NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is caring for a client with a history of peptic ulcer disease who is prescribed ranitidine (Zantac). The client asks, “How does this medication help my stomach?” Which of the following responses by the nurse is correct?
Correct Answer: C
Rationale: ranitidine is an H2 receptor blocker that reduces acid production in the stomach
Question 3 of 5
A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:
Correct Answer: A
Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.
Question 4 of 5
A client was transferred to the hospital unit as a direct admit from a small community hospital. While the nurse is obtaining part of the admission history information, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70, heart rate of 130, and respiratory rate of 24. What is the nurse's initial action?
Correct Answer: B
Rationale: The client's symptoms suggest shock (low BP, high HR, elevated RR). Initiating an IV with a large bore needle allows for rapid fluid resuscitation, which is critical. Lowering the bed may worsen perfusion, notifying the physician delays action, and CPR is premature without pulselessness.
Question 5 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.