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 nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative of this condition?
Correct Answer: B
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema, indicating fluid leakage into the alveoli due to left heart failure.
Question 3 of 5
A client with a history of glaucoma is prescribed timolol eye drops. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can be systemically absorbed and cause bradycardia, a potentially serious side effect requiring monitoring.
Question 4 of 5
The urine of a client who is 6 months' pregnant tests positive for albumin. The nurse correctly assumes that the client is probably developing which complication of pregnancy?
Correct Answer: A
Rationale: Albumin in the urine (proteinuria) during pregnancy is a hallmark sign of preeclampsia, a hypertensive disorder that can lead to serious complications if untreated.
Question 5 of 5
When a client ingests a toxic substance either intentionally or accidentally, which initial information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Identifying the substance involved is critical for determining the appropriate antidote or treatment to counteract the toxic effects.