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 type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.
Question 3 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.
Question 4 of 5
When a client with type 1 diabetes comes to the clinic for a routine visit, which question should the nurse plan to ask in relation to possible complications?
Correct Answer: A
Rationale: Type 1 diabetes increases the risk of diabetic retinopathy, so asking about recent eye exams helps screen for this vision-threatening complication.
Question 5 of 5
When the client with a slow-bleeding cerebral aneurysm asks for assistance to the toilet for a bowel movement, which missing response is most appropriate?
Correct Answer: C
Rationale: Using a bedpan prevents straining during a bowel movement, which could increase intracranial pressure and exacerbate bleeding in a cerebral aneurysm.