NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which assessment finding indicates the need to increase the oxygen flow rate?
Correct Answer: A
Rationale: An oxygen saturation of 88% is below the target range (92–96%) for COPD clients, indicating the need to increase oxygen flow to improve oxygenation.
Question 2 of 5
A client with a history of chronic pain is prescribed oxycodone. Which instruction should the nurse include to prevent complications?
Correct Answer: B
Rationale: Oxycodone can cause drowsiness and impaired judgment, so avoiding driving prevents accidents and ensures client safety.
Question 3 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.
Question 4 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.
Question 5 of 5
Which nursing assessment finding provides the best evidence that a client with acute angle-closure glaucoma is responding to drug therapy?
Correct Answer: C
Rationale: Acute angle-closure glaucoma causes severe eye pain due to increased intraocular pressure; reduced or eliminated pain indicates that drug therapy is effectively lowering pressure.