NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A patient with rheumatoid arthritis is prescribed methotrexate. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Alcohol increases hepatotoxicity risk with methotrexate, a key concern in rheumatoid arthritis treatment. Food timing, vitamin C, and bedtime dosing are not critical.
Question 2 of 5
A client with polysubstance abuse has been admitted to the hospital for detoxification. Which of the following drugs represents the most serious life-threatening situation during the withdrawal period?
Correct Answer: B
Rationale: Secobarbital, a barbiturate, poses the most serious risk during withdrawal, as it can lead to life-threatening seizures and delirium. Methadone and heroin withdrawal are uncomfortable but less likely to be fatal, and cocaine withdrawal is primarily psychological.
Question 3 of 5
A nurse is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
Correct Answer: C
Rationale: Mumps and Rubella are contraindicated during pregnancy.
Question 4 of 5
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should
Correct Answer: B
Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.
Question 5 of 5
The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?
Correct Answer: B
Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.