NCLEX NCLEX-PN
2024 PN NCLEX Questions
1. A female client asks a nurse about the advantages of using a female condom. The nurse discusses which advantage with the client?
- A. That it offers protection against sexually transmitted infections (STIs)
- B. That it cannot be used along with a male condom
- C. That it does not have to be discarded after use and can be used several times before a new one must be obtained
- D. That it is 100% effective in preventing pregnancy
Correct answer: A: That it offers protection against sexually transmitted infections (STIs)
Rationale: The correct answer is that the female condom offers protection against sexually transmitted infections (STIs). Unlike the male condom, the female condom is a loose-fitting tubular polyurethane pouch that is anchored over the labia and cervix. It is used once and then discarded, making choice C incorrect. Female and male condoms should not be used together, so choice B is incorrect. Additionally, no contraceptive method is 100% effective in preventing pregnancy, making choice D incorrect.
2. The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
- A. disclose the information before the child knows or suspects.
- B. be comfortable with your sexual preference first.
- C. have the discussion in a quiet place where interruptions are unlikely.
- D. explain how your relationship with the child changes because of the discussion
Correct answer: explain how your relationship with the child changes because of the discussion
Rationale: The correct answer is to explain how your relationship with the child changes because of the discussion. Children of gay and lesbian parents should be reassured that their relationship with their parent will not change due to the disclosure. Choices A, B, and C are all important aspects of the disclosure process. It is crucial to disclose the information before the child knows or suspects, be comfortable with your sexual preference first, and have the discussion in a quiet place to ensure a safe and open environment for communication. Explaining how the relationship with the child changes might create unnecessary anxiety or confusion. Children may have different reactions based on their age, understanding, and environment. Therefore, it is essential to maintain a sense of stability and security in the parent-child relationship while addressing any questions or concerns that may arise.
3. A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
- A. A client with AIDS being treated with Foscarnet
- B. A client with a fractured femur in a long leg cast
- C. A client with laryngeal cancer with a laryngectomy
- D. A client with diabetic ulcers on the left foot
Correct answer: A client with laryngeal cancer with a laryngectomy
Rationale: The correct answer is the client with laryngeal cancer who had a laryngectomy. This client is at risk for airway obstruction due to the surgical procedure, making it a priority visit. Clients with AIDS (choice A), a fractured femur (choice B), and diabetic ulcers (choice D) do not have immediate life-threatening conditions that require urgent attention compared to a client with a recent laryngectomy.
4. The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
- A. human papillomavirus, genital herpes, measles.
- B. pneumonia, HIV, mumps.
- C. syphilis, gonorrhea, pneumonia.
- D. polio, pertussis, measles.
Correct answer: polio, pertussis, measles.
Rationale: Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases. The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the world’s population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against these diseases. Choices A, B, and C contain vaccines that do not protect against preventable diseases like polio, pertussis, and measles. Therefore, the correct choice is D.
5. The nurse is preparing task assignments for the day. Which task should the nurse assign to a nursing assistant?
- A. Monitoring for bleeding for a client who has just undergone cardiac catheterization
- B. Assisting a client who is getting up to ambulate for the first time after surgery
- C. Providing oral care to an unconscious client who requires oral care
- D. Completing the preoperative checklist for a client scheduled for a liver biopsy
Correct answer: Providing oral care to an unconscious client who requires oral care
Rationale: When delegating tasks, the nurse must consider the state nursing practice act guidelines and job descriptions. Providing oral care to an unconscious client is a task suitable for delegation to a nursing assistant. The nurse should give clear instructions on adapting the procedure for the client's needs and the signs of complications to watch for. Monitoring for bleeding after cardiac catheterization necessitates immediate nursing assessment, which requires critical thinking and intervention that exceeds a nursing assistant's scope of practice. Assisting a client with ambulation post-surgery carries the risk of orthostatic hypotension and should be performed by a licensed nurse. Completing a preoperative checklist for a client scheduled for a liver biopsy involves critical assessment and preparation that are within the nurse's scope of practice.
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