NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 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 3 of 5
When a client ingests a toxic substance either intentionally or accidentally, which initial information is most important for the nurse to obtain?
Correct Answer: C
Rationale: Identifying the substance involved is critical for determining the appropriate antidote or treatment to counteract the toxic effects.
Question 4 of 5
A client with a history of peptic ulcer disease reports epigastric pain. Which question should the nurse ask to assess the severity?
Correct Answer: A
Rationale: Pain radiating to the back in peptic ulcer disease may indicate perforation or pancreatitis, which are serious complications requiring urgent evaluation.
Question 5 of 5
A client with chronic kidney disease is on a low-potassium diet. Which food should the nurse advise the client to avoid?
Correct Answer: B
Rationale: Bananas are high in potassium, which can accumulate in chronic kidney disease, leading to hyperkalemia and cardiac complications.