NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
When instructing a postoperative client about the use of enoxaparin (Lovenox), the nurse should include which statement about the drug's therapeutic action?
Correct Answer: D
Rationale: Enoxaparin is an anticoagulant that prevents new blood clots from forming, reducing the risk of thromboembolism.
Question 2 of 5
During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?
Correct Answer: A
Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.
Question 3 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.
Question 4 of 5
Which nursing intervention is most appropriate for meeting the needs of an infant with congenital heart disease?
Correct Answer: A
Rationale: Responding quickly to crying minimizes stress and oxygen demand in an infant with congenital heart disease.
Question 5 of 5
The nurse reviews the laboratory results exhibited of the client hospitalized with testicular cancer. Which conclusion by the nurse is most accurate?
Correct Answer: D
Rationale: A. The WBCS are WNL; there is no indication of a developing infection. B. There is no information in the stem about nutritional intake and the serum albumin or prealbumin is not reported in the laboratory results to make a judgment about Whether the client's nutrient intake is inadequate. C. The elevated glucose level is likely related to the body's physiological response to stress. D. The decreased Hgb indicates anemia, and the liver enzymes are elevated (AST, ALT). These changes occur when testicular cancer has metastasized.