NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which nursing assessment finding provides the best evidence that a client with acute angle-closure glaucoma is responding to drug therapy?
Correct Answer: C
Rationale: Acute angle-closure glaucoma causes severe eye pain due to increased intraocular pressure; reduced or eliminated pain indicates that drug therapy is effectively lowering pressure.
Question 2 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: B
Rationale: Increased fluid intake (2–3 liters daily) helps prevent kidney stones, a potential side effect of allopurinol, by promoting uric acid excretion.
Question 3 of 5
A client with a history of deep vein thrombosis is prescribed heparin. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored by aPTT to ensure therapeutic levels and prevent bleeding or clotting complications.
Question 4 of 5
A nurse is assessing a client with suspected stroke. Which finding requires immediate notification of the physician?
Correct Answer: A
Rationale: Slurred speech is a hallmark sign of stroke, indicating potential neurological damage and requiring urgent medical intervention.
Question 5 of 5
The urine of a client who is 6 months' pregnant tests positive for albumin. The nurse correctly assumes that the client is probably developing which complication of pregnancy?
Correct Answer: A
Rationale: Albumin in the urine (proteinuria) during pregnancy is a hallmark sign of preeclampsia, a hypertensive disorder that can lead to serious complications if untreated.