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 nurse is caring for a client with a urinary catheter. Which action prevents catheter-associated urinary tract infections?
Correct Answer: B
Rationale: Daily perineal cleaning with soap and water reduces bacterial colonization around the catheter insertion site, preventing infection.
Question 3 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.
Question 4 of 5
A client with heart failure is prescribed furosemide (Lasix). Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in heart failure clients due to the risk of arrhythmias, so potassium levels must be monitored.
Question 5 of 5
A client with a history of chronic venous insufficiency reports leg swelling. Which intervention is most effective?
Correct Answer: B
Rationale: Elevating the legs above heart level promotes venous return, reducing swelling in chronic venous insufficiency.