MCN - PNLE Exam Actual Questions
and Answers 2026
1. Nurse Mica is caring for a postpartum client who is on heparin
therapy for thrombophlebitis. If the client experiences
complications due to heparin, which medication should Nurse Mica
be prepared to administer?
A. Nitrofurantoin (Macrodantin)
B. Calcium gluconate
C. Methylergonovine (Methergine)
D. Protamine sulfate -
correct answer ✅D. Protamine sulfate
2. Nurse Claire is educating a primigravida who is approximately 2
months and 1 week into her pregnancy about self-care strategies
for common discomforts. Which statement from the client would
indicate to Nurse Claire that she has understood the instructions?
A. "Applying an ice pack can help relieve leg cramps."
B. "If I experience vaginal discharge, I should wear nylon
underwear."
C. "If I start leaking colostrum, I should clean my nipples with soap
and water."
,MCN - PNLE Exam Actual Questions
and Answers 2026
D. "Eating a few crackers before getting out of bed can help reduce
nausea and vomiting." -
correct answer ✅A. "Applying an ice pack can help relieve leg
cramps."
A indicates that the client understands one of the common
strategies for managing morning sickness. Eating a few crackers or a
light snack before getting out of bed helps to stabilize blood sugar
levels and can reduce the severity of nausea and vomiting upon
waking.
B is incorrect because Warm water alone should be used to clean
the nipples.
C is incorrect because Nylon underwear can trap moisture, creating
an environment conducive to yeast infections. Cotton underwear is
recommended.
D is incorrect because the appropriate self-care strategy would be
to stretch the affected muscle or apply warmth, such as a warm
towel or heating pad, to relax the muscle.
3. Nurse Grace is administering I.V. oxytocin (Pitocin) to a patient in
labor due to slow cervical effacement and dilation. Why is it crucial
for Nurse Grace to monitor the patient's fluid intake and output
closely during this time?
, MCN - PNLE Exam Actual Questions
and Answers 2026
A. Oxytocin acts as a diuretic.
B. Oxytocin is harmful to the kidneys.
C. Oxytocin can lead to water intoxication.
D. Oxytocin increases excessive thirst. -
correct answer ✅C. Oxytocin can lead to water intoxication.
It is crucial to monitor the patient's fluid intake and output closely
because oxytocin can lead to water intoxication (also known as
water poisoning or dilutional hyponatremia). Oxytocin has an
antidiuretic effect, meaning it can cause the body to retain water.
When large amounts of fluid are administered alongside oxytocin,
there is a risk of diluting the blood's sodium levels, leading to water
intoxication. This condition can cause symptoms such as headache,
nausea, vomiting, confusion, seizures, and, in severe cases, coma or
death. Monitoring fluid balance helps prevent this serious
complication.
4. Nurse Jenna is attending to a client in active labor with twins,
who has reached 5 cm dilation. She notices that the contractions
are happening every 7 to 8 minutes over a 30-minute span. What
should Nurse Jenna do next?
and Answers 2026
1. Nurse Mica is caring for a postpartum client who is on heparin
therapy for thrombophlebitis. If the client experiences
complications due to heparin, which medication should Nurse Mica
be prepared to administer?
A. Nitrofurantoin (Macrodantin)
B. Calcium gluconate
C. Methylergonovine (Methergine)
D. Protamine sulfate -
correct answer ✅D. Protamine sulfate
2. Nurse Claire is educating a primigravida who is approximately 2
months and 1 week into her pregnancy about self-care strategies
for common discomforts. Which statement from the client would
indicate to Nurse Claire that she has understood the instructions?
A. "Applying an ice pack can help relieve leg cramps."
B. "If I experience vaginal discharge, I should wear nylon
underwear."
C. "If I start leaking colostrum, I should clean my nipples with soap
and water."
,MCN - PNLE Exam Actual Questions
and Answers 2026
D. "Eating a few crackers before getting out of bed can help reduce
nausea and vomiting." -
correct answer ✅A. "Applying an ice pack can help relieve leg
cramps."
A indicates that the client understands one of the common
strategies for managing morning sickness. Eating a few crackers or a
light snack before getting out of bed helps to stabilize blood sugar
levels and can reduce the severity of nausea and vomiting upon
waking.
B is incorrect because Warm water alone should be used to clean
the nipples.
C is incorrect because Nylon underwear can trap moisture, creating
an environment conducive to yeast infections. Cotton underwear is
recommended.
D is incorrect because the appropriate self-care strategy would be
to stretch the affected muscle or apply warmth, such as a warm
towel or heating pad, to relax the muscle.
3. Nurse Grace is administering I.V. oxytocin (Pitocin) to a patient in
labor due to slow cervical effacement and dilation. Why is it crucial
for Nurse Grace to monitor the patient's fluid intake and output
closely during this time?
, MCN - PNLE Exam Actual Questions
and Answers 2026
A. Oxytocin acts as a diuretic.
B. Oxytocin is harmful to the kidneys.
C. Oxytocin can lead to water intoxication.
D. Oxytocin increases excessive thirst. -
correct answer ✅C. Oxytocin can lead to water intoxication.
It is crucial to monitor the patient's fluid intake and output closely
because oxytocin can lead to water intoxication (also known as
water poisoning or dilutional hyponatremia). Oxytocin has an
antidiuretic effect, meaning it can cause the body to retain water.
When large amounts of fluid are administered alongside oxytocin,
there is a risk of diluting the blood's sodium levels, leading to water
intoxication. This condition can cause symptoms such as headache,
nausea, vomiting, confusion, seizures, and, in severe cases, coma or
death. Monitoring fluid balance helps prevent this serious
complication.
4. Nurse Jenna is attending to a client in active labor with twins,
who has reached 5 cm dilation. She notices that the contractions
are happening every 7 to 8 minutes over a 30-minute span. What
should Nurse Jenna do next?
