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
The urine of a client who is 6 months' pregnant tests positive for albumin. The nurse correctly assumes that the client is probably developing which complication of pregnancy?
Correct Answer: A
Rationale: Albumin in the urine (proteinuria) during pregnancy is a hallmark sign of preeclampsia, a hypertensive disorder that can lead to serious complications if untreated.
Question 3 of 5
A 75-year-old client comes to the diabetic clinic for a scheduled visit. Which assessment finding indicates that the client with diabetes requires additional teaching regarding the client?
Correct Answer: B
Rationale: Using a razor blade to remove calluses is dangerous for diabetic clients due to the risk of cuts and infections, indicating a need for teaching safer foot care practices.
Question 4 of 5
When preparing a client for insertion of a nasogastric (NG) tube, how should the nurse position the client's neck to facilitate introducing the tube into the nostril?
Correct Answer: A
Rationale: Flexing the neck aligns the nasopharynx and esophagus, easing the passage of the NG tube through the nostril and reducing discomfort.
Question 5 of 5
A client with a history of atrial fibrillation is prescribed digoxin. Which assessment finding indicates digoxin toxicity?
Correct Answer: B
Rationale: Nausea and blurred vision are classic signs of digoxin toxicity, indicating the need to withhold the dose and notify the physician.