NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.
Question 3 of 5
A client with a history of bipolar disorder is prescribed lithium. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Hand tremors are a sign of lithium toxicity, which can progress to severe neurological symptoms and requires immediate reporting.
Question 4 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.
Question 5 of 5
A pregnant client is admitted to the labor and delivery area with vaginal bleeding. The physician's routine admission orders include the administration of an enema. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Vaginal bleeding in pregnancy may indicate a serious condition like placenta previa or abruption, where an enema could exacerbate bleeding or cause complications, so it should be withheld until clarified.