NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a temporary pacemaker. Which observation requires immediate intervention?
Correct Answer: A
Rationale: A heart rate of 60 beats/min may indicate pacemaker failure to capture or sense, requiring immediate intervention to prevent bradycardia.
Question 2 of 5
An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.
Correct Answer: B, E, F
Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.
Question 3 of 5
A client with a history of asthma reports wheezing and shortness of breath. Which medication should the nurse administer first?
Correct Answer: B
Rationale: Albuterol is a fast-acting bronchodilator that quickly relieves acute asthma symptoms like wheezing and shortness of breath.
Question 4 of 5
A client with a history of heart failure reports sudden weight gain of 5 pounds in 2 days. Which action should the nurse take first?
Correct Answer: B
Rationale: Sudden weight gain in heart failure indicates fluid retention, a sign of decompensation, requiring immediate physician notification.
Question 5 of 5
A nurse is teaching a client with a new diagnosis of epilepsy about phenobarbital. Which instruction is most important?
Correct Answer: A
Rationale: Taking phenobarbital at the same time daily maintains consistent blood levels, preventing breakthrough seizures.