NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?
Correct Answer: D
Rationale: The discomfort of reflux is aggravated by positions that allow the reflux of gastrointestinal contents. The client is instructed to remain upright for 1 to 2 hours after a meal and sleep with the head of the bed elevated to approximately 30 degrees (usually on 8- to 12-inch blocks). Lying flat will increase the episodes of reflux, resulting in chest discomfort.
Question 2 of 5
A client with a history of chronic kidney disease is admitted with anemia. The nurse should expect to administer which of the following medications?
Correct Answer: A
Rationale: Epoetin alfa stimulates red blood cell production in chronic kidney disease-related anemia.
Question 3 of 5
The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?
Correct Answer: B
Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of epilepsy about safety precautions. Which of the following instructions is most important?
Correct Answer: A
Rationale: Avoiding swimming alone is critical for safety in epilepsy to prevent drowning during a seizure.
Question 5 of 5
A client with a history of chronic kidney disease is prescribed sodium polystyrene sulfonate (Kayexalate). The nurse should explain that this medication works by:
Correct Answer: B
Rationale: Sodium polystyrene sulfonate binds potassium in the gut, reducing serum potassium levels in chronic kidney disease.