NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 3 of 5
A nurse is caring for a client with a closed head injury. Which assessment finding requires immediate intervention?
Correct Answer: B
Rationale: Unequal and sluggish pupils indicate increased intracranial pressure or neurological deterioration, requiring urgent intervention.
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 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.