NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Immediately after a pregnant client's membranes rupture, which nursing action is a priority?
Correct Answer: A
Rationale: Monitoring the fetal heart rate is critical after membrane rupture to detect signs of fetal distress, such as cord compression, which can occur.
Question 2 of 5
A client comes to the clinic complaining of epigastric pain. The client reportedly takes several nonprescription over-the-counter medications on a regular basis. Which drug identified by the nurse is most likely related to the client's current complaint?
Correct Answer: B
Rationale: Aspirin is a nonsteroidal anti-inflammatory drug (NSAI
D) known to irritate the stomach lining and cause gastrointestinal issues, including epigastric pain, especially with regular use.
Question 3 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 4 of 5
When teaching a postmenopausal client about breast self-examination, which instruction by the nurse is most accurate?
Correct Answer: B
Rationale: Performing breast self-examination on the first day of the month provides a consistent schedule for postmenopausal women, as hormonal fluctuations no longer affect breast tissue.
Question 5 of 5
A client had a hysterectomy 10 hours ago. The nurse assesses the client and finds that her blood pressure has fallen abruptly. Which action by the nurse is most appropriate at this time?
Correct Answer: C
Rationale: A sudden drop in blood pressure post-hysterectomy may indicate internal bleeding or hypovolemia, requiring immediate notification of the surgeon for evaluation and intervention.