NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 163

NCLEX-PN

NCLEX-PN Test Bank

NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

The client has a prolonged prothrombin time. What question is important to ask the client when interpreting this information?

Correct Answer: B

Rationale: Excessive alcohol consumption can impair liver function, prolonging prothrombin time by reducing clotting factor production, a key question to assess.

Question 2 of 5

The LPN on a medical unit observes a coworker taking diazepam ordered for a client. What should the nurse do initially?

Correct Answer: C

Rationale: Observing for unsafe behavior assesses immediate risk to patients, allowing appropriate reporting if impairment is confirmed.

Question 3 of 5

The nurse is talking with a client's spouse who insists on being present in the room while the client is receiving CPR. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Allowing the spouse to stay with a staff member to explain reduces distress and supports family presence, which is often permitted during CPR.

Question 4 of 5

A woman in labor calls the nurse to assist her in the bathroom. The nurse notices a large amount of clear fluid on the bed linens. The nurse knows that fetal monitoring must now assess for what complication?

Correct Answer: C

Rationale: When the membranes rupture, there is increased risk initially of cord prolapse. Fetal heart rate patterns may show variable decelerations, which require immediate nursing action to promote gas exchange.

Question 5 of 5

The nurse is caring for a client with Cushing syndrome. Which of the following clinical manifestations should the nurse expect? Select all that apply.

Correct Answer: A,B,D

Rationale: Cushing syndrome causes hyperglycemia, hypertension, and truncal obesity due to excess cortisol. Hyponatremia and weight loss are not typical.

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