NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse assesses a client with chronic alcoholism who has been drinking up to the time of admission. During which time frame after admission is the nurse most likely to observe initial signs of alcohol withdrawal in this client?
Correct Answer: C
Rationale: Alcohol withdrawal symptoms typically begin 12 to 72 hours after the last drink, with initial signs like tremors and anxiety appearing within this timeframe.
Question 2 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. Which side effect should the nurse teach the client to report?
Correct Answer: D
Rationale: Chest pain is not a common side effect of ipratropium and may indicate a serious condition like angina or pneumothorax, requiring immediate reporting.
Question 3 of 5
A client with diabetes reports numbness in the feet. Which nursing action is most appropriate?
Correct Answer: B
Rationale: Numbness in the feet indicates diabetic neuropathy, increasing the risk of unnoticed injuries, so inspecting for ulcers or cuts is critical.
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 client with a history of hypothyroidism is prescribed levothyroxine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: TSH levels are monitored to assess the effectiveness of levothyroxine therapy and ensure proper thyroid hormone replacement.