NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The physician has ordered a minimal bacteria diet on a client with neutropenia. Which seasoning is not permitted for this client?
Correct Answer: C
Rationale: A minimal bacteria diet for neutropenic clients avoids foods that may harbor bacteria, such as raw or undercooked foods and certain seasonings like pepper, which can contain mold or bacteria. Salt , lemon juice , and ketchup are generally processed and less likely to pose a bacterial risk.
Question 2 of 5
The client has a cast applied following a fracture of the femur. The doctor tells the nurse to petal the cast. The nurse is aware that he intends for her to:
Correct Answer: C
Rationale: Petaling a cast involves covering the rough edges with adhesive tape or cast batting to prevent skin irritation. Cutting the cast or creating a window is a different procedure.
Question 3 of 5
A 19-year-old primigravida is admitted for observation due to a sudden increase in blood pressure. The doctor suspects a diagnosis of pregnancy-induced hypertension. Which of the following is considered a significant factor in the development of pregnancy-induced hypertension?
Correct Answer: D
Rationale: A history of hypertension is a significant risk factor for developing pregnancy-induced hypertension (preeclampsia), as it indicates a predisposition to vascular issues.
Question 4 of 5
The nurse is talking with a client with rheumatoid arthritis who has a new prescription for adalimumab. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Adalimumab, an immunosuppressant, increases infection risk. Starting antibiotics for an active infection requires follow-up to ensure the infection is resolved before initiating adalimumab. The other statements are not concerning.
Extract:
Medication monitoring therapeutic ranges
Phenytoin
10-20 mcg/mL
(40-79 mcmol/L)
Digoxin
0.8-2 ng/mL
(1.02-2.56 nmol/L)
INR (prosthetic valve)
3-4
Lithium
0.8-1.2mEq/L
(0.8-1.2 mmol/L)
Question 5 of 5
Which of the following laboratory values requires immediate follow-up?
Correct Answer: A
Rationale: Phenytoin levels of 8 mcg/mL are subtherapeutic (therapeutic range: 10-20 mcg/mL), especially with enteral feedings that reduce absorption, requiring immediate adjustment.