NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
The physician prescribes sucralfate (Carafate) 1 gm PO tid and 2 Maalox tablets tid for a 50-year-old man in the outpatient clinic.
Question 1 of 5
The client asks the nurse when to take these medications. The nurse should advise the man to take
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) Maalox (antacids) decreases bonding to GI mucosa, don't give within 30 minutes of each other (2) Carafate best results on empty stomach, antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (3) antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (4) correct-Carafate has best results on empty stomach
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of chronic kidney disease about sevelamer (Renagel). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping sevelamer when phosphate levels are normal is incorrect, as chronic kidney disease requires ongoing phosphate control to prevent complications. Options A, B, and C are correct: taking with meals binds phosphate, constipation is a side effect, and calcium supplements interfere with absorption.
Question 3 of 5
An 85-year-old client with diverticulitis has been vomiting and febrile for 12 hours. Where is the best location to assess skin turgor on this client?
Correct Answer: D
Rationale: This is the best area to check in the elderly due to loss of skin elasticity that occurs with aging. Answers A, B, and C are all influenced by loss of elasticity more than the sternum, so they are incorrect.
Question 4 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of propofol (Diprivan) for sedation. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: D
Rationale: An oxygen saturation of 90% is low, indicating hypoxemia, a serious complication of propofol due to respiratory depression, requiring immediate intervention. Options A, B, and C are acceptable: respiratory rate 12 breaths/min, blood pressure 100/60 mmHg, and heart rate 80 bpm are stable.
Question 5 of 5
To prevent symptoms of Raynaud's, the client should:
Correct Answer: C
Rationale: Avoiding cold exposure is key to preventing vasospasms in Raynaud's disease, which cause symptoms like numbness and color changes in the extremities.