NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a fractured femur is in skeletal traction. Which nursing action is most important to prevent complications?
Correct Answer: A
Rationale: Weights must hang freely to maintain proper traction alignment and prevent complications like malunion or nerve damage.
Question 2 of 5
An older adult client is comatose and on life support. The family asks that life-support measures be discontinued. Which method is best for determining whether it is appropriate to carry out the family's request?
Correct Answer: D
Rationale: An advance directive legally documents the client's wishes regarding life-sustaining treatment, providing the most ethical and authoritative guidance for discontinuing life support.
Question 3 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.
Question 4 of 5
A client with a history of heart failure reports sudden weight gain of 5 pounds in 2 days. Which action should the nurse take first?
Correct Answer: B
Rationale: Sudden weight gain in heart failure indicates fluid retention, a sign of decompensation, requiring immediate physician notification.
Question 5 of 5
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.