NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 3 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 4 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.
Question 5 of 5
A client with a history of bipolar disorder is prescribed lithium. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Hand tremors are a sign of lithium toxicity, which can progress to severe neurological symptoms and requires immediate reporting.