NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
While preparing a client for surgery, the nurse assesses for psychosocial problems that may cause preoperative anxiety. Which of the following is believed to be the most distressing fear a preoperative client is likely to experience?
Correct Answer: A
Rationale: Fear of the unknown is often the most distressing preoperative fear, as uncertainty about the procedure and outcome heightens anxiety.
Question 2 of 5
The nurse is teaching a client about the use of a metered-dose inhaler with a spacer. Which step should the client perform first?
Correct Answer: A
Rationale: Shaking the inhaler first ensures the medication is properly mixed for effective delivery through the spacer.
Question 3 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which instruction should the nurse include?
Correct Answer: B
Rationale: Drinking plenty of fluids prevents uric acid crystal formation in the kidneys, a key consideration for clients taking allopurinol.
Question 4 of 5
Ibuprofen 400 mg orally four times daily has been prescribed for an older client with a diagnosis of rheumatoid arthritis. The client asks the nurse about the amount of medication prescribed. The nurse responds based on understanding what about this prescribed dosage?
Correct Answer: A
Rationale: For acute or chronic rheumatoid arthritis or osteoarthritis, the normal oral adult dose for an older client is 200 to 800 mg 3 to 4 times a day.
Therefore, the remaining options are incorrect.
Question 5 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should instruct the client to:
Correct Answer: A
Rationale: Ranitidine is most effective at bedtime to reduce nighttime acid production.