NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.
Question 2 of 5
A nurse is caring for a client with a urinary catheter. Which action prevents catheter-associated urinary tract infections?
Correct Answer: B
Rationale: Daily perineal cleaning with soap and water reduces bacterial colonization around the catheter insertion site, preventing infection.
Question 3 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 4 of 5
The nurse is assigned six clients during the afternoon shift on a medical-surgical unit. After receiving report on the following clients, arrange the clients in the most appropriate order of nursing assessment.
Order the Items
Source Container
Correct Answer: C, F, E, B, D, A
Rationale: The order prioritizes life-threatening conditions (chest pain), acute pain (gallstones), and uncontrolled diabetes, followed by postoperative status, preoperative preparation, and stable discharge.
Question 5 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.