NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client about self-catheterization. Which instruction ensures proper technique?
Correct Answer: C
Rationale: Inserting the catheter until urine flows, then advancing 1–2 inches, ensures proper placement in the bladder to avoid trauma or incomplete drainage.
Question 3 of 5
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.
Question 4 of 5
A client with a history of osteoporosis is prescribed alendronate. Which instruction ensures proper administration?
Correct Answer: A
Rationale: Taking alendronate with a full glass of water and remaining upright for 30 minutes prevents esophageal irritation and ensures absorption.
Question 5 of 5
A nurse is teaching a client with a new diagnosis of epilepsy about phenobarbital. Which instruction is most important?
Correct Answer: A
Rationale: Taking phenobarbital at the same time daily maintains consistent blood levels, preventing breakthrough seizures.