NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
While caring for a young child in Bryant's traction
Question 1 of 5
The nurse should be aware that the traction is no longer effective if:
Correct Answer: D
Rationale: The principle of Bryant's traction is bilateral 90° hip flexion. It is skin traction applied to the legs to decrease the fracture, maintain alignment, and immobilize both legs. If the hips touch the bed, the traction is not maintaining the required position.
Extract:
Question 2 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.
Question 3 of 5
A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.
Extract:
The nurse should observe Valerie closely for signs of infectious complications because in Addison's disease there is disturbance in
Question 4 of 5
fluid balance.
Correct Answer: D
Rationale: Because of diminished glucocorticoid production, there is a decreased inflammatory effect, increasing susceptibility to infections.
Extract:
A manic client is being treated with lithium carbonate.
Question 5 of 5
The nurse would correctly suggest which of the following activities for this client.
Correct Answer: B
Rationale: Basketball provides physical activity to channel energy, suitable for a manic patient.