NCLEX PN Practice Tests

Question 1 of 164

The nurse is reviewing the chart of a client who gave birth 4 hours ago. Which factor increases the client's risk for postpartum hemorrhage?

A. Labor and birth without pain medication

B. Labor length of 8 hours

C. Newborn weight of 9 lb 2 oz (4140 g)

D. Third stage of labor lasting 20 minutes

Correct Answer:

Rationale:

Question 2 of 164

The nurse is preparing the sterile field and supplies for a wet-to-damp dressing change. Which of the following actions by the nurse would require follow-up?

A. Drop sterile gauze on the sterile field from 6 inches (15cm ) above

B. Keeps the sterile field and sterile gloved hands within view at all times

C. Places sterile gauze 2 inches (5 cm) inside the outer edge of the sterile drape

D. Pours sterile saline solution from a recapped bottle opened 30 hours ago

Correct Answer:

Rationale:

Question 3 of 164

The nurse is reinforcing discharge teaching for a client who had aortic valve replacement with a mechanical heart valve. Which statement by the client indicates that teaching has been effective?

A. I'm glad that I can continue taking my Ginkgo biloba.

B. I will increase my intake of leafy green vegetables

C. I will start applying vitamin E to my chest incision after showering

D. I will shave with an electric razor from now on

Correct Answer:

Rationale:

Question 4 of 164

Laboratory reference ranges
INR
0.8-1.1

The nurse receives report on 4 clients. Which of the following clients should the nurse see first?

A. Client receiving IV vancomycin who reports discomfort at the peripheral IV site

B. Client with a pulmonary embolus receiving continuous IV heparin infusion and warfarin who has an INR of 1.9

C. Client 1 day postoperative receiving patient-controlled analgesia with morphine who reports itching and nausea

D. Client receiving maintenance IV 0.9% sodium chloride with labeled tubing indicating that tubing was changed 48 hours ago

Correct Answer:

Rationale:

Question 5 of 164

The nurse is caring for a 2-year-old who had an anaphylactic reaction to a bee sting. After the nurse reinforces teaching on applying epinephrine, which statements by the parent indicate correct understanding? Select all that apply.

A. I will give the injection if my child has trouble breathing after a bee sting

B. I will give the injection in the upper arm

C. I will keep an epinephrine injection close to my child at all times

D. I will take my child to the emergency room after giving the injection

Correct Answer:

Rationale:

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