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 nurse is caring for a client with a tracheostomy. Which action maintains airway patency?
Correct Answer: A
Rationale: Suctioning as needed removes mucus and maintains airway patency, preventing obstruction in a tracheostomy client.
Question 3 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.
Question 4 of 5
A nurse is caring for a client with a total hip replacement. Which position should the nurse avoid to prevent dislocation?
Correct Answer: A
Rationale: Crossing the legs after hip replacement increases the risk of dislocation by adducting and rotating the hip joint.
Question 5 of 5
A client with a history of breast cancer is scheduled for a mastectomy. Which preoperative teaching is most important?
Correct Answer: A
Rationale: Teaching about surgical drain care is critical post-mastectomy to prevent infection and manage fluid accumulation at the surgical site.