NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The admitting nurse documents a client's dietary information. Which information is most likely to contribute to the client's complaint of constipation?
Correct Answer: C
Rationale: Low fluid intake (four glasses per day) is insufficient to maintain soft stools, contributing to constipation, whereas the other options promote regular bowel movements.
Question 2 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.
Question 3 of 5
A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse teach the client to report?
Correct Answer: C
Rationale: Vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer, a known risk of this medication.
Question 4 of 5
When providing discharge instructions to a client receiving warfarin sodium (Coumadin), the nurse teaches the importance of regular monitoring for which laboratory value?
Correct Answer: D
Rationale: Warfarin is an anticoagulant monitored by INR, which measures the prothrombin time and ensures therapeutic anticoagulation levels to prevent clotting or bleeding.
Question 5 of 5
A pregnant client comes to the prenatal clinic for a routine visit. As the nurse is completing a nutritional analysis, it is determined that the client needs additional iron. Which food is best for the nurse to include in a diet plan for this pregnant client who needs additional iron?
Correct Answer: B
Rationale: Legumes, such as beans and lentils, are rich in iron, which is essential for preventing anemia during pregnancy, unlike the other options, which have lower iron content.