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
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.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed digoxin. Which assessment finding indicates digoxin toxicity?
Correct Answer: B
Rationale: Nausea and blurred vision are classic signs of digoxin toxicity, indicating the need to withhold the dose and notify the physician.
Question 4 of 5
A physician orders postural drainage for a client with pneumonia. Which nursing action best facilitates a therapeutic outcome for the client?
Correct Answer: B
Rationale: Deep coughing during and after postural drainage helps mobilize and expel mucus from the lungs, enhancing the effectiveness of the procedure in treating pneumonia.
Question 5 of 5
A client with a history of liver transplant is prescribed tacrolimus. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Tacrolimus can cause hepatotoxicity, so liver function tests must be monitored to detect early signs of liver damage.