NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of asthma reports wheezing and shortness of breath. Which medication should the nurse administer first?
Correct Answer: B
Rationale: Albuterol is a fast-acting bronchodilator that quickly relieves acute asthma symptoms like wheezing and shortness of breath.
Question 2 of 5
In which of the following positions is it best for the nurse to place the client with suspected heart failure?
Correct Answer: C
Rationale: The high Fowler's position (sitting upright) reduces preload on the heart by promoting venous pooling in the lower extremities, easing breathing in heart failure.
Question 3 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 4 of 5
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation is most effective?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gravity to keep stomach contents in place.
Question 5 of 5
A nurse is caring for a client with a closed head injury. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Unequal and sluggish pupils indicate increased intracranial pressure or neurological deterioration, requiring urgent intervention.