NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering?
Correct Answer: C
Rationale: Heparin infusion to maintain the PTT at 1.5-2.5 times the control value. In pregnant women with pulmonary embolism, heparin is preferred over warfarin due to warfarin's teratogenic effects. A continuous heparin infusion is typically used to achieve therapeutic anticoagulation, monitored by maintaining the PTT at 1.5-2.5 times the control value.
Question 2 of 5
The nurse is providing care to a 9-year-old client who is awaiting surgery. Which intervention is developmentally appropriate for this client's plan of care?
Correct Answer: A
Rationale: Using simple diagrams with correct terminology (
A) is age-appropriate for a 9-year-old, aiding understanding. Future benefits (
B) are abstract, scar concerns (
C) are secondary, and last-minute education (
D) increases anxiety.
Question 3 of 5
When rendering aid to a victim who appears to be choking, the nurse's first action should be to:
Correct Answer: B
Rationale: Asking if the victim can speak assesses airway obstruction severity. Back blows or chest thrusts follow if needed, and establishing an airway is not the first step.
Question 4 of 5
A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering?
Correct Answer: C
Rationale: Heparin infusion to maintain the PTT at 1.5-2.5 times the control value. In pregnant women with pulmonary embolism, heparin is preferred over warfarin due to warfarin's teratogenic effects. A continuous heparin infusion is typically used to achieve therapeutic anticoagulation, monitored by maintaining the PTT at 1.5-2.5 times the control value.
Question 5 of 5
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
Correct Answer: D
Rationale: Recent streptococcal infection (
D) is the primary trigger for rheumatic fever, making it the most important question. Antibiotic compliance (
A), family history (
B), and fever (
C) are relevant but less critical.