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Best NCLEX-PN Practice Questions

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Question 1 of 5.

The nurse in a retirement home has noticed that Mr. A. and Ms. C. have been holding hands frequently. One day, the nurse enters Mr. A.'s room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take?

A. Interrupt the couple and send Ms. C. to her room.

B. Leave the room and close the door.

C. Notify the relatives of both residents.

D. Ask Ms. C. if she is all right.

Explanation: Both residents are alert and oriented, indicating consensual activity; leaving and closing the door respects their privacy and autonomy.

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

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?

A young woman has admitted herself to the psychiatric unit for treatment of Valium addiction. A schedule of drug withdrawal is ordered by the doctor. Which of the following may the nurse expect to see as the Valium dose is decreased?

Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?

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