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
A client with a history of glaucoma is prescribed timolol eye drops. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can be systemically absorbed and cause bradycardia, a potentially serious side effect requiring monitoring.
Question 3 of 5
A client with a history of Crohn's disease reports diarrhea. Which dietary recommendation is most appropriate?
Correct Answer: B
Rationale: Dairy products can exacerbate diarrhea in Crohn's disease due to lactose intolerance, so they should be avoided.
Question 4 of 5
A nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: B
Rationale: Neck stiffness is a cardinal sign of meningitis, indicating meningeal irritation and requiring urgent medical evaluation.
Question 5 of 5
A client with a history of deep vein thrombosis is prescribed heparin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored by aPTT to ensure therapeutic levels and prevent bleeding or clotting complications.