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
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 3 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 4 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 5 of 5
A postoperative client asks the nurse to explain the purpose of the abdominal Penrose drain. Which statement by the nurse best explains the reason for using a Penrose drain?
Correct Answer: B
Rationale: A Penrose drain is a passive drainage system that allows excess fluid, such as blood or serous fluid, to exit the surgical site, reducing the risk of infection or hematoma.