NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to give an adult a subcutaneous injection of heparin. What should the nurse check prior to giving the medication?
Correct Answer: D
Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring safe administration by assessing bleeding risk.
Question 2 of 5
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
Correct Answer: C
Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.
Question 3 of 5
A nurse is providing care to a group of postpartum clients. Which client comment should prompt further investigation?
Correct Answer: C
Rationale: Being bothered by the baby's cries (
C) may indicate postpartum depression, requiring investigation. Exhaustion (
A), worry (
B), and emotionality (
D) are common postpartum experiences.
Question 4 of 5
The practical nurse (PN) is assisting with a client who is undergoing labor induction with misoprostol. The PN notes late decelerations and minimal variability on the fetal heart rate monitor. After notifying the registered nurse, what should the PN do first?
Correct Answer: D
Rationale: Repositioning to a side-lying position (
D) improves placental perfusion, addressing late decelerations. Oxygen (
A) may follow, but repositioning is first. Perineal exam (
B) and palpation (
C) are less urgent.
Question 5 of 5
Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
Correct Answer: B,C,D
Rationale: Garlic (
B), ginger (
C), and ginkgo biloba (
D) have antiplatelet effects, increasing bleeding risk. Black cohosh (
A) and hawthorn (E) do not significantly affect bleeding.