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
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 nurse is caring for a client with a closed head injury. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Unequal and sluggish pupils indicate increased intracranial pressure or neurological deterioration, requiring urgent intervention.
Question 4 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 5 of 5
When a client ingests a toxic substance either intentionally or accidentally, which initial information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Identifying the substance involved is critical for determining the appropriate antidote or treatment to counteract the toxic effects.