NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a spinal cord injury. Which intervention prevents autonomic dysreflexia?
Correct Answer: B
Rationale: Avoiding bladder distension prevents autonomic dysreflexia, a life-threatening condition in spinal cord injury clients, by reducing stimuli that trigger it.
Question 2 of 5
An unconscious adult is brought to the emergency department and is suspected of overdosing on heroin. Which initial medication would the nurse have on hand ready for physician's orders?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist that rapidly reverses the effects of heroin overdose, such as respiratory depression, making it the first-line treatment.
Question 3 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.
Question 4 of 5
An older adult client is comatose and on life support. The family asks that life-support measures be discontinued. Which method is best for determining whether it is appropriate to carry out the family's request?
Correct Answer: D
Rationale: An advance directive legally documents the client's wishes regarding life-sustaining treatment, providing the most ethical and authoritative guidance for discontinuing life support.
Question 5 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.