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: a PTTs 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
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?
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. 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
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 increasedlibido, making
answer B incorrect.
• Which medication would the nurse expect to be prescribed
for a clientexhibiting 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 Dare not used in the treatment plan for clients with
hypocalcemia.
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: a PTTs 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
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?
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. 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
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 increasedlibido, making
answer B incorrect.
• Which medication would the nurse expect to be prescribed
for a clientexhibiting 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 Dare not used in the treatment plan for clients with
hypocalcemia.
