NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
When the client with a slow-bleeding cerebral aneurysm asks for assistance to the toilet for a bowel movement, which missing response is most appropriate?
Correct Answer: C
Rationale: Using a bedpan prevents straining during a bowel movement, which could increase intracranial pressure and exacerbate bleeding in a cerebral aneurysm.
Question 2 of 5
A nurse is assessing a client with suspected diverticulitis. Which finding is most indicative of this condition?
Correct Answer: A
Rationale: Left lower quadrant pain is characteristic of diverticulitis, as inflamed diverticula are typically located in the sigmoid colon.
Question 3 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin). Which side effect should the nurse teach the client to report?
Correct Answer: A
Rationale: Gingival hyperplasia is a common side effect of phenytoin that can lead to gum overgrowth and requires dental evaluation, so it should be reported.
Question 4 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed ipratropium. Which side effect should the nurse teach the client to report?
Correct Answer: D
Rationale: Chest pain is not a common side effect of ipratropium and may indicate a serious condition like angina or pneumothorax, requiring immediate reporting.
Question 5 of 5
Which nursing action is most correct before instilling eardrops in a client's ear?
Correct Answer: A
Rationale: Warming eardrops to room temperature prevents discomfort and dizziness, which can occur if cold drops are instilled into the ear canal.