NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client is to be discharged on enoxaparin (Lovenox) for the next two days. Which comment by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Enoxaparin is injected subcutaneously in the abdomen, not the thigh, indicating a need for further teaching.
Question 2 of 5
The nurse is caring for a client who is experiencing hypotension and respiratory depression after administration of IV midazolam. The nurse should anticipate that the client will receive
Correct Answer: D
Rationale: Midazolam, a benzodiazepine, can cause respiratory depression and hypotension in overdose. Flumazenil (
D) is the specific antidote, reversing benzodiazepine effects. Acetylcysteine (
A) treats acetaminophen overdose, benztropine (
B) manages extrapyramidal symptoms, and phentolamine (
C) treats hypertensive crises, none of which apply here.
Question 3 of 5
The nurse has reinforced nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate a need for further teaching?
Correct Answer: D
Rationale: Fish should be avoided on a low-purine diet. Other foods to avoid include poultry, liver, lobster, oysters, peas, spinach, and oatmeal. Answers A, B, and C are all foods included on a low-purine diet, which makes them incorrect.
Question 4 of 5
All of the following individuals live at home with their families. Which of the following persons is least at risk for abuse?
Correct Answer: B
Rationale: The ambulatory man with minimal dependency is least likely to be abused, as he retains some independence. Incontinence, high dependency, or disruptive behavior increase vulnerability.
Question 5 of 5
Which client is most at risk for methicillin-resistant Staphylococcus aureus infection?
Correct Answer: D
Rationale: The 80-year-old with a hemodialysis catheter in a long-term care facility (
D) is at highest risk for MRSA due to invasive devices, frequent healthcare exposure, and communal living. Others (A, B,
C) have lower risk profiles.