NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of pancreatitis reports severe epigastric pain. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Elevated amylase levels indicate pancreatic inflammation, a key marker in acute pancreatitis.
Question 2 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 3 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: TSH levels are monitored to assess the effectiveness of levothyroxine therapy and ensure proper thyroid hormone replacement.
Question 4 of 5
A nurse is teaching a client with a new diagnosis of epilepsy about phenobarbital. Which instruction is most important?
Correct Answer: A
Rationale: Taking phenobarbital at the same time daily maintains consistent blood levels, preventing breakthrough seizures.
Question 5 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.