NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in heart failure clients due to the risk of arrhythmias, so potassium levels must be monitored.
Question 2 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.
Question 3 of 5
When assessing a client with severe burns, which assessment finding provides the best evidence that the wound is necessary?
Correct Answer: A
Rationale: A foul odor from a burn wound suggests infection, which requires immediate intervention to prevent sepsis.
Question 4 of 5
Which teratogenic effect is most likely to occur among the fetuses of pregnant women who chronically consume alcohol?
Correct Answer: A
Rationale: Chronic alcohol consumption during pregnancy is strongly associated with fetal alcohol syndrome, which commonly causes mental retardation and developmental delays.
Question 5 of 5
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation is most effective?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gravity to keep stomach contents in place.