NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a pleural effusion receiving a thoracentesis. Which complication should the nurse monitor for post-procedure?
Correct Answer: B
Rationale: Pneumothorax is a potential complication of thoracentesis due to accidental lung puncture, requiring monitoring for symptoms like sudden chest pain or dyspnea.
Question 2 of 5
When assessing a client with severe burns, which assessment finding provides the best evidence that the wound is necessary?
Correct Answer: A
Rationale: A foul odor from a burn wound suggests infection, which requires immediate intervention to prevent sepsis.
Question 3 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.
Question 4 of 5
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.
Question 5 of 5
The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?
Correct Answer: B
Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.