NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Colostomy pouches typically need changing every 3–7 days, not daily, unless there is leakage or skin irritation, indicating a need for further teaching.
Question 3 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 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 myocardial infarction is prescribed nitroglycerin. Which instruction should the nurse include when teaching the client about this medication?
Correct Answer: C
Rationale: Placing nitroglycerin under the tongue allows for rapid absorption to relieve angina quickly, which is critical for clients with a history of myocardial infarction.