NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer, a known risk of this medication.
Question 3 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 4 of 5
A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in heart failure clients due to the risk of arrhythmias, so potassium levels must be monitored.
Question 5 of 5
A client with a history of anxiety disorder is prescribed lorazepam. Which instruction should the nurse include?
Correct Answer: B
Rationale: Alcohol can potentiate the sedative effects of lorazepam, increasing the risk of respiratory depression and drowsiness, so it should be avoided.