NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Seizure precautions (
B), neurological checks (
C), and strict I&O (
D) manage SIADH complications like hyponatremia. Vasopressin (
A) worsens SIADH, and normal saline (E) may not correct hyponatremia.
Question 2 of 5
A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications would the nurse anticipate the provider ordering?
Correct Answer: C
Rationale: Heparin infusion to maintain the PTT at 1.5-2.5 times the control value. In pregnant women with pulmonary embolism, heparin is preferred over warfarin due to warfarin's teratogenic effects. A continuous heparin infusion is typically used to achieve therapeutic anticoagulation, monitored by maintaining the PTT at 1.5-2.5 times the control value.
Question 3 of 5
A client with chronic heart failure calls the clinic to report a weight gain of 3 lb (1.4 kg) over the last 2 days. Which information is most important for the nurse to ask this client?
Correct Answer: D
Rationale: Symptoms like shortness of breath, coughing, or edema (
D) indicate fluid overload, a critical concern in heart failure. Diet (
A), fluid intake (
B), and medications (
C) are relevant but secondary.
Question 4 of 5
A client with a fractured hip asks the nurse about activity after discharge. The nurse should explain to the client that she should refrain from which of the following activities?
Correct Answer: A
Rationale: Crossing legs at the knee can cause hip adduction, risking dislocation in a fractured hip. Other activities are generally safe with proper precautions.
Question 5 of 5
A 24-year-old female client is prescribed isotretinoin for severe cystic acne. Which instruction is most important for the nurse to reinforce?
Correct Answer: D
Rationale: Isotretinoin is highly teratogenic, so using two forms of contraception (
D) is critical to prevent pregnancy. Sunscreen (
C) is important for photosensitivity, but contraception is the priority.