NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
Omeprazole (Prilosec), cimetidine (Tagamet), and Maalox are ordered for an adult. When should the nurse plan to administer these drugs?
Correct Answer: A
Rationale: Omeprazole (PPI) is taken before meals to inhibit acid production, cimetidine (H2 blocker) with meals to reduce acid during digestion, and Maalox (antacid) after meals to neutralize residual acid.
Question 2 of 5
The client is discharged from the unit with a prescription for Evista (raloxifene HCl). Which of the following is a side effect of this medication?
Correct Answer: B
Rationale: Evista, used for osteoporosis, has an estrogen agonist effect, commonly causing hot flashes. It does not cause leg cramps , urinary frequency , or cold extremities .
Question 3 of 5
The nurse is caring for a client who is suffering from severe anxiety. What must the client do first when learning to deal with his anxiety?
Correct Answer: A
Rationale: Recognizing anxiety is the first step in managing it, enabling the client to address triggers, reasons, and coping strategies sequentially.
Question 4 of 5
The multidisciplinary team decides to implement behavior modification with a client.
Correct Answer: A
Rationale: Consistency in applying the behavior modification plan is critical for success. Confirming that all staff members understand and comply ensures consistent implementation, reducing manipulation by the client or staff. While setting goals, choosing rewards, and scheduling reinforcement are important, they are secondary to ensuring staff alignment.
Question 5 of 5
A 15-month old is admitted in sickle crisis. The parents ask why the child did not have any symptoms until now. What should be included in the nurse's response?
Correct Answer: D
Rationale: High fetal hemoglobin (HbF) in infants inhibits sickling, delaying sickle cell anemia symptoms until HbF decreases around 6-12 months, replaced by adult hemoglobin.