NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which statement indicates understanding?
Correct Answer: C
Rationale: Avoiding lying down for 2 hours after eating prevents acid reflux by keeping the stomach contents below the esophagus.
Question 2 of 5
A nurse is admitting an older female client to the gynecology surgical unit. When the nurse asks the client what medication she is taking at home, the client responds that she is taking a little red pill in the morning and a white capsule at night for her blood pressure. What action by the nurse is focused on safe, effective care of this client?
Correct Answer: D
Rationale: Having medications brought in original vials ensures accurate identification, promoting safe administration.
Question 3 of 5
A client with a history of cirrhosis is admitted with ascites. Which dietary modification should the nurse recommend?
Correct Answer: A
Rationale: A low-sodium diet reduces fluid retention in ascites, helping to manage symptoms in clients with cirrhosis.
Question 4 of 5
The physician decides to change a client's current dose of I.M. meperidine hydrochloride (Demerol) to an oral dosage. The current I.M. dosage is 75 mg every 4 hours as needed. What dosage of oral meperidine should the client receive?
Correct Answer: B
Rationale: Oral meperidine has lower bioavailability than I.M., requiring a higher dose. A common conversion is 1.5–2 times the I.M. dose, making 150 mg every 4 hours appropriate.
Question 5 of 5
The nurse is caring for a client who has just undergone a lumbar puncture. Which of the following interventions is most appropriate in the immediate post-procedure period?
Correct Answer: B
Rationale: Keeping the client flat for 4-6 hours post-lumbar puncture reduces the risk of spinal headache due to cerebrospinal fluid leakage.