NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a burn injury. Which fluid is most appropriate for initial resuscitation?
Correct Answer: C
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation, as it corrects hypovolemia and electrolyte imbalances without causing hypernatremia.
Question 2 of 5
A client with a history of pancreatitis reports severe epigastric pain. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Elevated amylase levels indicate pancreatic inflammation, a key marker in acute pancreatitis.
Question 3 of 5
A client with a history of hyperthyroidism is prescribed methimazole. Which side effect should the nurse teach the client to report?
Correct Answer: B
Rationale: Sore throat may indicate agranulocytosis, a rare but serious side effect of methimazole, requiring immediate reporting.
Question 4 of 5
Which teratogenic effect is most likely to occur among the fetuses of pregnant women who chronically consume alcohol?
Correct Answer: A
Rationale: Chronic alcohol consumption during pregnancy is strongly associated with fetal alcohol syndrome, which commonly causes mental retardation and developmental delays.
Question 5 of 5
A nurse is caring for a client with a closed head injury. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Unequal and sluggish pupils indicate increased intracranial pressure or neurological deterioration, requiring urgent intervention.