Best NCLEX-PN Practice Questions
Question 1 of 5.
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
A. Cleanse perineal wound with warm saline daily.
B. Maintain high Fowler's position for 24 hours.
C. Begin low-residue diet when tolerating oral intake.
D. Apply antiembolic stockings; remove 20 minutes bid.
Explanation: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.
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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