NCLEX-PN Practice Questions PDF
Question 1 of 5.
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
- A. Teach abstinence from sexual intercourse during treatment and use of condoms.
- B. Determine if the woman is pregnant.
- C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively).
- D. Administer an analgesic.
- E. Administer the first dose of acyclovir.
- B. Determine if the woman is pregnant.
- D. Administer an analgesic.
- E. Administer the first dose of acyclovir.
- A. Teach abstinence from sexual intercourse during treatment and use of condoms.
- C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively).
Correct arrangement
Explanation: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.
Question 2 of 5.
The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?
A. "The frequent vaginal infections could be a precursor to vulvar cancer."Â
B. "You could have a contact allergy that is causing your vaginal itching."Â
C. "The vagina becomes more acidic after menopause, causing your symptoms."Â
D. "The vaginal pH increases during menopause, predisposing you to these symptoms."Â
Explanation: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.
Question 3 of 5.
A 54-year-old client who is postmenopausal reports increasing episodes of urinary leakage. Which lifestyle practice is most important for the nurse to discuss with the client?
A. Eliminate the consumption of caffeine.
B. Establish an hourly voiding schedule.
C. Decrease the intake of water and other fluids.
D. Strengthen pelvic muscles with Kegel exercises.
Explanation: A. Caffeine can increase urinary frequency, but the loss of muscle tone contributes to urinary leakage. B. A regular voiding schedule improves bladder control, but beginning with an hourly voiding schedule is unnecessary and inconvenient. C. Decreasing intake of fluids can contribute to dehydration. D. Kegel exercises improve urinary incontinence by strengthening the pelvic floor muscles that support the bladder.
Question 4 of 5.
The client, who is postmenopausal, reports pain with sexual intercourse. Which effective treatments should the nurse review with the client? Select all that apply.
A. Use estradiol vaginal tablets as prescribed by the HCP.
B. Have regular intercourse to enhance vaginal blood flow.
C. Soak in a bath with fragrant oil or bubble bath every day.
D. Use feminine cleansing cloths or a vaginal douche daily.
E. Insert a vaginal lubricant prior to having intercourse.
Explanation: A. Estradiol vaginal tablets increase vaginal lubrication production and have been shown to be effective for vaginal dryness and pain with intercourse. B. Increased blood flow to the vagina through regular intercourse effectively helps to prevent further tissue atrophy. C. Fragrant bath oil or bubble bath will cause further drying of vaginal tissues. D. Feminine cleansing cloths or douches will cause further drying of vaginal tissues. E. Vaginal lubricants have been shown to be effective for vaginal dryness and pain with intercourse.
Question 5 of 5.
The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?
A. A decreased level of estrogen hormone
B. A psychological craving for high-fat food
C. An increased level of progesterone hormone
D. An intolerance to exercise and physical activity
Explanation: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.