NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is completing a care plan for an immobile client. Which nursing measure for preventing contractures is best to include in the care plan?
Correct Answer: B
Rationale: Range-of-motion exercises maintain joint flexibility and muscle length, directly preventing contractures in immobile clients.
Question 2 of 5
A nurse is caring for a client with a chest tube. Which observation requires immediate intervention?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which could compromise lung re-expansion and requires immediate investigation.
Question 3 of 5
A nurse is caring for a client with a ventricular shunt for hydrocephalus. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Headache and irritability may indicate shunt malfunction or infection, which can lead to increased intracranial pressure and requires urgent evaluation.
Question 4 of 5
A nurse is caring for a client with a lower extremity cast. Which assessment finding requires immediate intervention?
Correct Answer: A
Rationale: Numbness in the toes suggests possible nerve compression or compartment syndrome, a medical emergency requiring immediate intervention.
Question 5 of 5
When assessing a client with severe burns, which assessment finding provides the best evidence that the wound is necessary?
Correct Answer: A
Rationale: A foul odor from a burn wound suggests infection, which requires immediate intervention to prevent sepsis.