NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of chronic venous insufficiency reports leg swelling. Which intervention is most effective?
Correct Answer: B
Rationale: Elevating the legs above heart level promotes venous return, reducing swelling in chronic venous insufficiency.
Question 2 of 5
A client who takes furosemide (Lasix) for heart failure causes the to the title for a routine health. The client's laboratory report reveals a potassium level of 3.1 mEq/L. Which question elicits the best information to assess whether the client is demonstrating signs and symptoms of hypokalemia?
Correct Answer: A
Rationale: Hypokalemia (low potassium) commonly causes muscle weakness and leg cramps due to impaired muscle function, making this the most relevant question.
Question 3 of 5
A client with a history of hyperthyroidism is prescribed methimazole. Which side effect should the nurse teach the client to report?
Correct Answer: B
Rationale: Sore throat may indicate agranulocytosis, a rare but serious side effect of methimazole, requiring immediate reporting.
Question 4 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which assessment finding indicates the need to increase the oxygen flow rate?
Correct Answer: A
Rationale: An oxygen saturation of 88% is below the target range (92–96%) for COPD clients, indicating the need to increase oxygen flow to improve oxygenation.
Question 5 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.