NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 1 of 5
A client is being discharged with a prescription for apixaban after being treated for a pulmonary embolus. Which clinical data is most concerning to the nurse?
Correct Answer: C
Rationale: Indomethacin, an NSAID, increases bleeding risk when combined with apixaban, an anticoagulant, making it concerning. The other data are not significant.
Extract:
Question 2 of 5
The nurse is caring for a woman whose husband beats her regularly. Which is the most important long-term goal for this woman?
Correct Answer: B
Rationale: Feeling like a survivor empowers the woman, fostering resilience and self-efficacy, the most important long-term goal in domestic violence recovery.
Question 3 of 5
A client is able to partially bear weight and follow the nurse's instructions. Which would be the most appropriate method for the nurse to use to safely transfer this client?
Correct Answer: A
Rationale: A 1-person stand and pivot with a gait belt and walker is appropriate for a client who can partially bear weight and follow instructions. Other methods are either insufficient or overly complex.
Question 4 of 5
The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an immediate response from the nurse?
Correct Answer: A
Rationale: Decreased breath sounds in right lower lobe. The most common problem associated with enteral feedings is atelectasis. Maintain client at 30 degrees of head elevation during feedings and monitor for signs of aspiration. Check for tube placement prior to each feeding or every 4 to 8 hours if the client is receiving continuous feeding.
Question 5 of 5
The nurse is assessing a client who had surgery 12 hours ago and is receiving IV morphine for incisional pain. It would require immediate follow-up if the client
Correct Answer: C
Rationale: Burning at the IV site suggests possible extravasation or phlebitis, which can lead to tissue damage or infection, requiring immediate intervention. Low blood pressure, falling asleep, and dizziness are less urgent and can be associated with morphine's expected effects.