NCLEX-PN
NCLEX PN Practice Tests Questions
Extract:
Question 1 of 5
A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor's order should the nurse question?
Correct Answer: B
Rationale: Brethine (terbutaline) is a tocolytic used to stop preterm labor, which is inappropriate at 34 weeks with diabetes, as delivery may be indicated. Magnesium sulfate is used for preeclampsia, Stadol is for pain, and Ancef is an antibiotic, all of which may be appropriate.
Question 2 of 5
A client who had a bowel resection 5 days ago says, 'I felt like I split open when I coughed.' The nurse finds the incision edges separated and bowel protruding through the wound. Which of the following actions are appropriate? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Vital signs, sterile saline dressings, provider notification, and low Fowler with flexed knees manage dehiscence and evisceration. Oxycodone is inappropriate during this emergency.
Question 3 of 5
Which of these women in the labor and delivery unit would the nurse check first when the water breaks (ROM) for all of them within a 2 minute period?
Correct Answer: B
Rationale: A multigravida with station at -1, contractions at 15 minutes apart with duration of 30 seconds, cervix dilated at 3 cm, and 10% effacement. When the station is -1 or -2 and the water breaks, the risk is greater for a prolapsed cord.
Question 4 of 5
The LPN is caring for all of the following women on the postpartum unit. Which situation requires further attention?
Correct Answer: B
Rationale: A fundus 3 cm above the umbilicus 12 hours postpartum suggests uterine atony or retained clots, requiring further assessment to prevent hemorrhage. Other findings are normal or less urgent.
Question 5 of 5
Which components are used in determining the standards of professional nursing practice? Select all that apply.
Correct Answer: B,C,D
Rationale: Standards are set by professional organizations, institutional policies, and state Nurse Practice Acts. Good intentions and personal customs do not define professional standards.