NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
In which of the following positions is it best for the nurse to place the client with suspected heart failure?
Correct Answer: C
Rationale: The high Fowler's position (sitting upright) reduces preload on the heart by promoting venous pooling in the lower extremities, easing breathing in heart failure.
Question 2 of 5
Which initial nursing response is best if a child confides information that indicates sexual abuse?
Correct Answer: C
Rationale: Believing the child establishes trust and supports their emotional well-being, which is critical before proceeding with further assessment or reporting.
Question 3 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 4 of 5
An elderly client presents to the physician's office with symptoms of a respiratory infection. Which of the following risk factors increases the client's susceptibility to pneumonia? Select all that apply.
Correct Answer: B, E, F
Rationale: Smoking and alcohol impair immune defenses, a decreased cough force reduces mucus clearance, and deteriorating cilia hinder pathogen removal, all increasing pneumonia risk.
Question 5 of 5
A client with a history of Addison's disease is prescribed hydrocortisone. Which symptom indicates the need for dose adjustment?
Correct Answer: B
Rationale: Hypotension in Addison's disease suggests inadequate cortisol replacement, indicating the need for a hydrocortisone dose adjustment.