NCLEX-PN Exam Pack Part 2

NCLEX-PN Exam Pack Part 2 Updated 2022

1.1. Question

A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin?

• Methergine
• Protamine sulfate
• Calcium gluconate
• Aquamephyton

Correct Answer: B. Protamine sulfate

oOption 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.

oOption A: Methergine is given to increase uterine

contractions following delivery.

oOption C: Calcium gluconate is given to counteract the

effects of magnesium sulfate.

oOption D: Aquamephyton is given to counteract the

effects of sodium warfarin.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?

• Meeting with an assertiveness training group
• Participating in unit community goal setting

• Going on a field trip with a group of clients
• Taking part in a reality-orientation group

Correct Answer: D. Taking part in a reality-orientation

group

oOption 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.

oOptions A, B, and C: These activities are not suitable

activities for a client who is confused.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:

• Aspirin (acetylsalicylic acid)
• Naproxen (Naprosyn)
• Tylenol (acetaminophen)
• Advil (ibuprofen)

Correct Answer: C. Tylenol (acetaminophen)

oOption C: The nurse should recommend

acetaminophen for the child’s joint discomfort because it will have no effect on the bleeding time.

oOptions 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. Question

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

• Applying a paste of baking soda and water
• Dusting the lesions with baby powder
• Using cool compresses of normal saline
• Applying gauze saturated in hydrogen peroxide

Correct Answer: A. Applying a paste of baking soda and

water

oOption A: Applying a paste of baking soda and water

soothes the itching and helps to dry the vesicles.

oOption B: The use of baby powder is not

recommended for either child.

oOptions C and D: Hydrogen peroxide and the saline

will not relieve the itching and will prevent the vesicles from crusting.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:

• The bladder lies outside the abdominal cavity
• The ureters will reflux urine into the kidneys
• The urinary meatus is on the top of the penis
• The urinary meatus is on the dorsum of the

penis

Correct Answer: D. The urinary meatus is on the dorsum

of the penis

oOption D: The infant with hypospadias has altered

patterns of urinary elimination caused by the location

of the urinary meatus on the dorsum, or underside, of the penis.

oOption A: This refers to the exstrophy of the bladder.

oOption B: This refers to ureteral reflux.

oOption C: This refers to epispadias.

6. Question Jeremiah, a clinical instructor, is discussing the list of controlled substances schedules. The following are considered to be under

Schedule I controlled substances, except:

• Cannabis
• Methaqualone
• Lysergic acid diethylamide (LSD)
• Oxycodone

Correct Answer: D. Oxycodone

oOption D: Oxycodone falls under Schedule II. The

substances that belong to this category have a high potential for abuse which may result in severe physical or psychological dependence.

oOptions A, B, and C: These fall under Schedule I

Controlled Substances. These substances have no currently accepted medical use in the United States.7. Question Which statement best describes the difference between the pain of angina and the pain of myocardial infarction?

• Pain associated with myocardial infarction is referred

to the left arm

• Pain associated with angina is confined to the chest

area