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
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 3 of 5
A client with a history of hyperthyroidism is prescribed methimazole. Which side effect should the nurse teach the client to report?
Correct Answer: B
Rationale: Sore throat may indicate agranulocytosis, a rare but serious side effect of methimazole, requiring immediate reporting.
Question 4 of 5
A client with a fractured femur is in skeletal traction. Which nursing action is most important to prevent complications?
Correct Answer: A
Rationale: Weights must hang freely to maintain proper traction alignment and prevent complications like malunion or nerve damage.
Question 5 of 5
A client with a history of peptic ulcer disease is prescribed omeprazole. Which instruction ensures proper administration?
Correct Answer: B
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken 30 minutes before breakfast to reduce acid production before meals.