NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Colostomy pouches typically need changing every 3–7 days, not daily, unless there is leakage or skin irritation, indicating a need for further teaching.
Question 2 of 5
Which initial nursing response is best if a child confides information that indicates sexual abuse?
Correct Answer: C
Rationale: Believing the child establishes trust and supports their emotional well-being, which is critical before proceeding with further assessment or reporting.
Question 3 of 5
A client with a history of chronic venous insufficiency reports leg swelling. Which intervention is most effective?
Correct Answer: B
Rationale: Elevating the legs above heart level promotes venous return, reducing swelling in chronic venous insufficiency.
Question 4 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 5 of 5
The admitting nurse documents a client's dietary information. Which information is most likely to contribute to the client's complaint of constipation?
Correct Answer: C
Rationale: Low fluid intake (four glasses per day) is insufficient to maintain soft stools, contributing to constipation, whereas the other options promote regular bowel movements.