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
A nurse is caring for a client with a burn injury. Which fluid is most appropriate for initial resuscitation?
Correct Answer: C
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation, as it corrects hypovolemia and electrolyte imbalances without causing hypernatremia.
Question 3 of 5
The nurse is assigned six clients during the afternoon shift on a medical-surgical unit. After receiving report on the following clients, arrange the clients in the most appropriate order of nursing assessment.
Order the Items
Source Container
Correct Answer: C, F, E, B, D, A
Rationale: The order prioritizes life-threatening conditions (chest pain), acute pain (gallstones), and uncontrolled diabetes, followed by postoperative status, preoperative preparation, and stable discharge.
Question 4 of 5
When a client ingests a toxic substance either intentionally or accidentally, which initial information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Identifying the substance involved is critical for determining the appropriate antidote or treatment to counteract the toxic effects.
Question 5 of 5
A nurse is caring for a client with a chest tube. Which observation requires immediate intervention?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which could compromise lung re-expansion and requires immediate investigation.