NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A client with a embolus has an order for a continuous infusion of heparin. The doctor has ordered 1,200 units per hour. If the solution contains 1,250 units in $250 \mathrm{~mL}$, the nurse should administer how many $\mathrm{mL}$ per hour?
Correct Answer: B
Rationale: Calculation: (1,200 units/hour ÷ 1,250 units) × 250 mL = 24 mL/hour. This ensures the correct heparin dose is delivered.
Question 2 of 5
An adult admitted for surgery also is diagnosed with obsessive-compulsive disorder. The client spends most of her time in the bathroom washing her hands. The client is scheduled for surgery at 8:00 A.M. and is to be premedicated at 7:00 A.M. Which nursing action will be most appropriate?
Correct Answer: C
Rationale: Providing a wash basin accommodates her OCD hand-washing ritual, reducing anxiety post-medication while ensuring she remains in bed.
Question 3 of 5
The nurse is to apply an Ace wrap to the client's right lower leg. Which action should the nurse take to ensure that the dressing is not too tight?
Correct Answer: B
Rationale: Checking pedal pulses ensures the Ace wrap does not impair circulation. Removing hourly is impractical, Doppler is excessive, and leaving for 24 hours risks missing issues.
Question 4 of 5
The nurse in the outpatient clinic is talking with a client who sustained a distal fracture of the humerus and had a cast applied 2 days ago. Which of the following statements by the client would be a priority to follow up?
Correct Answer: C
Rationale: Difficulty extending fingers suggests nerve compression or compartment syndrome, a priority for follow-up. Other statements are less urgent.
Question 5 of 5
A 6 month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to
Correct Answer: C
Rationale: Check every few hours for the next day or 2 for swelling in the baby's feet. A child in a hip spica cast must be checked for circulatory impairment. The extremities are observed for swelling, discoloration, movement and sensation.