NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer, a known risk of this medication.
Question 2 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.
Question 3 of 5
The nurse is assigned six clients during the afternoon shift on a medical-surgical unit. After receiving report on the following clients, arrange the clients in the most appropriate order of nursing assessment.
Order the Items
Source Container
Correct Answer: C, F, E, B, D, A
Rationale: The order prioritizes life-threatening conditions (chest pain), acute pain (gallstones), and uncontrolled diabetes, followed by postoperative status, preoperative preparation, and stable discharge.
Question 4 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 5 of 5
A nurse is teaching a client about warfarin (Coumadin) therapy. Which food should the client limit to avoid interfering with the medication?
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can antagonize warfarin's anticoagulant effect, so intake should be limited or consistent to maintain stable INR levels.