NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of anxiety disorder is prescribed lorazepam. Which instruction should the nurse include?
Correct Answer: B
Rationale: Alcohol can potentiate the sedative effects of lorazepam, increasing the risk of respiratory depression and drowsiness, so it should be avoided.
Question 2 of 5
A nurse is teaching a client about self-catheterization. Which instruction ensures proper technique?
Correct Answer: C
Rationale: Inserting the catheter until urine flows, then advancing 1–2 inches, ensures proper placement in the bladder to avoid trauma or incomplete drainage.
Question 3 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 4 of 5
The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?
Correct Answer: B
Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.
Question 5 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.