NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a prescription for nalbuphine 10 mg/70 kg subcutaneously once. The client weighs 187 lb (85 kg). The nurse has nalbuphine 10 mg/1 mL available. How many mL should the nurse administer to the client? Record your answer using 1 decimal place.
Correct Answer: 1.2
Rationale: Dose = (10 mg/70 kg) × 85 kg = 12.14 mg. Volume = 12.14 mg ÷ 10 mg/mL = 1.2 mL.
Question 2 of 5
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
Correct Answer: B
Rationale: Alcohol potentiates the action of tricyclic antidepressants.
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 3 of 5
A client is being discharged with a prescription for apixaban after being treated for a pulmonary embolus. Which clinical data is most concerning to the nurse?
Correct Answer: C
Rationale: Indomethacin, an NSAID, increases bleeding risk when combined with apixaban, an anticoagulant, making it concerning. The other data are not significant.
Extract:
Question 4 of 5
A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
Correct Answer: D
Rationale: A cool, high-humidity tent liquefies secretions and relieves laryngeal spasm in croup, easing breathing. It does not primarily prevent water loss, deliver 30% oxygen, or reduce fever.
Question 5 of 5
All of the following women are seen in the physician's office. Which is at greatest risk for preterm labor?
Correct Answer: C
Rationale: Multiple gestation, such as twins, significantly increases preterm labor risk due to uterine overdistension, making the 21-year-old the highest risk.