red object, prone positioning, and tapping reflex techniques are not effective methods for managing colic in infants. Red object distraction is not a proven technique for soothing colicky babies. Prone positioning is not recommended for infants due to the risk of sudden infant death syndrome (SIDS). Tapping reflex techniques are not recognized as effective interventions for colic.