NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with pneumonia is receiving intravenous antibiotics. Which assessment finding suggests the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the body is responding to antibiotics by reducing the inflammatory response to infection.
Question 2 of 5
A nurse is caring for a client with a ventricular shunt for hydrocephalus. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Headache and irritability may indicate shunt malfunction or infection, which can lead to increased intracranial pressure and requires urgent evaluation.
Question 3 of 5
A nurse is caring for a client with a Sengstaken-Blakemore tube for esophageal varices. Which complication should the nurse monitor for?
Correct Answer: B
Rationale: The Sengstaken-Blakemore tube can obstruct the airway if it migrates or the balloon inflates improperly, requiring close monitoring.
Question 4 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 5 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.