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Best NCLEX-PN Practice Questions

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Question 1 of 5.

A 64-year-old woman tells the nurse she has vaginal itching and dryness and that she has pain 'down there' at times. What should the nurse do?

A. Reassure the client that these are normal changes that come with aging.

B. Explain to the client that this situation is of little importance because sexual activity is not likely at this age.

C. Suggest to the client that she use a vaginal cream for the itching and dryness.

D. Encourage the client to see her physician.

Explanation: Vaginal itching, dryness, and pain may indicate conditions like atrophy or infection, requiring medical evaluation rather than self-treatment or dismissal.

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.

Related Questions

The nurse is caring for a 75-year-old widow admitted to the psychiatric hospital by her daughter, who became concerned when her mother began to talk in a confused manner about her husband who has been dead for seven years. In the hospital, especially at night, the client wanders into the other clients' rooms looking for her husband. What is the most appropriate action for the nurse to take when this woman wanders into the rooms of the other clients?

The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?

An elderly woman is hospitalized with chronic organic brain syndrome. When her daughter visits, she does not recognize her. The daughter begins to cry and shares her concerns with the nurse. Which statement by the nurse would demonstrate an empathetic response?

An elderly woman with Alzheimer's disease refuses to eat and begins to lose weight. Which approach by the nurse will likely be most effective in getting the client to eat?

A 25-year-old woman has admitted herself to the psychiatric unit for treatment of Valium addiction. She is currently taking 150 mg PO of Valium per day, which she gets from various doctors or buys off the streets. The first night she is on the unit, she dresses in a short, see-through nightgown and approaches the male nurse. She states that she is 'coming down' and just needs a little comforting and conversation. What is the best initial response by the nurse?

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