NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.
Question 3 of 5
A nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Colostomy pouches typically need changing every 3–7 days, not daily, unless there is leakage or skin irritation, indicating a need for further teaching.
Question 4 of 5
A client with a history of heart failure reports sudden weight gain of 5 pounds in 2 days. Which action should the nurse take first?
Correct Answer: B
Rationale: Sudden weight gain in heart failure indicates fluid retention, a sign of decompensation, requiring immediate physician notification.
Question 5 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.