NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A pregnant client is admitted to the labor and delivery area with vaginal bleeding. The physician's routine admission orders include the administration of an enema. Which action by the nurse is most appropriate?
Correct Answer: B
Rationale: Vaginal bleeding in pregnancy may indicate a serious condition like placenta previa or abruption, where an enema could exacerbate bleeding or cause complications, so it should be withheld until clarified.
Question 2 of 5
A 6-year-old child is recovering from acute noninfectious gastroenteritis. The physician provides orders to advance the child's diet to solid food. Which food choice is best for the nurse to offer the child initially?
Correct Answer: D
Rationale: Strained applesauce is a bland, easily digestible solid food suitable for reintroducing solids after gastroenteritis, minimizing gastrointestinal irritation.
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 client with a history of liver transplant is prescribed tacrolimus. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Tacrolimus can cause hepatotoxicity, so liver function tests must be monitored to detect early signs of liver damage.
Question 5 of 5
A nurse is caring for a client with a gastrostomy tube. Which action ensures proper care?
Correct Answer: A
Rationale: Flushing the gastrostomy tube with 30 mL of water after feedings prevents clogging and maintains patency.