NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 2 of 5
Which initial nursing response is best if a child confides information that indicates sexual abuse?
Correct Answer: C
Rationale: Believing the child establishes trust and supports their emotional well-being, which is critical before proceeding with further assessment or reporting.
Question 3 of 5
A nurse is preparing to administer insulin to a client with type 1 diabetes. Which action should the nurse take first?
Correct Answer: A
Rationale: Checking the blood glucose level first ensures the insulin dose is appropriate for the client's current needs, preventing hypoglycemia or hyperglycemia.
Question 4 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 5 of 5
A client with Parkinson's disease is prescribed levodopa-carbidopa. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Levodopa-carbidopa can cause orthostatic hypotension due to its effects on the autonomic nervous system, increasing the risk of falls.