NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client with a Sengstaken-Blakemore tube for esophageal varices. Which complication should the nurse monitor for?
Correct Answer: B
Rationale: The Sengstaken-Blakemore tube can obstruct the airway if it migrates or the balloon inflates improperly, requiring close monitoring.
Question 3 of 5
A nurse is caring for a client with a tracheostomy. Which action maintains airway patency?
Correct Answer: A
Rationale: Suctioning as needed removes mucus and maintains airway patency, preventing obstruction in a tracheostomy client.
Question 4 of 5
A nurse is teaching a client with a new diagnosis of tuberculosis about treatment. Which statement indicates a need for further teaching?
Correct Answer: C
Rationale: Stopping tuberculosis medications early can lead to relapse and drug resistance, indicating a need for further teaching about treatment adherence.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. Which side effect should the nurse teach the client to report?
Correct Answer: D
Rationale: Chest pain is not a common side effect of ipratropium and may indicate a serious condition like angina or pneumothorax, requiring immediate reporting.