NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a nasogastric tube. Which action prevents complications?
Correct Answer: B
Rationale: Securing the nasogastric tube to the nose prevents dislodgement, which could lead to aspiration or incorrect placement.
Question 2 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: TSH levels are monitored to assess the effectiveness of levothyroxine therapy and ensure proper thyroid hormone replacement.
Question 3 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 4 of 5
When the client with a slow-bleeding cerebral aneurysm asks for assistance to the toilet for a bowel movement, which missing response is most appropriate?
Correct Answer: C
Rationale: Using a bedpan prevents straining during a bowel movement, which could increase intracranial pressure and exacerbate bleeding in a cerebral aneurysm.
Question 5 of 5
A nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: B
Rationale: Tachycardia is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output in the face of reduced blood volume.