NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?
Correct Answer: C
Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.
Question 2 of 5
The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?
Correct Answer: B
Rationale: Disalignment is a hallmark sign of a hip fracture due to bone displacement.
Question 3 of 5
The nurse is preparing an adult male for a transurethral resection of the prostate (TURP). Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: C
Rationale: TURP is performed transurethrally, so no external incision or dressing is needed. Other statements are correct.
Question 4 of 5
The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?
Correct Answer: C
Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.
Question 5 of 5
The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
Correct Answer: A
Rationale: Esomeprazole is most effective when taken 30 minutes before a meal to reduce acid production during digestion.