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
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.
Question 3 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 4 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.
Question 5 of 5
A client with diabetes reports numbness in the feet. Which nursing action is most appropriate?
Correct Answer: B
Rationale: Numbness in the feet indicates diabetic neuropathy, increasing the risk of unnoticed injuries, so inspecting for ulcers or cuts is critical.