NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
When caring for a client who has been burned around the face and neck, which assessment finding should the nurse immediately report to the physician?
Correct Answer: D
Rationale: Burns around the face and neck can cause airway edema, leading to respiratory distress, which is life-threatening and requires immediate reporting.
Question 2 of 5
A postoperative client asks the nurse to explain the purpose of the abdominal Penrose drain. Which statement by the nurse best explains the reason for using a Penrose drain?
Correct Answer: B
Rationale: A Penrose drain is a passive drainage system that allows excess fluid, such as blood or serous fluid, to exit the surgical site, reducing the risk of infection or hematoma.
Question 3 of 5
A nurse is teaching a client with a new diagnosis of epilepsy about phenobarbital. Which instruction is most important?
Correct Answer: A
Rationale: Taking phenobarbital at the same time daily maintains consistent blood levels, preventing breakthrough seizures.
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
A nurse is preparing a client for a colonoscopy. Which instruction ensures proper preparation?
Correct Answer: B
Rationale: Drinking only clear liquids the day before a colonoscopy ensures the colon is clear for accurate visualization during the procedure.