NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
The client is prescribed prednisone for an acute exacerbation of lupus. Which side effect should the nurse monitor for?
Correct Answer: C
Rationale: Prednisone, a corticosteroid, can cause hypertension due to sodium retention and vasoconstriction. Hyperglycemia (not hypoglycemia), weight gain, and tachycardia are more likely than weight loss or bradycardia.
Question 2 of 5
A client with a history of a peptic ulcer is receiving Zantac (ranitidine). The nurse should teach the client to:
Correct Answer: B
Rationale: Caffeine can exacerbate peptic ulcers by increasing gastric acid production, counteracting ranitidine’s effects. Ranitidine is taken regardless of meals, and chest pain or fluids are secondary.
Question 3 of 5
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule is:
Correct Answer: C
Rationale: March 27 is a miscalculation. February 1 is a miscalculation. February 27 is the correct answer.
To calculate the estimated date of confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. January 3 is a miscalculation.
Question 4 of 5
The nurse is teaching the client with AIDS regarding needed changes in food preparation. Which statement indicates that the client understands the nurse's teaching?
Correct Answer: B
Rationale: Thoroughly cooking meat reduces the risk of foodborne infections, which is critical for clients with AIDS due to their compromised immune systems.
Question 5 of 5
The client is prescribed alendronate (Fosamax) for osteoporosis. Which instruction should the nurse include?
Correct Answer: A
Rationale: Alendronate should be taken with a full glass of water on an empty stomach, and the client should remain upright for 30 minutes to prevent esophageal irritation. Meals and lying down reduce absorption.