NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a history of stroke and dysphagia. Which intervention prevents aspiration during meals?
Correct Answer: A
Rationale: Thick liquids are easier to swallow and reduce the risk of aspiration in clients with dysphagia.
Question 2 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.
Question 3 of 5
A nurse is caring for a client with a temporary pacemaker. Which observation requires immediate intervention?
Correct Answer: A
Rationale: A heart rate of 60 beats/min may indicate pacemaker failure to capture or sense, requiring immediate intervention to prevent bradycardia.
Question 4 of 5
A nurse is assessing a client with suspected compartment syndrome. Which finding is most indicative?
Correct Answer: A
Rationale: Pain unrelieved by analgesics is a hallmark of compartment syndrome, indicating increased pressure compromising tissue perfusion.
Question 5 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.