NCLEX-RN Challenge Exam Practice Questions
and Answers | Comprehensive NCLEX-RN
Exam Prep
1. 1. Question
A client with a history of emboli is receiving Lovenox (enoxaparin).
Which drug is given to counteract the effects of enoxaparin?
A. Methergine
B. Protamine sulfate
C. Calcium gluconate
D. Aquamephyton
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
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)
Correct answer
D. Advil (ibuprofen)
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
Correct answer
B. Dusting the lesions with baby powder
and Answers | Comprehensive NCLEX-RN
Exam Prep
1. 1. Question
A client with a history of emboli is receiving Lovenox (enoxaparin).
Which drug is given to counteract the effects of enoxaparin?
A. Methergine
B. Protamine sulfate
C. Calcium gluconate
D. Aquamephyton
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
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)
Correct answer
D. Advil (ibuprofen)
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
Correct answer
B. Dusting the lesions with baby powder
