NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is teaching a client about warfarin (Coumadin) therapy. Which food should the client limit to avoid interfering with the medication?
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can antagonize warfarin's anticoagulant effect, so intake should be limited or consistent to maintain stable INR levels.
Question 2 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 3 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 4 of 5
A client with a history of schizophrenia is prescribed risperidone. Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors or rigidity, due to dopamine blockade, requiring monitoring.
Question 5 of 5
The nurse is completing a care plan for an immobile client. Which nursing measure for preventing contractures is best to include in the care plan?
Correct Answer: B
Rationale: Range-of-motion exercises maintain joint flexibility and muscle length, directly preventing contractures in immobile clients.