Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:

Correct Answer: A

Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.

Question 2 of 5

The nurse is obtaining a health history for a client with osteoporosis. The nurse should specifically ask the client about which of the following? Select all that apply.

Correct Answer: A, B

Rationale: Excessive alcohol consumption and frequent antacid use (which may contain aluminum, reducing calcium absorption) are risk factors for osteoporosis. Fiber, vitamin K, and fruit juices are less relevant.

Question 3 of 5

The nurse is caring for a neonate with jaundice receiving phototherapy. Which action is most important?

Correct Answer: A

Rationale: Covering the neonate's eyes protects them from retinal damage due to phototherapy light exposure.

Question 4 of 5

An adolescent tells the school nurse she thinks she has infectious mononucleosis. The nurse should next assess the client for?

Correct Answer: A

Rationale: Sore throat and malaise are hallmark symptoms of mononucleosis, requiring targeted assessment.

Question 5 of 5

The nurse is teaching a client with gout about dietary management. Which of the following foods should the client avoid?

Correct Answer: C

Rationale: Organ meats are high in purines, which increase uric acid levels and should be avoided in gout.

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