NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with heart failure who develops a persistent, dry cough after starting enalapril. Which of the following new prescriptions would the nurse anticipate for this client?
Correct Answer: D
Rationale: A dry cough is a common side effect of ACE inhibitors like enalapril, so switching to an ARB like valsartan (
D) is anticipated. Alprazolam (
A), guaifenesin (
B), and lisinopril (C, another ACE inhibitor) are inappropriate.
Question 2 of 5
Because a client is scheduled for a bronchoscopy tomorrow, the nurse should do which of the following?
Correct Answer: B
Rationale: Bronchoscopy involves sedation and airway manipulation, requiring NPO status after midnight to prevent aspiration, unlike fluids, enemas, or withholding medications.
Extract:
Vital signs
Temperature 98.7 F (37.05 C)
Blood pressure 110/64 mm Hg
Heart rate 92/min
Respirations 22/min
O2 saturation or SpO2 90% on room air
Question 3 of 5
An 81-year-old client is admitted to a rehabilitation facility 3 days after total hip replacement. The next morning, the unlicensed assistive personnel (UAP) takes the client's vital signs, but when the UAP returns to assist the client with a shower, the client curses at and tries to hit the UAP. Which is the most appropriate response by the practical nurse?
Correct Answer: A
Rationale: Observing the client (
A) allows assessment of the behavior's cause. Assuming dissatisfaction (
B) or dementia (
D) is premature. Leaving the client (
C) delays intervention.
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 4 of 5
A client is being discharged after having a stent placed in the left anterior descending coronary artery. The client is prescribed clopidogrel. Which client data obtained by the nurse would be concerning in relation to this new medication?
Correct Answer: D,E
Rationale: Ginkgo biloba (
D) and peptic ulcer disease (E) increase bleeding risk with clopidogrel, requiring caution. Blood pressure (
A), heart rate (
B), and platelet count (
C) are within normal limits.
Extract:
Question 5 of 5
During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take?
Correct Answer: B,C
Rationale: Notifying the charge nurse (
C) and documenting (
B) ensure patient safety and follow protocol. Stopping handoff (
A) disrupts care continuity. Watching silently (
D) delays action, and confronting directly (E) may escalate the situation.