NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing measure should be included in her plan of care to help alleviate it?
Correct Answer: C
Rationale: At least eight glasses of fluid per day are encouraged to help dilute stomach contents, thereby decreasing irritation. Alka Seltzer contains aspirin, which is irritating to gastric mucosa, and therefore should be avoided. Small, frequent bland meals help to decrease gastric pressure and to prevent reflux. Lying down after meals may cause gastric reflux and prevents optimal gastric emptying.
Question 2 of 5
The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:
Correct Answer: A
Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.
Question 3 of 5
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?
Correct Answer: B
Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.
Question 4 of 5
A client with a history of a colostomy is being discharged. The nurse should teach the client to:
Correct Answer: B
Rationale: High-fiber foods can cause blockages or excessive output in a colostomy. Bag changes depend on output, alcohol irritates the stoma, and irrigation is not always required.
Question 5 of 5
A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:
Correct Answer: B
Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, reflecting liver dysfunction.