NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.
Question 2 of 5
The nurse assesses a client with chronic alcoholism who has been drinking up to the time of admission. During which time frame after admission is the nurse most likely to observe initial signs of alcohol withdrawal in this client?
Correct Answer: C
Rationale: Alcohol withdrawal symptoms typically begin 12 to 72 hours after the last drink, with initial signs like tremors and anxiety appearing within this timeframe.
Question 3 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.
Question 4 of 5
A client who takes furosemide (Lasix) for heart failure causes the to the title for a routine health. The client's laboratory report reveals a potassium level of 3.1 mEq/L. Which question elicits the best information to assess whether the client is demonstrating signs and symptoms of hypokalemia?
Correct Answer: A
Rationale: Hypokalemia (low potassium) commonly causes muscle weakness and leg cramps due to impaired muscle function, making this the most relevant question.
Question 5 of 5
A nurse is caring for a client with a ventricular shunt for hydrocephalus. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Headache and irritability may indicate shunt malfunction or infection, which can lead to increased intracranial pressure and requires urgent evaluation.