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
When teaching a postmenopausal client about breast self-examination, which instruction by the nurse is most accurate?
Correct Answer: B
Rationale: Performing breast self-examination on the first day of the month provides a consistent schedule for postmenopausal women, as hormonal fluctuations no longer affect breast tissue.
Question 3 of 5
A nurse is assessing a client with suspected stroke. Which finding requires immediate notification of the physician?
Correct Answer: A
Rationale: Slurred speech is a hallmark sign of stroke, indicating potential neurological damage and requiring urgent medical intervention.
Question 4 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 5 of 5
A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer, a known risk of this medication.