NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
An adult client has been medicated for elective surgery. The operating room nurse discovers that the consent form for surgery has not been signed. What should the nurse do?
Correct Answer: B
Rationale: Preoperative medications impair judgment, making consent invalid post-administration. Notifying the physician ensures legal and ethical consent is obtained, delaying surgery if needed.
Question 2 of 5
The nurse has reinforced teaching with a client who has rheumatoid arthritis and is receiving methotrexate. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Avoiding alcohol (
A), preventing pregnancy (
B), and avoiding crowds (
C) are correct. Avoiding folic acid (
D) is incorrect, as methotrexate often requires folic acid supplementation to reduce side effects.
Extract:
Laboratory reference ranges
Glucose (random) – newborn < 24 hours old
40-60 mg/dL
(2.2-3.3 mmol/L)
Question 3 of 5
The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery. Which of the following are expected findings? Select all that apply.
Correct Answer: A, B, E
Rationale: Respirations of 56 (
A), glucose of 60 mg/dL (
B), and white papules (milia) (E) are normal in neonates. A holosystolic murmur (
C) and single transverse crease (
D) suggest congenital abnormalities.
Extract:
Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0
Question 4 of 5
The nurse has reinforced teaching for a client with atrial fibrillation who is receiving warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A, C
Rationale: Antibiotics affecting INR (
A) and consistent timing (
C) are correct. More leafy greens (
B) can lower INR, INR of 4-5 (
D) is too high, and doubling doses (E) is dangerous.
Extract:
Question 5 of 5
During the shift report, the night charge nurse tells the day charge nurse that the night unlicensed assistive personnel (UAP) is totally incompetent. What is the best response for the day charge nurse to give?
Correct Answer: D
Rationale: Suggesting discussion with the nurse manager (
D) addresses the issue professionally. Encouraging training (
A), deflecting responsibility (
B), or defending the UAP (
C) are less appropriate.