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
The nurse assesses a client with chronic alcoholism who has been drinking up to the time of admission. During which time frame after admission is the nurse most likely to observe initial signs of alcohol withdrawal in this client?
Correct Answer: C
Rationale: Alcohol withdrawal symptoms typically begin 12 to 72 hours after the last drink, with initial signs like tremors and anxiety appearing within this timeframe.
Question 3 of 5
A client who is 4 months' pregnant states that she lives on a limited income and has a problem purchasing enough meat to supply sufficient protein for her diet. Which food can the nurse recommend to supplement the client's meat source?
Correct Answer: D
Rationale: Dried beans are an affordable, high-protein food that can supplement meat in the diet, providing essential amino acids for pregnancy.
Question 4 of 5
A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in heart failure clients due to the risk of arrhythmias, so potassium levels must be monitored.
Question 5 of 5
A nurse is assessing a client with suspected stroke. Which finding requires immediate notification of the physician?
Correct Answer: A
Rationale: Slurred speech is a hallmark sign of stroke, indicating potential neurological damage and requiring urgent medical intervention.