NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a chest tube. Which observation requires immediate intervention?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which could compromise lung re-expansion and requires immediate investigation.
Question 2 of 5
A resident of a long-term care facility has a history of repeated falls after attempting to get up from the wheelchair. Which instruction to the nursing team is most appropriate to prevent further client falls?
Correct Answer: C
Rationale: Frequent assessment of the client's needs allows the nursing team to anticipate and assist with mobility, reducing the risk of falls without resorting to restraints or sedation.
Question 3 of 5
An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.
Correct Answer: B, E, F
Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.
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 chronic kidney disease is on a low-potassium diet. Which food should the nurse advise the client to avoid?
Correct Answer: B
Rationale: Bananas are high in potassium, which can accumulate in chronic kidney disease, leading to hyperkalemia and cardiac complications.