NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.
Question 2 of 5
The client, who is postmenopausal, reports pain with sexual intercourse. Which effective treatments should the nurse review with the client? Select all that apply.
Correct Answer: A,B,E
Rationale: A. Estradiol vaginal tablets increase vaginal lubrication production and have been shown to be effective for vaginal dryness and pain with intercourse. B. Increased blood flow to the vagina through regular intercourse effectively helps to prevent further tissue atrophy. C. Fragrant bath oil or bubble bath will cause further drying of vaginal tissues. D. Feminine cleansing cloths or douches will cause further drying of vaginal tissues. E. Vaginal lubricants have been shown to be effective for vaginal dryness and pain with intercourse.
Question 3 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.
Question 4 of 5
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.
Question 5 of 5
The nurse assists with the delivery of a stillborn infant who is gestationally small with a malformed cranium. To promote the parents' grieving process, which nursing action is most appropriate?
Correct Answer: A
Rationale: Allowing parents to see and touch the stillborn infant facilitates grieving by making the loss tangible and fostering closure.