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 nursing assistant voices concern for personal safety when assigned to care for a client with acquired immunodeficiency syndrome (AIDS). Which information is best for allaying the nursing assistant's fears?
Correct Answer: C
Rationale: Emphasizing that standard precautions, like wearing gloves, effectively prevent HIV transmission reassures the nursing assistant by addressing the primary mode of infection.
Question 3 of 5
A client with a history of schizophrenia is prescribed risperidone. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors or rigidity, due to dopamine blockade, requiring monitoring.
Question 4 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.
Question 5 of 5
A nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: B
Rationale: Neck stiffness is a cardinal sign of meningitis, indicating meningeal irritation and requiring urgent medical evaluation.