NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of peptic ulcer disease reports epigastric pain. Which question should the nurse ask to assess the severity?
Correct Answer: A
Rationale: Pain radiating to the back in peptic ulcer disease may indicate perforation or pancreatitis, which are serious complications requiring urgent evaluation.
Question 2 of 5
An unconscious adult is brought to the emergency department and is suspected of overdosing on heroin. Which initial medication would the nurse have on hand ready for physician's orders?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist that rapidly reverses the effects of heroin overdose, such as respiratory depression, making it the first-line treatment.
Question 3 of 5
A postoperative client asks the nurse to explain the purpose of the abdominal Penrose drain. Which statement by the nurse best explains the reason for using a Penrose drain?
Correct Answer: B
Rationale: A Penrose drain is a passive drainage system that allows excess fluid, such as blood or serous fluid, to exit the surgical site, reducing the risk of infection or hematoma.
Question 4 of 5
A client with a history of chronic pain is prescribed oxycodone. Which instruction should the nurse include to prevent complications?
Correct Answer: B
Rationale: Oxycodone can cause drowsiness and impaired judgment, so avoiding driving prevents accidents and ensures client safety.
Question 5 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.