NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Question 1 of 5
A nurse is caring for a client with a chest tube. Which observation requires immediate intervention?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, which could compromise lung re-expansion and requires immediate investigation.
Question 2 of 5
A nurse is teaching a client with a new ileostomy about dietary modifications. Which food should the client avoid to prevent blockages?
Correct Answer: B
Rationale: Raw carrots are high in fiber and difficult to digest, increasing the risk of ileostomy blockages.
Question 3 of 5
The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to assess the need to the client who is entering which stage of labor?
Correct Answer: B
Rationale: Complete effacement and full dilation indicate the end of the first stage and the start of the second stage of labor, where the client begins pushing to deliver the baby.
Question 4 of 5
A postoperative client asks the nurse to explain the purpose of the abdominal Penrose drain. Which statement by the nurse best explains the reason for using a Penrose drain?
Correct Answer: B
Rationale: A Penrose drain is a passive drainage system that allows excess fluid, such as blood or serous fluid, to exit the surgical site, reducing the risk of infection or hematoma.
Question 5 of 5
A client with a history of pancreatitis reports severe epigastric pain. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Elevated amylase levels indicate pancreatic inflammation, a key marker in acute pancreatitis.