NCLEX Questions, 2023 NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 123

NCLEX-PN

NCLEX-PN Test Bank

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 nurse is caring for a client with a spinal cord injury. Which intervention prevents autonomic dysreflexia?

Correct Answer: B

Rationale: Avoiding bladder distension prevents autonomic dysreflexia, a life-threatening condition in spinal cord injury clients, by reducing stimuli that trigger it.

Question 3 of 5

The nurse is assessing for side effects from the administration of a dose of penicillin (Bicillin). Which assessment finding best justifies withholding the I.M. administration of penicillin until consulting the prescribing physician?

Correct Answer: B

Rationale: A red, itchy rash is a sign of a possible allergic reaction to penicillin, which could progress to anaphylaxis, necessitating immediate consultation with the physician.

Question 4 of 5

A nurse is caring for a client with a pressure ulcer. Which intervention promotes healing?

Correct Answer: B

Rationale: A moist environment with a hydrogel dressing promotes granulation tissue formation and healing in pressure ulcers.

Question 5 of 5

The nurse is assigned six clients during the afternoon shift on a medical-surgical unit. After receiving report on the following clients, arrange the clients in the most appropriate order of nursing assessment.

Order the Items

Source Container

A young adult who has been given discharge instructions but is awaiting a ride
A new postoperative client being transferred by the nursing assistant into a bed
An elderly client admitted with unstable angina who reports sternal chest pain
An adult who is awaiting transport to the operating room for surgery in 1 hour
A client with an afternoon blood sugar reading of 285 mg/dl.
A client with history of gallstones reporting abdominal pain of 7 out of 10

Correct Answer: C, F, E, B, D, A

Rationale: The order prioritizes life-threatening conditions (chest pain), acute pain (gallstones), and uncontrolled diabetes, followed by postoperative status, preoperative preparation, and stable discharge.

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