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 nurse is caring for a client with a peripherally inserted central catheter (PICC). Which action prevents complications?
Correct Answer: A
Rationale: Flushing the PICC with heparin daily prevents clot formation and maintains patency, reducing the risk of occlusion.
Question 3 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 4 of 5
A nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Colostomy pouches typically need changing every 3–7 days, not daily, unless there is leakage or skin irritation, indicating a need for further teaching.
Question 5 of 5
Which teratogenic effect is most likely to occur among the fetuses of pregnant women who chronically consume alcohol?
Correct Answer: A
Rationale: Chronic alcohol consumption during pregnancy is strongly associated with fetal alcohol syndrome, which commonly causes mental retardation and developmental delays.