Best NCLEX-PN Practice Questions
Question 1 of 5.
The nurse is preparing to conduct a women's wellness seminar. What information should the nurse plan to include about risk factors for development of breast cancer? Select all that apply.
A. The risk increases for women who have fibrocystic breast disease.
B. The risk increases if the onset of menarche occurs at a young age.
C. Women who have breastfed their infants are at an increased risk.
D. Risk is increased in postmenopausal women with a BMI below 20.
E. Women whose sisters have had breast cancer are at increased risk.
Explanation: A. Fibrocystic breast disease is not related to breast cancer development, but fibrocystic changes can make it more difficult to feel early cancerous lumps during breast examination. B. Early menarche and/or late menopause increase the risk of developing breast cancer. C. Childless women, not those who have breastfed, are at increased risk. It is thought that pregnancy and lactation interrupt ovulation and alter the hormonal environment, reducing breast cancer risk. D. Postmenopausal women who are obese, not those with a lower BMI, are at increased risk. E. Women with first-degree relatives, such as a mother or sister, who had breast cancer are at risk.
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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