NCLEX Questions, 2023 NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 123

NCLEX-PN

NCLEX-PN Test Bank

2023 NCLEX-PN Practice Questions Questions

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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

An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.

Correct Answer: B, E, F

Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.

Question 4 of 5

A client is admitted with suspected appendicitis. Which assessment finding is most concerning to the nurse?

Correct Answer: A

Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis, indicating peritoneal irritation and the potential for rupture, which is a medical emergency.

Question 5 of 5

A client with a history of heart failure reports sudden weight gain of 5 pounds in 2 days. Which action should the nurse take first?

Correct Answer: B

Rationale: Sudden weight gain in heart failure indicates fluid retention, a sign of decompensation, requiring immediate physician notification.

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