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 postoperative client who just had a transurethral prostatectomy asks why he must drink so much water. Which response by the nurse is most accurate?
Correct Answer: A
Rationale: Increased fluid intake after a transurethral prostatectomy helps maintain catheter patency by flushing the bladder and preventing clot formation.
Question 3 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 4 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 5 of 5
A client with a history of myocardial infarction is prescribed nitroglycerin. Which instruction should the nurse include when teaching the client about this medication?
Correct Answer: C
Rationale: Placing nitroglycerin under the tongue allows for rapid absorption to relieve angina quickly, which is critical for clients with a history of myocardial infarction.