NCLEX Questions, NCLEX Trainer Test 3 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

An adult who is receiving methotrexate for rheumatoid arthritis asks the nurse why she is receiving methotrexate. What should the nurse include when responding?

Correct Answer: C

Rationale: Methotrexate suppresses the autoimmune response in rheumatoid arthritis, reducing joint inflammation and damage. It is not primarily for pain, fever, or cartilage repair.

Question 2 of 5

A postoperative client has a nasogastric (NG) tube following bowel surgery. The orders read, 'acetaminophen 650 PRN for fever above 101°F.' The client has a temperature of 101.4°F. What is the most appropriate nursing action?

Correct Answer: A

Rationale: A rectal suppository is appropriate with an NG tube on suction, ensuring fever treatment without risking medication loss.

Question 3 of 5

The nurse is caring for a client with a suspected myocardial infarction. Which of the following actions should the nurse perform FIRST?

Correct Answer: B

Rationale: Applying oxygen is the priority to improve myocardial oxygenation in a suspected myocardial infarction, addressing the immediate threat of hypoxia. Options A, C, and D are important but secondary: aspirin prevents clot progression, ECG confirms diagnosis, and IV access supports medication delivery.

Question 4 of 5

The nurse is aware that the effect of antihypertensive drug therapy may be affected by a 75 year-old client's

Correct Answer: B

Rationale: Decreased gastrointestinal motility, together with shrinkage of the gastric mucosa and changes in hydrochloric acid levels, will decrease absorption of medications and interfere with their actions.

Question 5 of 5

The nurse is caring for a client with a history of sickle cell disease.

Correct Answer: A

Rationale: Oxygen therapy improves oxygenation, reducing sickling and tissue hypoxia during a sickle cell crisis. Ambulation is limited, cold compresses worsen vasoconstriction, and fluids are encouraged to prevent dehydration.

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