NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The role of the incident report in risk management is:
Correct Answer: B
Rationale: Incident reports collect data to analyze and prevent future issues, enhancing safety. They are not for liability protection or staff discipline. Safety and Infection Control
Question 2 of 5
A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially
Correct Answer: D
Rationale: Assess the client's ability to speak English. Despite the cultural heritage, the nurse cannot make assumptions. Stereotyping is to be avoided. The nurse should assess the client's comfort and ability in speaking English.
Question 3 of 5
The nurse is caring for a client immediately after a vaginal birth. The nurse notes that the client’s uterus is midline and boggy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a major cause of postpartum hemorrhage. Fundal massage is the first action to stimulate contractions and expel clots. Adjusting oxytocin, checking vitals, or looking for blood are secondary after initiating massage.
Extract:
Exhibit 1
Assessment data
0600 Wednesday 0600 Thursday
Blood pressure 148/84 mm Hg 98/60 mm Hg
24-hour intake/output 1000/3000 mL ---------------
Exhibit 2
Laboratory results
0600 Wednesday 0600 Thursday
Sodium
136-145 mEq/L
(136-145 mmol/L) 140 mEq/L
(140 mmol/L) 150 mEq/L
(150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.2 mEq/L
(4.2 mmol/L) 3.5 mEq/L
(3.5 mmol/L)
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L) 90 mg/dL
(5 mmol/L) 99 mg/dL
(5.5 mmol/L)
Exhibit 3
Medication administration record
Allergies: None
Medications Thursday
Furosemide: 40 mg IVP, once daily 0700
Levofloxacin: 500 mg IV, once daily 0700
Glipizide: 5 mg orally, twice daily 0700-1700
Potassium chloride: 20 mEq/L orally, once daily 0700
Question 4 of 5
The nurse is preparing 7:00 AM medications for a client with a urinary tract infection and a history of heart failure and type 2 diabetes. Based on the information from the medical and medication records, which prescription should the nurse question before administering?
Correct Answer: A
Rationale: Furosemide in heart failure requires careful monitoring of fluid status and electrolytes, especially early in the day, to avoid exacerbating dehydration or hypotension. Glipizide, levofloxacin, and potassium chloride are appropriate for diabetes, UTI, and potential hypokalemia, respectively.
Extract:
Question 5 of 5
Which prescriptions for these clients does the nurse question? Select all that apply.
Correct Answer: D,E
Rationale: Metoprolol is contraindicated with a BP of 94/40 mm Hg due to risk of worsening hypotension. Ampicillin, a penicillin derivative, is unsafe for a client with a penicillin allergy. Vancomycin, lispro insulin, and pantoprazole are appropriate for the respective conditions.