NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of glaucoma is prescribed timolol eye drops. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can be systemically absorbed and cause bradycardia, a potentially serious side effect requiring monitoring.
Question 2 of 5
A pregnant client is admitted to the labor and delivery area with vaginal bleeding. The physician's routine admission orders include the administration of an enema. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Vaginal bleeding in pregnancy may indicate a serious condition like placenta previa or abruption, where an enema could exacerbate bleeding or cause complications, so it should be withheld until clarified.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed digoxin. Which assessment finding indicates digoxin toxicity?
Correct Answer: B
Rationale: Nausea and blurred vision are classic signs of digoxin toxicity, indicating the need to withhold the dose and notify the physician.
Question 4 of 5
The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?
Correct Answer: B
Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.
Question 5 of 5
A nurse is caring for a client with a gastrostomy tube. Which action ensures proper care?
Correct Answer: A
Rationale: Flushing the gastrostomy tube with 30 mL of water after feedings prevents clogging and maintains patency.