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
Which nursing assessment finding provides the best evidence that a client with acute angle-closure glaucoma is responding to drug therapy?
Correct Answer: C
Rationale: Acute angle-closure glaucoma causes severe eye pain due to increased intraocular pressure; reduced or eliminated pain indicates that drug therapy is effectively lowering pressure.
Question 3 of 5
When a client with type 1 diabetes comes to the clinic for a routine visit, which question should the nurse plan to ask in relation to possible complications?
Correct Answer: A
Rationale: Type 1 diabetes increases the risk of diabetic retinopathy, so asking about recent eye exams helps screen for this vision-threatening complication.
Question 4 of 5
A client with a history of deep vein thrombosis is prescribed heparin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored by aPTT to ensure therapeutic levels and prevent bleeding or clotting complications.
Question 5 of 5
A postoperative client asks the nurse to explain the purpose of the abdominal Penrose drain. Which statement by the nurse best explains the reason for using a Penrose drain?
Correct Answer: B
Rationale: A Penrose drain is a passive drainage system that allows excess fluid, such as blood or serous fluid, to exit the surgical site, reducing the risk of infection or hematoma.