NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a ventricular shunt for hydrocephalus. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Headache and irritability may indicate shunt malfunction or infection, which can lead to increased intracranial pressure and requires urgent evaluation.
Question 2 of 5
A nurse is caring for a client with a urinary catheter. Which action prevents catheter-associated urinary tract infections?
Correct Answer: B
Rationale: Daily perineal cleaning with soap and water reduces bacterial colonization around the catheter insertion site, preventing infection.
Question 3 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.
Question 4 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: TSH levels are monitored to assess the effectiveness of levothyroxine therapy and ensure proper thyroid hormone replacement.
Question 5 of 5
A client with a history of atrial fibrillation is prescribed digoxin. Which assessment finding indicates digoxin toxicity?
Correct Answer: B
Rationale: Nausea and blurred vision are classic signs of digoxin toxicity, indicating the need to withhold the dose and notify the physician.