Best NCLEX-PN Practice Questions
Question 1 of 5.
The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client's discharge instructions?
A. Sexual intercourse can be resumed once vaginal discharge has stopped.
B. Perform a vaginal douche with clean tap water twice daily for 48 hours.
C. Notify the HCP immediately if the vaginal discharge develops a foul odor.
D. Increase fluid intake, rest, and make plans to return to work in 1 week.
Explanation: A. Sexual intercourse should not resume until the client is reexamined in about 2 weeks. B. Vaginal douching is not recommended. C. Foul-smelling vaginal discharge is a sign of vaginal infection and/or retained tissue and should be reported as soon as it is noted by the client. D. There is no evidence to support the need to wait a week before returning to work. Many women resume their usual activities the same day as the abortion.
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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