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WorksheetsNCLEX Style Questions (Converted to MCQ)
Total questions: 40
Worksheet time: 20mins
A client with overactive bladder is prescribed oxybutynin. Which finding shows the medication is working?
Decreased episodes of urinary urgency and leakage
Increased sweating and salivation
Frequent loose stools
New onset confusion
Which teaching is most important for a client taking oxybutynin?
Increase fluids and monitor for dry mouth and constipation
Limit fluids and increase potassium intake
Take with a high‑fiber breakfast only
Avoid all dairy products
A client with confirmed H pylori is started on triple therapy. Which medications should the nurse expect?
Amoxicillin, clarithromycin, and a proton pump inhibitor
Penicillin, metronidazole, and an antacid
Azithromycin, prednisone, and a histamine blocker
Ciprofloxacin, loperamide, and a beta blocker
Which statement shows correct understanding of proton pump inhibitors?
They reduce stomach acid and support ulcer healing
They increase gastric motility to speed digestion
They neutralize acid immediately within the stomach
They primarily treat infections caused by H pylori
A client taking omeprazole reports new abdominal pain. Which action should the nurse take first?
Assess for signs of gastrointestinal bleeding
Administer a PRN antacid
Increase the omeprazole dose
Encourage the client to walk after meals
A nurse is teaching about famotidine. Which instruction is correct?
This medication reduces stomach acid to prevent stress ulcers
Take only when symptoms occur to avoid tolerance
Stop the drug if heartburn improves after one dose
This medication primarily coats the stomach lining
Which medication increases gastric pH to relieve heartburn?
Antacids such as Tums
Sucralfate
Metoclopramide
Bismuth subsalicylate
A client taking antacids should avoid taking them at the same time as other medications because:
They decrease absorption of many medications
They increase blood pressure acutely
They cause severe hypoglycemia
They inactivate most antibiotics chemically
A client with ulcerative colitis is receiving sulfasalazine. Which finding requires follow up?
Skin rash or yellowing of the skin
Increased appetite
Mild drowsiness after dosing
Temporary dry mouth
Which teaching is most important for a client taking sulfasalazine?
Increase fluid intake to prevent kidney stones
Avoid all citrus fruits
Take the medication only at bedtime
Limit salt to reduce fluid retention
A client receiving infliximab should be monitored for:
Signs of infection due to immune suppression
Bradycardia after meals
Severe constipation as the main effect
Photosensitivity with sun exposure
Before administering the next dose of infliximab the nurse should:
Assess for fever or any active infection
Offer a high‑protein snack
Measure daily weight only
Encourage increased ambulation
A client with a severe inflammatory flare is prescribed corticosteroids. Which finding requires urgent attention?
Blood sugar of 290 mg per dL
Slight ankle swelling in the evening
Mild mood changes
Increased appetite after breakfast
Which teaching is correct for corticosteroid therapy?
Do not stop the medication suddenly
Take only when symptoms recur
Avoid all fluids while on therapy
Skip doses on weekends
A client with irritable bowel symptoms is prescribed dicyclomine. Which side effect should the nurse expect?
Dry mouth and blurred vision
Profuse sweating
Diarrhea with cramping
Bradycardia
Dicyclomine is contraindicated in which client?
A client with glaucoma
A client with seasonal allergies
A client with resolved peptic ulcer disease
A client with a history of appendectomy
A client after hip surgery is receiving anticoagulants. Which finding must be reported immediately?
Tea colored urine or confusion
Increased appetite
Mild ankle edema by evening
Temporary insomnia
What is an important safety measure for a client taking anticoagulants?
Report any unusual bruising or bleeding
Increase vitamin K intake daily
Avoid all physical activity
Use only warm compresses for pain
A client with osteoarthritis is prescribed gabapentin. Which statement indicates understanding?
It helps calm nerve pain messages
It immediately rebuilds joint cartilage
It is a strong anti‑inflammatory
It cures osteoarthritis within weeks
Which side effect should the nurse monitor for in a client taking gabapentin?
Drowsiness or dizziness
Severe hypertension
Orange‑colored urine
Excessive salivation
A client with multiple sclerosis is prescribed interferon therapy. Which complication should the nurse assess for?
Flu like symptoms after injections
Immediate hyperglycemia
Hearing loss within 24 hours
Persistent constipation
A client taking interferons should be taught to:
Rotate injection sites to reduce skin irritation
Double the dose if symptoms worsen
Avoid all vaccinations
Take with high‑fat meals
Anticholinergic medications improve Parkinsons symptoms by:
Decreasing acetylcholine to restore balance with dopamine
Increasing serotonin release in the brain
Blocking beta‑adrenergic receptors
Stimulating GABA production
Which finding requires teaching for a client taking anticholinergic therapy for Parkinsons?
Reports of severe dry mouth or urinary retention
Improved tremor control
Normal bowel movements
Adequate fluid intake
A client taking dopaminergic medication for Parkinsons should avoid which behavior?
Taking the medication with high protein meals
Splitting tablets to reduce dose
Taking doses at evenly spaced intervals
Reporting dizziness to the provider
Which teaching is essential for a client prescribed Sinemet?
Limit foods high in vitamin B six
Increase iron supplements with each dose
Avoid all carbohydrates
Stop the medication if tremors improve
A client taking Sinemet reports new involuntary movements. This indicates:
The dosage may be too high
The medication is ineffective
An allergic reaction is occurring
The client is dehydrated
Which statement about benzotropine is correct?
It causes drying effects such as constipation
It is a selective beta blocker
It increases acetylcholine in the synapse
It primarily treats infections
A client taking benzotropine reports difficulty urinating. What should the nurse do?
Notify the provider because this is a concerning side effect
Encourage more fluids and monitor only
Stop all other medications immediately
Reassure the client that this is harmless
A client taking oxycodone reports no bowel movement in three days. Which medication should the nurse anticipate?
Colace
Aspirin
Nitrofurantoin
Lisinopril
Which medication commonly causes constipation and requires bowel regimen teaching?
Opioids such as oxycodone and tramadol
Antibiotics such as amoxicillin
Diuretics such as furosemide
Antihistamines such as loratadine
A client reports bright orange urine. Which medication is the likely cause?
Azo
Metformin
Hydrochlorothiazide
Gabapentin
Before giving Azo the nurse must ask about:
Allergies to dye
Recent caffeine intake
History of migraines
Use of multivitamins
Which medication is used to relieve urinary burning but does not treat infection?
Azo
Ciprofloxacin
Nitrofurantoin
Trimethoprim‑sulfamethoxazole
Which finding shows that proton pump inhibitors are effective?
Improved swallowing and reduced acid reflux symptoms
Persistent abdominal distention
Increased gastric bleeding
New onset diarrhea
Which client statement requires more teaching about antacids?
I can take this antacid with all my morning medications
I will separate this from my prescription pills
I use it only when needed for heartburn
I will discuss frequent use with my provider
Which assessment is most important for a client on anticoagulants after a joint replacement?
Risk for falls
Fluid intake per day
Daily temperature only
Skin turgor
A client on corticosteroids needs teaching on infection prevention because:
Corticosteroids suppress the immune response
Corticosteroids increase stomach acid
Corticosteroids cause dehydration
Corticosteroids improve white blood cell counts
Which finding must be reported for a client receiving sulfasalazine?
Decreased urine output
Mild hunger before lunch
Temporary nasal congestion
Slight headache after dosing
A client with MS is starting interferons. Which teaching is correct?
Take acetaminophen before injections to reduce flu like symptoms
Avoid all hydration before injections
Stop therapy if fatigue occurs
Take the dose only at bedtime to avoid reactions
