NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 1 of 5
A client is being discharged after having a stent placed in the left anterior descending coronary artery. The client is prescribed clopidogrel. Which client data obtained by the nurse would be concerning in relation to this new medication?
Correct Answer: D,E
Rationale: Ginkgo biloba (
D) and peptic ulcer disease (E) increase bleeding risk with clopidogrel, requiring caution. Blood pressure (
A), heart rate (
B), and platelet count (
C) are within normal limits.
Extract:
Question 2 of 5
The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C,D
Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.
Question 3 of 5
The nurse is reinforcing education to a client with a venous thromboembolism who is prescribed rivaroxaban. Which statement by the client indicates the medication teaching has been effective?
Correct Answer: C
Rationale: Rivaroxaban is a direct oral anticoagulant that does not require routine monitoring of clotting levels, unlike warfarin. It also does not necessitate dietary restrictions like avoiding spinach and kale, which are relevant for warfarin due to vitamin K interactions. Avoiding aspirin is correct because it increases bleeding risk when combined with rivaroxaban. Weakness in legs is not a typical side effect of rivaroxaban.
Question 4 of 5
The nurse is caring for a man who has recently been diagnosed with angina. Which statement he makes indicates understanding of his condition?
Correct Answer: B
Rationale: Taking nitroglycerin for chest pain reflects proper angina management. Avoiding exercise, fearing heart attacks, or calling for all pain are misconceptions.
Question 5 of 5
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:
Correct Answer: D
Rationale: A night light reduces confusion by improving visibility and orientation. Constant supervision is impractical, room-sharing may worsen confusion, and sedatives increase fall risk.