NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a continuous bladder irrigation post-transurethral resection of the prostate. Which observation requires intervention?
Correct Answer: A
Rationale: Bright red urine suggests active bleeding, a potential complication requiring immediate intervention.
Question 2 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 3 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which assessment finding indicates the need to increase the oxygen flow rate?
Correct Answer: A
Rationale: An oxygen saturation of 88% is below the target range (92–96%) for COPD clients, indicating the need to increase oxygen flow to improve oxygenation.
Question 4 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.
Question 5 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin). Which side effect should the nurse teach the client to report?
Correct Answer: A
Rationale: Gingival hyperplasia is a common side effect of phenytoin that can lead to gum overgrowth and requires dental evaluation, so it should be reported.