NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client with suspected diverticulitis. Which finding is most indicative of this condition?
Correct Answer: A
Rationale: Left lower quadrant pain is characteristic of diverticulitis, as inflamed diverticula are typically located in the sigmoid colon.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. Which side effect should the nurse teach the client to report?
Correct Answer: D
Rationale: Chest pain is not a common side effect of ipratropium and may indicate a serious condition like angina or pneumothorax, requiring immediate reporting.
Question 3 of 5
Which initial nursing response is best if a child confides information that indicates sexual abuse?
Correct Answer: C
Rationale: Believing the child establishes trust and supports their emotional well-being, which is critical before proceeding with further assessment or reporting.
Question 4 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 5 of 5
Immediately after a pregnant client's membranes rupture, which nursing action is a priority?
Correct Answer: A
Rationale: Monitoring the fetal heart rate is critical after membrane rupture to detect signs of fetal distress, such as cord compression, which can occur.