NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted with suspected appendicitis. Which assessment finding is most concerning to the nurse?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis, indicating peritoneal irritation and the potential for rupture, which is a medical emergency.
Question 2 of 5
A nurse is caring for a client with a spinal cord injury. Which intervention prevents autonomic dysreflexia?
Correct Answer: B
Rationale: Avoiding bladder distension prevents autonomic dysreflexia, a life-threatening condition in spinal cord injury clients, by reducing stimuli that trigger it.
Question 3 of 5
A nurse is caring for a client with a burn injury. Which fluid is most appropriate for initial resuscitation?
Correct Answer: C
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation, as it corrects hypovolemia and electrolyte imbalances without causing hypernatremia.
Question 4 of 5
A nurse is caring for a client with a pressure ulcer. Which intervention promotes healing?
Correct Answer: B
Rationale: A moist environment with a hydrogel dressing promotes granulation tissue formation and healing in pressure ulcers.
Question 5 of 5
Which nursing action is most correct before instilling eardrops in a client's ear?
Correct Answer: A
Rationale: Warming eardrops to room temperature prevents discomfort and dizziness, which can occur if cold drops are instilled into the ear canal.