NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of atrial fibrillation is prescribed warfarin. Which INR range is therapeutic for this condition?
Correct Answer: B
Rationale: An INR of 2.0–3.0 is therapeutic for atrial fibrillation to prevent thromboembolism.
Question 2 of 5
The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?
Correct Answer: 980 mL.
Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.
Question 3 of 5
The nurse is asked to complete health education on testicular cancer. To obtain the maximal impact, the nurse should plan to present this education to which group?
Correct Answer: A
Rationale: A. Testicular cancer is the most common type of cancer in young men between 15 and 34 years of age.
Therefore, education should be directed at males within this age group. B. Never fathering a child does not change the risk for testicular cancer development if the male is between 15 and 34 years of age. C. Fathering a child does not change the risk for development of testicular cancer; all males in the high-risk age group should be educated. D. Increasing age decreases the risk for testicular cancer.
Question 4 of 5
The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?
Correct Answer: C
Rationale: A. Clients with BPH should maintain fluid intake at normal levels to prevent dehydration. Drinking large amounts of water, however, could lead to bladder distention, which would result in abdominal discomfort. B. Increased exercise will not alter BPH symptoms. C. Compounds found in common cough and cold remedies, such as pseudoephedrine and phenylephrine, are alpha-adrenergic agonists that cause smooth muscle contraction. Since the bladder is a smooth muscle, these medications may increase symptoms of urinary urgency and frequency. D. Increased amounts of alcohol and caffeine can increase BPH symptoms, but dairy products should not affect BPH symptoms.
Question 5 of 5
A pregnant client with known human immunodeficiency virus (HIV) infection is admitted to the hospital in active labor. Which method of fetal assessment is most appropriate?
Correct Answer: C
Rationale: External fetal monitoring is non-invasive, minimizing HIV transmission risk during labor compared to invasive methods.