NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of heart failure reports sudden weight gain of 5 pounds in 2 days. Which action should the nurse take first?
Correct Answer: B
Rationale: Sudden weight gain in heart failure indicates fluid retention, a sign of decompensation, requiring immediate physician notification.
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
When teaching a postmenopausal client about breast self-examination, which instruction by the nurse is most accurate?
Correct Answer: B
Rationale: Performing breast self-examination on the first day of the month provides a consistent schedule for postmenopausal women, as hormonal fluctuations no longer affect breast tissue.
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 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.