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
A client with a history of Crohn's disease reports diarrhea. Which dietary recommendation is most appropriate?
Correct Answer: B
Rationale: Dairy products can exacerbate diarrhea in Crohn's disease due to lactose intolerance, so they should be avoided.
Question 3 of 5
A client with a history of peptic ulcer disease is prescribed omeprazole. Which instruction ensures proper administration?
Correct Answer: B
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken 30 minutes before breakfast to reduce acid production before meals.
Question 4 of 5
A client with a fractured femur is in skeletal traction. Which nursing action is most important to prevent complications?
Correct Answer: A
Rationale: Weights must hang freely to maintain proper traction alignment and prevent complications like malunion or nerve damage.
Question 5 of 5
A client who is 3 months' pregnant complains to the nurse of feeling tired. Which nursing advice is best to give this client?
Correct Answer: D
Rationale: Fatigue is common in early pregnancy due to hormonal changes and increased metabolic demands. Resting when tired helps conserve energy and supports maternal and fetal health.