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 nurse is caring for a client with a urinary catheter. Which action prevents catheter-associated urinary tract infections?
Correct Answer: B
Rationale: Daily perineal cleaning with soap and water reduces bacterial colonization around the catheter insertion site, preventing infection.
Question 3 of 5
A postoperative client who just had a transurethral prostatectomy asks why he must drink so much water. Which response by the nurse is most accurate?
Correct Answer: A
Rationale: Increased fluid intake after a transurethral prostatectomy helps maintain catheter patency by flushing the bladder and preventing clot formation.
Question 4 of 5
An unconscious adult is brought to the emergency department and is suspected of overdosing on heroin. Which initial medication would the nurse have on hand ready for physician's orders?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist that rapidly reverses the effects of heroin overdose, such as respiratory depression, making it the first-line treatment.
Question 5 of 5
A client with cirrhosis is at risk for which complication?
Correct Answer: B
Rationale: Hepatic encephalopathy is a common complication of cirrhosis due to the liver's inability to detoxify ammonia, leading to neurological symptoms.