NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?
Correct Answer: A
Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. Lisinopril (
B), Docusate (
C), and Oscal D (
D) are less likely to impact surgery acutely.
Question 2 of 5
Which instruction should be given to the client who has been prescribed a dry powder inhaler for treatment of COPD?
Correct Answer: A, D, E
Rationale: Dry powder inhaler use involves removing the cap and shaking (
A), placing the mouthpiece in the mouth (
D), and weekly dry cleaning (E). Rinsing (
B) risks moisture damage, and spacers (
C) are typically for metered-dose inhalers.
Question 3 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 4 of 5
The nurse is caring for a client with a history of a seizure disorder who is receiving Valproic acid (Depakote). The nurse should monitor the client for:
Correct Answer: A
Rationale: Valproic acid can cause hepatotoxicity, requiring monitoring of liver enzymes. Hypotension, hyperglycemia, and weight loss are not primary side effects.
Question 5 of 5
The most frequent cause of early postpartum hemorrhage is:
Correct Answer: C
Rationale: The most frequent causes of hemorrhage in the postpartal period are related to an interference with involution of the uterus. Uterine atony is the most frequent cause, occurring in the first 24 hours after delivery.