A 65-year-old client is seen in an urgent care center for a sprained a

Best NCLEX-PN Practice Questions

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Question 1 of 5.

A 65-year-old client is seen in an urgent care center for a sprained ankle. The client also tells the nurse, 'I don't know what the problem is. I'm tired all the time. I guess it's just a sign I'm getting old.' What is the best response for the nurse to make?

A. Sixty-five isn't that old. Do you have enough activities to keep you from getting bored?'

B. It's normal for someone your age to feel tired like that. Try taking a two-hour nap during the day.'

C. It's not normal for someone your age to be tired all the time. Have you had a physical exam recently?'

D. You sound depressed. Would you like the name of a psychiatrist?'

Explanation: Persistent fatigue is not a normal part of aging and may indicate underlying medical issues, warranting a physical exam to identify the cause.

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.