NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client with suspected stroke. Which finding requires immediate notification of the physician?
Correct Answer: A
Rationale: Slurred speech is a hallmark sign of stroke, indicating potential neurological damage and requiring urgent medical intervention.
Question 3 of 5
When the client with a slow-bleeding cerebral aneurysm asks for assistance to the toilet for a bowel movement, which missing response is most appropriate?
Correct Answer: C
Rationale: Using a bedpan prevents straining during a bowel movement, which could increase intracranial pressure and exacerbate bleeding in a cerebral aneurysm.
Question 4 of 5
When preparing a client for insertion of a nasogastric (NG) tube, how should the nurse position the client's neck to facilitate introducing the tube into the nostril?
Correct Answer: A
Rationale: Flexing the neck aligns the nasopharynx and esophagus, easing the passage of the NG tube through the nostril and reducing discomfort.
Question 5 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.