NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client with pneumonia is receiving intravenous antibiotics. Which assessment finding suggests the treatment is effective?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the body is responding to antibiotics by reducing the inflammatory response to infection.
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
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, and hyperkalemia is a serious side effect that requires close monitoring of potassium levels.
Question 5 of 5
A nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative of this condition?
Correct Answer: B
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema, indicating fluid leakage into the alveoli due to left heart failure.