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 client with a history of hypothyroidism is prescribed levothyroxine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: TSH levels are monitored to assess the effectiveness of levothyroxine therapy and ensure proper thyroid hormone replacement.
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
A pregnant client comes to the prenatal clinic for a routine visit. As the nurse is completing a nutritional analysis, it is determined that the client needs additional iron. Which food is best for the nurse to include in a diet plan for this pregnant client who needs additional iron?
Correct Answer: B
Rationale: Legumes, such as beans and lentils, are rich in iron, which is essential for preventing anemia during pregnancy, unlike the other options, which have lower iron content.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. Which side effect should the nurse teach the client to report?
Correct Answer: D
Rationale: Chest pain is not a common side effect of ipratropium and may indicate a serious condition like angina or pneumothorax, requiring immediate reporting.