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 nurse is teaching a client with a new diagnosis of epilepsy about phenobarbital. Which instruction is most important?
Correct Answer: A
Rationale: Taking phenobarbital at the same time daily maintains consistent blood levels, preventing breakthrough seizures.
Question 3 of 5
A nurse is assessing a client with suspected compartment syndrome. Which finding is most indicative?
Correct Answer: A
Rationale: Pain unrelieved by analgesics is a hallmark of compartment syndrome, indicating increased pressure compromising tissue perfusion.
Question 4 of 5
A nurse is caring for a client with a chest tube. Which observation requires immediate intervention?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which could compromise lung re-expansion and requires immediate investigation.
Question 5 of 5
When caring for a client who has been burned around the face and neck, which assessment finding should the nurse immediately report to the physician?
Correct Answer: D
Rationale: Burns around the face and neck can cause airway edema, leading to respiratory distress, which is life-threatening and requires immediate reporting.