Best NCLEX-PN Practice Questions

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Question 1 of 5.

An adult says to the nurse, 'The doctor said I have a carcinoma, and my friend has a sarcoma. What is the difference?' What should the nurse include in the response?

A. Carcinoma is usually more serious than a sarcoma.

B. Carcinoma indicates that the tissue involved is epithelial, such as the GI tract or breast; sarcoma indicates that the tissue involved is connective tissue, such as the bone.

C. Carcinoma is a malignancy that usually appears early in life, whereas individuals who develop a sarcoma of any type are usually older.

D. Carcinomas are not as likely as sarcomas to metastasize to distant sites.

Explanation: Carcinomas arise from epithelial tissues (e.g., GI tract, breast), while sarcomas originate from connective tissues (e.g., bone), accurately distinguishing their tissue origins.

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.