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 pneumonia is receiving intravenous antibiotics. Which assessment finding suggests the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the body is responding to antibiotics by reducing the inflammatory response to infection.
Question 3 of 5
Immediately after a pregnant client's membranes rupture, which nursing action is a priority?
Correct Answer: A
Rationale: Monitoring the fetal heart rate is critical after membrane rupture to detect signs of fetal distress, such as cord compression, which can occur.
Question 4 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 5 of 5
A nurse is caring for a client with a pressure ulcer. Which intervention promotes healing?
Correct Answer: B
Rationale: A moist environment with a hydrogel dressing promotes granulation tissue formation and healing in pressure ulcers.