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 gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.
Question 3 of 5
A nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: B
Rationale: Tachycardia is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output in the face of reduced blood volume.
Question 4 of 5
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.
Question 5 of 5
A client with a history of peptic ulcer disease reports epigastric pain. Which question should the nurse ask to assess the severity?
Correct Answer: A
Rationale: Pain radiating to the back in peptic ulcer disease may indicate perforation or pancreatitis, which are serious complications requiring urgent evaluation.