NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse has administered several blood transfusions over 3 days to a 12 year-old client with Thalassemia. What lab value should the nurse monitor closely during this therapy?
Correct Answer: A
Rationale: Hemoglobin should be in a therapeutic range of approximately 10 g/dl (100 g). This level is low enough to foster the patient’s own erythropoiesis without enlarging the spleen.
Question 2 of 5
The nurse is observing the movements of a client receiving Thorazine (chlorpromazine). The client continually paces and rocks back and forth when sitting. The nurse recognizes that the client is experiencing:
Correct Answer: B
Rationale: Akathisia is characterized by restlessness, pacing, and rocking, which matches the client's symptoms. Answer A involves fixed upward gaze, Answer C involves muscle spasms, and Answer D involves slowed movements, all of which are incorrect.
Question 3 of 5
An adult is hospitalized following a myocardial infarction. While the client is receiving heparin, the nurse should have which of the following medications available?
Correct Answer: D
Rationale: Protamine sulfate is the antidote for heparin overdose, reversing its anticoagulant effects in case of bleeding.
Question 4 of 5
The clinic nurse is collecting data on a client at 22 weeks gestation during a prenatal visit. Which finding is most concerning?
Correct Answer: B
Rationale: Lisinopril is contraindicated in pregnancy due to the risk of fetal harm and requires immediate discontinuation.
Question 5 of 5
The daughter of a 78-year-old woman asks the nurse why her mother is giving away some of her belongings to her children and grandchildren. What should the nurse include when responding?
Correct Answer: B
Rationale: Giving away belongings reflects preparation for death, a normal developmental task in older adults achieving ego integrity. Generosity, distrust, or suicide are less likely.