NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client with suspected compartment syndrome. Which finding is most indicative?
Correct Answer: A
Rationale: Pain unrelieved by analgesics is a hallmark of compartment syndrome, indicating increased pressure compromising tissue perfusion.
Question 2 of 5
A nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative of this condition?
Correct Answer: B
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema, indicating fluid leakage into the alveoli due to left heart failure.
Question 3 of 5
The urine of a client who is 6 months' pregnant tests positive for albumin. The nurse correctly assumes that the client is probably developing which complication of pregnancy?
Correct Answer: A
Rationale: Albumin in the urine (proteinuria) during pregnancy is a hallmark sign of preeclampsia, a hypertensive disorder that can lead to serious complications if untreated.
Question 4 of 5
A nurse is caring for a client with a gastrostomy tube. Which action ensures proper care?
Correct Answer: A
Rationale: Flushing the gastrostomy tube with 30 mL of water after feedings prevents clogging and maintains patency.
Question 5 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.