NCLEX-PN Practice Questions PDF
Question 1 of 5.
The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?
A. "I may have a bad metallic taste in my mouth."Â
B. "I'm glad I can still drink beer with these pills."Â
C. "My urine may look a little darker than usual."Â
D. "These pills may make me sick to my stomach."Â
Explanation: A. Clients may experience a metallic taste while taking metronidazole. B. Drinking alcohol while on metronidazole (Flagyl) is contraindicated. It can cause a disulfiram-like reaction with nausea, vomiting, abdominal cramps, headache, and flushing. C. Metronidazole can turn urine dark. It is important to inform clients of this. D. Nausea can occur when taking metronidazole. Taking it with food or milk may decrease GI irritation.
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.