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 breast cancer is receiving tamoxifen. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer, a known risk of this medication.
Question 3 of 5
A nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: B
Rationale: Tachycardia is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output in the face of reduced blood volume.
Question 4 of 5
A client with a history of peptic ulcer disease is prescribed omeprazole. Which instruction ensures proper administration?
Correct Answer: B
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken 30 minutes before breakfast to reduce acid production before meals.
Question 5 of 5
A nurse is assessing a client with suspected dehydration. Which finding confirms this diagnosis?
Correct Answer: C
Rationale: Dry mucous membranes are a hallmark sign of dehydration due to reduced fluid volume in the body.