NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client with a history of liver transplant is prescribed tacrolimus. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Tacrolimus can cause hepatotoxicity, so liver function tests must be monitored to detect early signs of liver damage.
Question 3 of 5
A client with a history of anxiety disorder is prescribed lorazepam. Which instruction should the nurse include?
Correct Answer: B
Rationale: Alcohol can potentiate the sedative effects of lorazepam, increasing the risk of respiratory depression and drowsiness, so it should be avoided.
Question 4 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 5 of 5
If the nurse collects all of the following data when performing a newborn's initial assessment, which assessment finding is most important to report?
Correct Answer: B
Rationale: Flaccid muscle tone in a newborn may indicate neurological or muscular issues, requiring immediate reporting, whereas the other findings are normal or less urgent.