NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An older adult client is comatose and on life support. The family asks that life-support measures be discontinued. Which method is best for determining whether it is appropriate to carry out the family's request?
Correct Answer: D
Rationale: An advance directive legally documents the client's wishes regarding life-sustaining treatment, providing the most ethical and authoritative guidance for discontinuing life support.
Question 2 of 5
The nurse assesses a client with chronic alcoholism who has been drinking up to the time of admission. During which time frame after admission is the nurse most likely to observe initial signs of alcohol withdrawal in this client?
Correct Answer: C
Rationale: Alcohol withdrawal symptoms typically begin 12 to 72 hours after the last drink, with initial signs like tremors and anxiety appearing within this timeframe.
Question 3 of 5
A nurse is teaching a client with a new diagnosis of celiac disease about dietary restrictions. Which food should the client avoid?
Correct Answer: B
Rationale: Wheat bread contains gluten, which must be avoided in celiac disease to prevent intestinal damage.
Question 4 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.
Question 5 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.