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 rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so liver function tests must be monitored closely to detect early signs of liver damage.
Question 3 of 5
A nurse is caring for a client with a temporary pacemaker. Which observation requires immediate intervention?
Correct Answer: A
Rationale: A heart rate of 60 beats/min may indicate pacemaker failure to capture or sense, requiring immediate intervention to prevent bradycardia.
Question 4 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 5 of 5
A nurse is caring for a client with a peripherally inserted central catheter (PICC). Which action prevents complications?
Correct Answer: A
Rationale: Flushing the PICC with heparin daily prevents clot formation and maintains patency, reducing the risk of occlusion.