NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client with a history of atrial fibrillation is prescribed digoxin. Which assessment finding indicates digoxin toxicity?
Correct Answer: B
Rationale: Nausea and blurred vision are classic signs of digoxin toxicity, indicating the need to withhold the dose and notify the physician.
Question 3 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.
Question 4 of 5
A client comes to the clinic complaining of epigastric pain. The client reportedly takes several nonprescription over-the-counter medications on a regular basis. Which drug identified by the nurse is most likely related to the client's current complaint?
Correct Answer: B
Rationale: Aspirin is a nonsteroidal anti-inflammatory drug (NSAI
D) known to irritate the stomach lining and cause gastrointestinal issues, including epigastric pain, especially with regular use.
Question 5 of 5
An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.
Correct Answer: B, E, F
Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.