NCLEX RN FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS PASS AT FIRST
ATTEMPT 2024
What instruction would be given to client taking alendronate sodium (Fosamax)?
A. Take med before arising
B. Force fluids while taking this med
C. Remain upright for 30 min after taking
D. Take med in conjunction w/ estrogen - >>C - alendronate sodium used to Tx
osteoporosis; remain upright because it causes gastric reflux
The client is discharged from the unit with a prescription for Evista (raloxifene
HCl). Which of the following is a SE of this med?
A. leg cramps
B. hot flashes
C. urinary frequency
D. cold extremities - >>B - same class as tamoxifen chemo for breast cancer; but
Evista used to treat osteoporosis. This med has an agonist effect, so it binds with
estrogen and may cause hot flashes
An elderly diabetic who has been maintained on metformin (Glucophage) is
scheduled for cardiac catheterization. Which instruction should be given to client?
A. take med as ordered prior to exam
B. limit amount of protein in diet prior to exam
C. d/c med prior to exam
D. take med with only water prior to exam - >>C - Glucophage may cause renal
problems and the dye used in cardiac cath is also detrimental to kidneys. Client
may be placed on sliding scale for 48hr after dye procedure or until renal function
returns
CORRECT ANSWERS PASS AT FIRST
ATTEMPT 2024
What instruction would be given to client taking alendronate sodium (Fosamax)?
A. Take med before arising
B. Force fluids while taking this med
C. Remain upright for 30 min after taking
D. Take med in conjunction w/ estrogen - >>C - alendronate sodium used to Tx
osteoporosis; remain upright because it causes gastric reflux
The client is discharged from the unit with a prescription for Evista (raloxifene
HCl). Which of the following is a SE of this med?
A. leg cramps
B. hot flashes
C. urinary frequency
D. cold extremities - >>B - same class as tamoxifen chemo for breast cancer; but
Evista used to treat osteoporosis. This med has an agonist effect, so it binds with
estrogen and may cause hot flashes
An elderly diabetic who has been maintained on metformin (Glucophage) is
scheduled for cardiac catheterization. Which instruction should be given to client?
A. take med as ordered prior to exam
B. limit amount of protein in diet prior to exam
C. d/c med prior to exam
D. take med with only water prior to exam - >>C - Glucophage may cause renal
problems and the dye used in cardiac cath is also detrimental to kidneys. Client
may be placed on sliding scale for 48hr after dye procedure or until renal function
returns
