NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An unconscious adult is brought to the emergency department and is suspected of overdosing on heroin. Which initial medication would the nurse have on hand ready for physician's orders?
Correct Answer: C
Rationale: Naloxone is an opioid antagonist that rapidly reverses the effects of heroin overdose, such as respiratory depression, making it the first-line treatment.
Question 2 of 5
A nurse is caring for a client with a temporary pacemaker. Which observation requires immediate intervention?
Correct Answer: A
Rationale: A heart rate of 60 beats/min may indicate pacemaker failure to capture or sense, requiring immediate intervention to prevent bradycardia.
Question 3 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.
Question 4 of 5
A nurse is teaching a client about warfarin (Coumadin) therapy. Which food should the client limit to avoid interfering with the medication?
Correct Answer: A
Rationale: Broccoli is high in vitamin K, which can antagonize warfarin's anticoagulant effect, so intake should be limited or consistent to maintain stable INR levels.
Question 5 of 5
A client with a history of type 2 diabetes is prescribed metformin. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Metformin can rarely cause lactic acidosis, a life-threatening condition, especially in clients with renal impairment, requiring careful monitoring.