NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:
Question 1 of 5
When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:
Correct Answer: B
Rationale: Smoking increases the risk of thromboembolism with oral contraceptives, making it a contraindication.
Extract:
Question 2 of 5
The nurse is caring for a client with a deep vein thrombosis (DVT) who is receiving heparin therapy. Which of the following laboratory values should the nurse monitor closely?
Correct Answer: B
Rationale: Heparin’s anticoagulant effect is monitored via aPTT, with a therapeutic range of 1.5–2.5 times the control value to ensure effective DVT treatment without bleeding risk. PT/INR (A,
C) monitor warfarin, and platelet count (
D) is monitored for heparin-induced thrombocytopenia but is secondary.
Extract:
A 42-year-old man with end-stage acquired immunodeficiency syndrome (AIDS) has frequent episodes of watery stool. He's nauseated and refuses to drink fluids. His body temperature is 102°F (38.9°C), his BP is 82/52, and his pulse is 112. He has 0.9% NS infusing at 150 ml/hour through a large-bore catheter.
Question 3 of 5
Which type of fluid is 0.9% NS?
Correct Answer: A
Rationale: 0.9% NS is isotonic, matching body fluid osmolarity.
Extract:
Question 4 of 5
One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse would be therapeutic?
Correct Answer: C
Rationale: This response shows that the nurse finds the client's behavior unacceptable, yet still regards the client as worthy of help. The other options give the false impression that the client is in control of the behavior; the client hasn't been in treatment long enough to control the behavior.
Question 5 of 5
An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client's pain during ambulation?
Correct Answer: B
Rationale: Partial weight bearing reduces pressure on the inflamed joint, alleviating gout pain during ambulation. Passive exercises (
A) may worsen pain, immobilization (
C) increases stiffness, and restricting walking (
D) does not directly relieve pain.