Best NCLEX-PN Practice Questions
Question 1 of 5.
A 17-year-old female receives treatment for primary amenorrhea caused by hyperthyroidism. Which finding during a clinic visit should indicate to the nurse that treatment for amenorrhea was effective?
A. Weight increased by 10 pounds
B. Denies having menstrual cramps
C. States just started having her menses
D. No longer has a fine hand tremor
Explanation: A. An increased weight may help with initiating a menstrual cycle if the cause is a body fat composition of less than 10%, but this does not indicate that the woman has started her menstrual cycle. B. If the client is not menstruating (amenorrhea), she will not have menstrual cramps. C. Hyperthyroidism and a body fat composition of less than 10% can be contributing factors to amenorrhea (absence of menses). The start of a menstrual cycle indicates that treatment of the underlying cause of amenorrhea is effective. D. The absence of a fine hand tremor may indicate treatment is effective for the hyperthyroidism. It does not indicate that the primary amenorrhea is resolved.
Question 2 of 5.
The nurse is caring for a client who is being treated for cancer. Which question by the client indicates that the client is not ready for teaching?
A. Am I going to lose my hair?'
B. Should I get a second opinion?'
C. Will this make me really sick?'
D. Will I have to stop exercising at the gym?'
Explanation: Asking about a second opinion suggests denial or doubt about the diagnosis, indicating the client is not ready to engage in teaching about treatment.
Question 3 of 5.
The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?
A. Increase the amount of spices in the food
B. Avoid red meats
C. Medicate with prochlorperazine (Compazine) before meals
D. Eat foods that are hot in temperature
Explanation: Increasing spices enhances flavor, encouraging intake, as chemotherapy often dulls taste buds, impacting nutritional status.
Question 4 of 5.
In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:
A. remove flowers from the room.
B. encourage fresh fruit and vegetables.
C. use a strict hand washing technique.
D. take the client's temperature frequently.
Explanation: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.
Question 5 of 5.
The nurse is teaching a client with a WBC of 1400. Which statement made by the client indicates an understanding of the teaching?
A. I will eat fresh fruits and vegetables to avoid constipation.'
B. I will stay away from my cat.'
C. I will avoid crowded places.'
D. I will wash all my fruits and vegetables before I eat them.'
Explanation: A low WBC (1400) indicates high infection risk; avoiding crowded places reduces exposure to pathogens, showing understanding of infection precautions.
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