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 reviewing the medication administration record for a 70-year-old client. Which of the following prescribed medications places the client at increased risk for injury? Select all that apply.
Correct Answer: A,B,E
Rationale: Diphenhydramine (
A), amitriptyline (
B), and diazepam (E) cause sedation or confusion, increasing fall risk in the elderly. Simvastatin (
C) and famotidine (
D) do not significantly increase injury risk.
Question 3 of 5
A client has been on lithium carbonate therapy for 7 days. Which of the following findings would be most important to report to the health care provider?
Correct Answer: A
Rationale: Diarrhea, vomiting, and tremor (
A) suggest lithium toxicity, requiring immediate reporting. Dry mouth (
B) is common, hallucinations (
C) are unrelated, and a lithium level of 1.3 (
D) is within therapeutic range.
Question 4 of 5
The nurse is caring for a hospice client with advanced heart failure who is having trouble breathing. Which comfort intervention should the nurse implement first?
Correct Answer: C
Rationale: Elevating the head of the bed (
C) is the first non-pharmacologic intervention to ease breathing in heart failure by reducing pulmonary congestion. Albuterol (
A) is for bronchospasm, imagery (
B) is secondary, and morphine (
D) is for severe distress.
Question 5 of 5
The LPN is caring for a woman who delivered a healthy 7-lb baby boy 24 hours ago. Baseline vital signs were blood pressure (BP)=90/64, temperature (T)=97.6°F, pulse (P)=72, and respirations (R)=14. Which finding is of greatest concern?
Correct Answer: D
Rationale: The significant rise in BP to 129/82 from 90/64 may indicate postpartum complications like preeclampsia, requiring immediate assessment. Red drainage, cramping, and increased water intake are normal postpartum findings.