NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 2 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.
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
An unconscious adult is brought to the emergency department and is suspected of overdosing on heroin. Which initial medication would the nurse have on hand ready for physician's orders?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist that rapidly reverses the effects of heroin overdose, such as respiratory depression, making it the first-line treatment.
Question 5 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.