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
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation is most effective?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gravity to keep stomach contents in place.
Question 3 of 5
A nurse is teaching a client with a new ileostomy about dietary modifications. Which food should the client avoid to prevent blockages?
Correct Answer: B
Rationale: Raw carrots are high in fiber and difficult to digest, increasing the risk of ileostomy blockages.
Question 4 of 5
A client who takes furosemide (Lasix) for heart failure causes the to the title for a routine health. The client's laboratory report reveals a potassium level of 3.1 mEq/L. Which question elicits the best information to assess whether the client is demonstrating signs and symptoms of hypokalemia?
Correct Answer: A
Rationale: Hypokalemia (low potassium) commonly causes muscle weakness and leg cramps due to impaired muscle function, making this the most relevant question.
Question 5 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.