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 Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 4 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.
Question 5 of 5
A nurse is caring for a client with a pressure ulcer. Which intervention promotes healing?
Correct Answer: B
Rationale: A moist environment with a hydrogel dressing promotes granulation tissue formation and healing in pressure ulcers.