NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of multiple sclerosis reports difficulty walking. Which intervention promotes mobility?
Correct Answer: B
Rationale: A cane provides stability and support, improving mobility and safety for a client with multiple sclerosis.
Question 2 of 5
The urine of a client who is 6 months' pregnant tests positive for albumin. The nurse correctly assumes that the client is probably developing which complication of pregnancy?
Correct Answer: A
Rationale: Albumin in the urine (proteinuria) during pregnancy is a hallmark sign of preeclampsia, a hypertensive disorder that can lead to serious complications if untreated.
Question 3 of 5
The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?
Correct Answer: B
Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.
Question 4 of 5
A pregnant client is admitted to the labor and delivery area with vaginal bleeding. The physician's routine admission orders include the administration of an enema. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Vaginal bleeding in pregnancy may indicate a serious condition like placenta previa or abruption, where an enema could exacerbate bleeding or cause complications, so it should be withheld until clarified.
Question 5 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which assessment finding indicates the need to increase the oxygen flow rate?
Correct Answer: A
Rationale: An oxygen saturation of 88% is below the target range (92–96%) for COPD clients, indicating the need to increase oxygen flow to improve oxygenation.