NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take for long-term management?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production for long-term gout management.
Question 2 of 5
A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?
Correct Answer: D
Rationale: The discomfort of reflux is aggravated by positions that allow the reflux of gastrointestinal contents. The client is instructed to remain upright for 1 to 2 hours after a meal and sleep with the head of the bed elevated to approximately 30 degrees (usually on 8- to 12-inch blocks). Lying flat will increase the episodes of reflux, resulting in chest discomfort.
Question 3 of 5
A client with a history of heart failure is admitted with worsening symptoms. The nurse should monitor the client for which of the following laboratory abnormalities? Select all that apply.
Correct Answer: A, C, E
Rationale: Heart failure can cause hyponatremia (fluid overload), elevated BNP (cardiac stress), and elevated creatinine (renal impairment).
Question 4 of 5
Which of the following outcomes is most appropriate for a nursing diagnosis of Ineffective tissue perfusion related to interruption of arterial flow? Select all that apply.
Correct Answer: A,C,D
Rationale: Warm extremities, reduced muscle pain, and self-care participation indicate improved perfusion; respiratory outcomes are unrelated.
Question 5 of 5
After surgery to create a urinary diversion, the client is at risk for a urinary tract infection. The nurse should plan to incorporate which of the following interventions into the client's care?
Correct Answer: B
Rationale: Emptying the appliance when one-third full prevents urine stasis, reducing infection risk.