NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Diphenoxylate hydrochloride with atropine sulfate (Lomotil) is prescribed for a client. The nurse knows that the drug is prescribed for which of these problems the client has?
Correct Answer: A
Rationale: Lomotil is an antidiarrheal, slowing intestinal motility to reduce diarrhea.
Question 2 of 5
The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?
Correct Answer: A
Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.
Extract:
Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0
Question 3 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 4 of 5
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.
Question 5 of 5
A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidyl glycerol is noted. The nurse's assessment of this data is:
Correct Answer: C
Rationale: An L/S ratio of 1:1 and presence of phosphatidyl glycerol suggest immature lungs, indicating a high risk for respiratory distress syndrome, so C is correct. Answers A, B, and D are not directly related to these findings.