PN NCLEX Practice Test Questions

Question 1 of 5

A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

A. Sore throatB. VertigoC. FeverD. Shortness of breath

Correct Answer: D

Rationale: A-C are associated side effects of Tegretol.

Question 2 of 5

Which are appropriate examples of cost-effective care? Select all that apply.

A. Considering the inside of the sterile glove wrapper as a small sterile fieldB. Donning clean, rather than sterile, gloves to remove a client’s dressingC. Returning opened, unused supplies from a client’s room to the central supply roomD. Reusing a tourniquet for multiple clients unless it is visibly soiledE. Using remaining sterile saline in a bottle opened 48 hours ago before discarding

Correct Answer: A,B

Rationale: Using the glove wrapper as a sterile field and clean gloves for dressing removal reduce waste without compromising safety. Returning supplies, reusing tourniquets, and using old saline risk contamination or infection.

Question 3 of 5

The client is admitted to the labor and delivery unit with preeclampsia. An IV of magnesium sulfate is begun per pump. Which finding would indicate hypermagnesemia?

A. Urinary output of $60 \mathrm{ml}$ per hourB. Respirations of 30 per minuteC. Absence of the knee-jerk reflexD. Blood pressure of $150 / 80$

Correct Answer: C

Rationale: Hypermagnesemia, a risk of magnesium sulfate therapy, causes symptoms like loss of deep tendon reflexes (e.g., knee-jerk reflex), respiratory depression, and hypotension. Urinary output of 60 ml/hour is normal, respirations of 30 suggest tachypnea, and BP of 150/80 is not specific to hypermagnesemia.

Question 4 of 5

The nurse in the pediatric unit is collecting data from several newly admitted clients. Which finding should the nurse follow up for possible abuse and mandatory reporting?

A. A 2-month-old who rolled off the changing table and is now lethargicB. A 3-month-old with flat bluish discoloration on the buttock that the mother says has been present since birthC. A 3-year-old with forehead bruises that the mother says resulted from running into a tableD. A 4-year-old who pulled boiling water off the stove and has splatter burns on the arms

Correct Answer: A

Rationale: A 2-month-old cannot roll, and lethargy after a fall suggests possible non-accidental head trauma, requiring abuse investigation. Bluish buttock marks may be Mongolian spots (benign), and splatter burns are consistent with an accident.

Question 5 of 5

A couple asks the nurse about risks of several birth control methods. What is the most appropriate response by the nurse?

A. Norplant is safe and may be removed easilyB. Oral contraceptives should not be used by smokersC. Depo-Provera is convenient with few side effectsD. The IUD gives protection from pregnancy and infection

Correct Answer: B

Rationale: Oral contraceptives should not be used by smokers. The use of oral contraceptives in a woman who smokes increases her risk of cardiovascular problems, such as thromboembolic disorders.

PN NCLEX Practice Test Questions | Nurselytic

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