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
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 older adult client is comatose and on life support. The family asks that life-support measures be discontinued. Which method is best for determining whether it is appropriate to carry out the family's request?
Correct Answer: D
Rationale: An advance directive legally documents the client's wishes regarding life-sustaining treatment, providing the most ethical and authoritative guidance for discontinuing life support.
Question 4 of 5
A client with a history of bipolar disorder is prescribed lithium. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Hand tremors are a sign of lithium toxicity, which can progress to severe neurological symptoms and requires immediate reporting.
Question 5 of 5
A 10-year-old child is admitted to the hospital with endocarditis secondary to rheumatic fever. Which assessment finding in the child's medical history is most consistent with this condition?
Correct Answer: B
Rationale: Rheumatic fever, which can lead to endocarditis, is often triggered by an untreated streptococcal infection, such as strep throat, in susceptible children.