NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should
Correct Answer: C
Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.
Question 3 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Question 4 of 5
The nurse is assessing a client with a suspected urinary tract infection (UTI). Which of the following symptoms would the nurse expect to find?
Correct Answer: A
Rationale: Burning on urination (dysuria) is a hallmark symptom of a UTI due to bladder mucosal irritation. Flank pain (
B) suggests kidney stones or pyelonephritis, vomiting/diarrhea (
C) indicate gastroenteritis, and chest pain (
D) is unrelated.
Question 5 of 5
A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?
Correct Answer: B
Rationale: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.