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 myocardial infarction is prescribed nitroglycerin. Which instruction should the nurse include when teaching the client about this medication?
Correct Answer: C
Rationale: Placing nitroglycerin under the tongue allows for rapid absorption to relieve angina quickly, which is critical for clients with a history of myocardial infarction.
Question 3 of 5
A client with a history of chronic venous insufficiency reports leg swelling. Which intervention is most effective?
Correct Answer: B
Rationale: Elevating the legs above heart level promotes venous return, reducing swelling in chronic venous insufficiency.
Question 4 of 5
A nurse is caring for a client with a total hip replacement. Which position should the nurse avoid to prevent dislocation?
Correct Answer: A
Rationale: Crossing the legs after hip replacement increases the risk of dislocation by adducting and rotating the hip joint.
Question 5 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.