NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 2 of 5
A nurse is caring for a client with a pleural effusion receiving a thoracentesis. Which complication should the nurse monitor for post-procedure?
Correct Answer: B
Rationale: Pneumothorax is a potential complication of thoracentesis due to accidental lung puncture, requiring monitoring for symptoms like sudden chest pain or dyspnea.
Question 3 of 5
A nurse is caring for a client with a nasogastric tube. Which action prevents complications?
Correct Answer: B
Rationale: Securing the nasogastric tube to the nose prevents dislodgement, which could lead to aspiration or incorrect placement.
Question 4 of 5
A nurse is caring for a client with a urinary catheter. Which action prevents catheter-associated urinary tract infections?
Correct Answer: B
Rationale: Daily perineal cleaning with soap and water reduces bacterial colonization around the catheter insertion site, preventing infection.
Question 5 of 5
A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in heart failure clients due to the risk of arrhythmias, so potassium levels must be monitored.