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 nurse is caring for a client with a pleural effusion receiving a thoracentesis. Which complication should the nurse monitor for post-procedure?
Correct Answer: B
Rationale: Pneumothorax is a potential complication of thoracentesis due to accidental lung puncture, requiring monitoring for symptoms like sudden chest pain or dyspnea.
Question 3 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 4 of 5
An older adult client is comatose and on life support. The family asks that life-support measures be discontinued. Which method is best for determining whether it is appropriate to carry out the family's request?
Correct Answer: D
Rationale: An advance directive legally documents the client's wishes regarding life-sustaining treatment, providing the most ethical and authoritative guidance for discontinuing life support.
Question 5 of 5
A nurse is teaching a client about self-catheterization. Which instruction ensures proper technique?
Correct Answer: C
Rationale: Inserting the catheter until urine flows, then advancing 1–2 inches, ensures proper placement in the bladder to avoid trauma or incomplete drainage.