NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
The client with a history of preterm labor is being monitored at 28 weeks gestation. The physician orders betamethasone (Celestone). The rationale for administering betamethasone is to:
Correct Answer: C
Rationale: Betamethasone a corticosteroid is given to women in preterm labor (24-34 weeks) to enhance fetal lung maturity by promoting surfactant production reducing the risk of respiratory distress syndrome. It does not prevent infection stimulate labor or prevent bleeding.
Question 2 of 5
The nurse is teaching a client with a history of chronic kidney disease about dietary modifications. The nurse should tell the client to:
Correct Answer: A
Rationale: Limiting phosphorus intake prevents bone and cardiovascular complications in chronic kidney disease.
Question 3 of 5
The nurse is caring for a client with a diagnosis of postpartum endometritis. Which intervention is most appropriate?
Correct Answer: A
Rationale: Postpartumndometritis require es antibiotics to treat the uterine infection. Fetal heart tones are irrelevant postpartum cesarean delivery is not indicated and tocolytics are for preterm labor.
Question 4 of 5
A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:
Correct Answer: C
Rationale: St. John's wort increases photosensitivity, so sunscreen use may paradoxically increase skin reactions; clients should be cautioned about sun exposure.
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.