NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with coronary artery disease is being seen in the clinic for a follow-up examination. During medication reconciliation, the nurse identifies which reported medication as requiring further investigation?
Correct Answer: C
Rationale: Naproxen (
C), an NSAID, increases cardiovascular risk and bleeding, requiring investigation in coronary artery disease. Isosorbide (
A), atorvastatin (
B), and fish oil (
D) are appropriate.
Question 2 of 5
A 62-year-old client admitted to the telemetry unit after an acute myocardial infarction 3 days ago reports that the left calf is very tender and warm to the touch. Which nursing intervention is the priority?
Correct Answer: D
Rationale: Tenderness and warmth suggest deep vein thrombosis, so a neurovascular check (
D) is the priority to assess for complications. History (
A), ECG (
B), and vitals (
C) are secondary.
Question 3 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Extract:
Laboratory Reference Ranges
Sodium
136-145 mEq/L
(136-145 mmol/L)
Question 4 of 5
The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Extremity drift (
A), unconsciousness (
B), heparin before surgery (
C), and severe hyponatremia (
D) are urgent and require notification. Refusing pain medication (E) is not critical.
Extract:
Question 5 of 5
The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?
Correct Answer: C
Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.