NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Order: 2000 mL D5W IV infused in six hours. The drop factor is 15 gtt/mL. Calculate the flow rate in gtt/min.
Correct Answer: C
Rationale: 2000 mL ÷ 6 hours = 333.33 mL/h. (333.33 mL/h ÷ 60 min) × 15 gtt/mL = 83.33 gtt/min, rounded to 83 gtt/min. Other options are incorrect.
Question 2 of 5
A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?
Correct Answer: D
Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.
Question 3 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.
Extract:
The hormone that tends to decrease calcium concentration in the blood is:
Question 4 of 5
Calcitonin
Correct Answer: A
Rationale: Calcitonin, a thyroid gland hormone, prevents the reabsorption of calcium by bone and inhibits the release of calcium from bone, lowering serum calcium levels.
Extract:
Question 5 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.