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 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
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.