NCLEX-PN
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
A client with throat cancer receives radiation therapy to the head and neck. Which of the following strategies are appropriate to decrease the adverse effects associated with radiation therapy? Select all that apply.
Correct Answer: A,C,E
Rationale: Avoiding irritants reduces mucosal irritation. Liquid supplements ensure adequate nutrition when swallowing is difficult. E: Artificial saliva alleviates xerostomia, a common side effect. B is incorrect as topical analgesics may be beneficial for pain relief. D is incorrect as frequent oral hygiene is needed to prevent infections and maintain oral health.
Question 3 of 5
A nurse in the gynecology clinic is reviewing client histories. Which report would be most concerning to the nurse?
Correct Answer: D
Rationale: Bloating and pelvic pressure in a 60-year-old client may indicate serious conditions such as ovarian cancer or other pelvic masses, which require urgent evaluation. Fish-like odor suggests bacterial vaginosis, heavy bleeding with an IUD is common, and pain with endometriosis is expected, making these less concerning.
Extract:
Medication monitoring therapeutic ranges
Phenytoin
10-20 mcg/mL
(40-79 mcmol/L)
Digoxin
0.8-2 ng/mL
(1.02-2.56 nmol/L)
INR (prosthetic valve)
3-4
Lithium
0.8-1.2mEq/L
(0.8-1.2 mmol/L)
Question 4 of 5
Which of the following laboratory values requires immediate follow-up?
Correct Answer: A
Rationale: Phenytoin levels of 8 mcg/mL are subtherapeutic (therapeutic range: 10-20 mcg/mL), especially with enteral feedings that reduce absorption, requiring immediate adjustment.
Extract:
Question 5 of 5
A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?
Correct Answer: A
Rationale: In breast-fed infants, stools are frequent and yellow to golden, and vary from soft to thick liquid in consistency. No change in feedings is indicated.