NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which recommendation is most effective?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gravity to keep stomach contents in place.
Question 2 of 5
A client with a history of peptic ulcer disease is prescribed omeprazole. Which instruction ensures proper administration?
Correct Answer: B
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken 30 minutes before breakfast to reduce acid production before meals.
Question 3 of 5
A client with a history of liver transplant is prescribed tacrolimus. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Tacrolimus can cause hepatotoxicity, so liver function tests must be monitored to detect early signs of liver damage.
Question 4 of 5
A client with a history of Crohn's disease reports diarrhea. Which dietary recommendation is most appropriate?
Correct Answer: B
Rationale: Dairy products can exacerbate diarrhea in Crohn's disease due to lactose intolerance, so they should be avoided.
Question 5 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which assessment finding indicates the need to increase the oxygen flow rate?
Correct Answer: A
Rationale: An oxygen saturation of 88% is below the target range (92–96%) for COPD clients, indicating the need to increase oxygen flow to improve oxygenation.