NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a Sengstaken-Blakemore tube for esophageal varices. Which complication should the nurse monitor for?
Correct Answer: B
Rationale: The Sengstaken-Blakemore tube can obstruct the airway if it migrates or the balloon inflates improperly, requiring close monitoring.
Question 2 of 5
A resident of a long-term care facility has a history of repeated falls after attempting to get up from the wheelchair. Which instruction to the nursing team is most appropriate to prevent further client falls?
Correct Answer: C
Rationale: Frequent assessment of the client's needs allows the nursing team to anticipate and assist with mobility, reducing the risk of falls without resorting to restraints or sedation.
Question 3 of 5
A nurse is assessing a client with suspected testicular torsion. Which finding is most concerning?
Correct Answer: A
Rationale: Sudden, severe testicular pain is the primary symptom of testicular torsion, a surgical emergency requiring immediate intervention.
Question 4 of 5
A nurse is caring for a client with a burn injury. Which fluid is most appropriate for initial resuscitation?
Correct Answer: C
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation, as it corrects hypovolemia and electrolyte imbalances without causing hypernatremia.
Question 5 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.