PART 2: NCLEX-PN PRACTICE QUESTIONS (25 ITEMS)

PART 2: NCLEX-PN PRACTICE
QUESTIONS (25 ITEMS)
1. Question
A client with a history of emboli is receiving Lovenox
(enoxaparin). Which drug is given to counteract the effects of
enoxaparin?


o A. Methergine

o B. Protamine sulfate

o C. Calcium gluconate

o D. Aquamephyton
Incorrect
Correct Answer: B. Protamine sulfate
 Option B: Protamine sulfate is given to counteract the
effects of enoxaparin as well as heparin and is used in
heparin overdose. It works by binding with heparin. It
is given by injection into a vein with onset within five
minutes.
 Option A: Methergine is given to increase uterine
contractions following delivery.
 Option C: Calcium gluconate is given to counteract the
effects of magnesium sulfate.
 Option D: Aquamephyton is given to counteract the
effects of sodium warfarin.
2. 2. Question
The nurse is formulating a plan of care for a client with a
cognitive disorder. Which activity is most appropriate for the
client with confusion and a short attention span?


 A. Meeting with an assertiveness training group

 B. Participating in unit community goal setting

,  C. Going on a field trip with a group of clients

 D. Taking part in a reality-orientation group
Incorrect
Correct Answer: D. Taking part in a reality-orientation
group
 Option D: Participating in reality orientation is an
appropriate activity for the client who is confused
since it can improve their cognitive and psychomotor
functions. It can help the client to focus on their
environment so they can master essential information
such as orientation to time, person, and place.
 Options A, B, and C: These activities are not suitable
activities for a client who is confused.
3. 3. Question
The mother of a child with hemophilia asks the nurse which over-
the-counter medication is suitable for her child’s joint discomfort.
The nurse should tell the mother to purchase:


 A. Aspirin (acetylsalicylic acid)

 B. Naproxen (Naprosyn)

 C. Tylenol (acetaminophen)

 D. Advil (ibuprofen)
Incorrect
Correct Answer: C. Tylenol (acetaminophen)
 Option C: The nurse should recommend
acetaminophen for the child’s joint discomfort because
it will have no effect on the bleeding time.
 Options A, B, and D: Aspirin, Naproxen, and Advil are
all nonsteroidal anti-inflammatory medications that
can prolong bleeding time; therefore, they are not
suitable for the child with hemophilia.
4. 4. Question

, Which home remedy is suitable to relieve the itching associated
with varicella?


 A. Applying a paste of baking soda and water

 B. Dusting the lesions with baby powder

 C. Using cool compresses of normal saline

 D. Applying gauze saturated in hydrogen peroxide
Incorrect
Correct Answer: A. Applying a paste of baking soda and
water
 Option A: Applying a paste of baking soda and water
soothes the itching and helps to dry the vesicles.
 Option B: The use of baby powder is not
recommended for either child.
 Options C and D: Hydrogen peroxide and the saline
will not relieve the itching and will prevent the vesicles
from crusting.
5. 5. Question
A newborn male has been diagnosed with hypospadias with
chordee. The nurse understands that the infant will have altered
patterns of urination because:


 A. The bladder lies outside the abdominal cavity

 B. The ureters will reflux urine into the kidneys

 C. The urinary meatus is on the top of the penis

 D. The urinary meatus is on the dorsum of the
penis
Incorrect
Correct Answer: D. The urinary meatus is on the dorsum
of the penis