NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client is admitted with suspected appendicitis. Which assessment finding is most concerning to the nurse?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis, indicating peritoneal irritation and the potential for rupture, which is a medical emergency.
Question 3 of 5
A nurse is caring for a client with a nasogastric tube. Which action prevents complications?
Correct Answer: B
Rationale: Securing the nasogastric tube to the nose prevents dislodgement, which could lead to aspiration or incorrect placement.
Question 4 of 5
When a client ingests a toxic substance either intentionally or accidentally, which initial information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Identifying the substance involved is critical for determining the appropriate antidote or treatment to counteract the toxic effects.
Question 5 of 5
The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?
Correct Answer: B
Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.