NCLEX-PN Test Prep Actual Exam Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
• The A client with a hip fracture is receiving heparin sub-
cutaneous. Which laboratory test should the nurse monitor when
administering this medication?
A. Prothrombin time
B. Vitamin K level
C. Activated partial thromboplastin time
D. Fibrin split levels
Answer C: aPTTs should be monitored on clients receiving
heparin. The goal is 1.5 to 2 times the control for prevention of
deep vein thrombosis. Answer A is used for the monitoring of
Coumadin therapy. Answer B is the antidote for too much
Coumadin. Answer D is not a test used for heparin or Coumadin.
• What teaching should the nurse reinforce to a young male
adult regarding when he should perform testicular self-
examinations?
A. Weekly after becoming sexually
active B. Monthly while in the
shower
C. Bimonthly after age 40
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
,NCLEX-PN Test Prep Actual Exam Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
D. Annually on his birthday
Answer B: This is the American Cancer Society’s
recommendation for testicular examination. Answers A, C,
and D are not the correct timing sequences for a testicular
examination.
• The nurse is reinforcing teaching to a client with a hiatal
hernia. Which would be included in the teaching plan?
A. Eat a puréed diet
B. Avoid the intake of sweets
C. Remain in an upright position after meals
D. Limit protein to 3 oz. once a day
Answer C: Remaining upright will decrease the chance of esophageal reflux.
Clients should avoid fatty foods, coffee, tea, cola, chocolate, alcohol, and
spicy and acidic foods, which makes answers B and D incorrect.
Puréed diets, as in answer A, are not recommended.
• e nurse is in the process of administering PO medications.
Which of the following drugs should not be administered at the
same time?
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
,NCLEX-PN Test Prep Actual Exam Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
A. Levofloxacin (Levaquin) and Mylanta
B. Furosemide (Lasix) and Simethicone (Mylicon)
C. Cyclobenzaprine (Flexeril) and Carbidopa (Sinemet)
D. Sucralfate (Carafate) and docusate calcium (Surfak)
Answer A: Administering Levofloxacin (Levaquin) and Mylanta at
the same time will decrease the absorption of the
fluoroquinolones. The drug combinations in answers B, C, and D
are not contraindicated because the drugs in each combination do
not affect one another.
• The nurse caring for a client with hyperthyroidism would
expect which group of clinical manifestations to be exhibited?
A. Confusion, weakness, and increased weight
B. Shortness of breath, dyspnea, and
decreased libido C. Restlessness, fatigue, and
weight loss
D. Diuresis, hypokalemia, and tachycardia
Answer C: A hyperactive thyroid causes hypermetabolism and
increased sympathetic nervous system activity. Weight gain
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
, NCLEX-PN Test Prep Actual Exam Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
occurs with hypothyroidism, making answer A incorrect.
Although tachycardia occurs with hyperthyroidism, diuresis and
hypokalemia do not, so answer D is incorrect. Dyspnea can occur
with this disorder, but clients exhibit increased libido, making
answer B incorrect.
• Which medication would the nurse expect to be prescribed
for a client exhibiting tetany after thyroid surgery?
A. Calcium
B. Sodium
C. Potassium
D. Iodide
Answer A: Tetany is caused by a decrease in calcium. Answers B,
C, and D are not used in the treatment plan for clients with
hypocalcemia.
• The nurse should assess a client who has a peptic ulcer
for signs of bleeding. Which symptom would best indicate
this complication?
A. Melena
B. Hematuria
2022/2023 NCLEX-PN Test Prep Questions and
Answers with Explanations V5 PRACTICE EXAM 1
(STUDY MODE)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ian5. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.57. You're not tied to anything after your purchase.
