NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of breast cancer is scheduled for a mastectomy. Which preoperative teaching is most important?
Correct Answer: A
Rationale: Teaching about surgical drain care is critical post-mastectomy to prevent infection and manage fluid accumulation at the surgical site.
Question 2 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 3 of 5
A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so liver function tests must be monitored closely to detect early signs of liver damage.
Question 4 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.
Question 5 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.