NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about alendronate (Fosamax). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes prevents esophageal irritation from alendronate. Options A, C, and D are incorrect.
Question 2 of 5
Which statement made by an adolescent indicates understanding of how to reduce risk of osteoporosis later in life?
Correct Answer: B
Rationale: High calcium intake (milk) builds bone density, reducing osteoporosis risk. Sprains, reduced exercise, or cola drinks don't address bone health.
Question 3 of 5
The nurse is caring for a client with a history of heart failure who is receiving digoxin 0.125 mg PO daily. Which of the following symptoms should the nurse report immediately?
Correct Answer: B
Rationale: Nausea and loss of appetite suggest digoxin toxicity, a medical emergency. Options A, C, and D are less specific or expected in heart failure.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of asthma about salmeterol (Serevent). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Tremors or shakiness indicate systemic beta-agonist effects, requiring reporting. Options A, C, and D are incorrect.
Question 5 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Sleeping on the right side can worsen GERD by allowing acid to reflux into the esophagus; the left side or head elevation is preferred. Options A, B, and C are correct: avoiding lying down post-meal, eating smaller meals, and avoiding coffee reduce reflux.