Best NCLEX-PN Practice Questions
Question 1 of 5.
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!"Â Which fact should the nurse consider when formulating a response to the client?
A. Young women at this age are at increased risk of breast cancer development.
B. A nondiscrete possible mass or thickening has a high index of suspicion for breast cancer.
C. Benign fibroadenomas are the most frequent cause of breast masses in women under 25 years.
D. Close personal contact required in dormitory living can cause infectious breast disorders-
Explanation: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.
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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