NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A home care nurse is providing instructions to a client who is prescribed zolpidem for insomnia. To produce maximum effectiveness of the medication, what instruction should the nurse provide the client regarding how the medication should be taken?
Correct Answer: D
Rationale: Zolpidem is a sedative. The client should be instructed to take the medication at bedtime and to swallow the medication whole with a full glass of water. For faster onset of sleep, the client should be instructed not to administer the medication with milk or food or immediately after a meal. Antacids should be avoided with the administration of the medication because of interactive effects.
Question 2 of 5
The nurse is making rounds and observes a client who is unconscious (see fi gure). The nursing assistant has just turned the client from lying on her back. Before raising the side rail, the nurse should:
Correct Answer: C
Rationale: The client is positioned correctly in the side-lying position. The pillows support the client’s joints and do not cause unnecessary pressure on the joints or skin. It is not necessary to add another pillow under the arm or to elevate the head of the bed. The nurse should assess the client’s skin for signs of breakdown, particularly at the elbows, back, hips, and heels where there were pressure points from the position in which the client was previously lying.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of type 1 diabetes about insulin administration. Which of the following instructions should be included?
Correct Answer: A, D
Rationale: Rotating injection sites prevents lipodystrophy, and room-temperature insulin reduces injection discomfort.
Question 4 of 5
A client’s arterial blood gas values are as follows: These findings indicate which of the following acidbase imbalances?
Correct Answer: A
Rationale: The pH of 7.24 indicates that the client is acidotic. The carbon dioxide level is normal, but the HCO3 level is decreased. These findings indicate that the client is in metabolic acidosis.
Question 5 of 5
After a child returns from the postanesthesia care unit after surgery, which of the following should the nurse assess first?
Correct Answer: B
Rationale: Assessing pain first ensures the child's comfort and guides further care, as pain can affect recovery and other assessments.