Best NCLEX-PN Practice Questions
Question 1 of 5.
A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?
A. Firmly insist that she get on the elevator with the other clients
B. Explain to her that the elevator is safe and take her on a separate elevator from the rest of the group
C. Excuse her from group therapy until she will get on the elevator
D. Assign someone to walk up the stairs with her
Explanation: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.
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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