NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.
Question 2 of 5
A client with a history of myocardial infarction is prescribed nitroglycerin. Which instruction should the nurse include when teaching the client about this medication?
Correct Answer: C
Rationale: Placing nitroglycerin under the tongue allows for rapid absorption to relieve angina quickly, which is critical for clients with a history of myocardial infarction.
Question 3 of 5
A client with a history of Crohn's disease reports diarrhea. Which dietary recommendation is most appropriate?
Correct Answer: B
Rationale: Dairy products can exacerbate diarrhea in Crohn's disease due to lactose intolerance, so they should be avoided.
Question 4 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 5 of 5
An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.
Correct Answer: B, E, F
Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.