NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A postoperative client who just had a transurethral prostatectomy asks why he must drink so much water. Which response by the nurse is most accurate?
Correct Answer: A
Rationale: Increased fluid intake after a transurethral prostatectomy helps maintain catheter patency by flushing the bladder and preventing clot formation.
Question 2 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin). Which side effect should the nurse teach the client to report?
Correct Answer: A
Rationale: Gingival hyperplasia is a common side effect of phenytoin that can lead to gum overgrowth and requires dental evaluation, so it should be reported.
Question 3 of 5
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 4 of 5
A nurse is caring for a client with a burn injury. Which fluid is most appropriate for initial resuscitation?
Correct Answer: C
Rationale: Lactated Ringer's is the preferred fluid for burn resuscitation, as it corrects hypovolemia and electrolyte imbalances without causing hypernatremia.
Question 5 of 5
A client who is 4 months' pregnant states that she lives on a limited income and has a problem purchasing enough meat to supply sufficient protein for her diet. Which food can the nurse recommend to supplement the client's meat source?
Correct Answer: D
Rationale: Dried beans are an affordable, high-protein food that can supplement meat in the diet, providing essential amino acids for pregnancy.