NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin). Which side effect should the nurse teach the client to report?
Correct Answer: A
Rationale: Gingival hyperplasia is a common side effect of phenytoin that can lead to gum overgrowth and requires dental evaluation, so it should be reported.
Question 2 of 5
A nurse is caring for a client with a temporary pacemaker. Which observation requires immediate intervention?
Correct Answer: A
Rationale: A heart rate of 60 beats/min may indicate pacemaker failure to capture or sense, requiring immediate intervention to prevent bradycardia.
Question 3 of 5
A nurse is preparing to administer insulin to a client with type 1 diabetes. Which action should the nurse take first?
Correct Answer: A
Rationale: Checking the blood glucose level first ensures the insulin dose is appropriate for the client's current needs, preventing hypoglycemia or hyperglycemia.
Question 4 of 5
A nurse is caring for a client with a total hip replacement. Which position should the nurse avoid to prevent dislocation?
Correct Answer: A
Rationale: Crossing the legs after hip replacement increases the risk of dislocation by adducting and rotating the hip joint.
Question 5 of 5
A nurse is caring for a client with a history of stroke and dysphagia. Which intervention prevents aspiration during meals?
Correct Answer: A
Rationale: Thick liquids are easier to swallow and reduce the risk of aspiration in clients with dysphagia.