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WorksheetsUnit 3 - NCLEX-Style Questions
Total questions: 10
Worksheet time: 5mins
A nurse is preparing to administer several vaccines at a community clinic. Which assessment finding requires immediate follow-up before vaccination?
The patient reports mild muscle soreness
The patient is currently taking prednisone daily
The patient reports seasonal allergies
The patient ate breakfast this morning
A patient states, “I don’t understand why I need a booster shot if I was vaccinated years ago.” Which response by the nurse is best?
Vaccines lose effectiveness once you become an adult.
Your immune system forgets how to fight disease.
Some vaccines require boosters to maintain immunity.
Boosters are required for legal reasons.
A patient with arthritis has been taking ibuprofen daily. Which assessment finding is most concerning?
Mild headache
Blood pressure of 148/90 mmHg
Dark, tarry stools
Joint stiffness in the morning
Which patient should the nurse monitor most closely when prescribed an NSAID?
A 25-year-old with a sprained ankle
A 40-year-old with migraines
A 68-year-old with chronic kidney disease
A 30-year-old postpartum patient
A patient reports taking acetaminophen for pain and cold symptoms. Which statement by the patient indicates a need for further teaching?
I avoid alcohol when taking this medication.
I read labels to check for acetaminophen.
I take it when my pain is severe.
I didn’t realize cold medicines contain it.
A nurse is caring for a patient taking long-term corticosteroids. Which finding requires priority intervention?
Weight gain
Elevated blood glucose
Fever of 101.3°F (38.5°C)
Increased appetite
Which statement by a patient taking prednisone indicates correct understanding?
I can stop this medication once I feel better.
I should take this medication in the morning.
I don’t need to worry about infections.
This medication works only in my joints.
A patient with a history of gout reports sudden severe joint pain and swelling. Which medication would the nurse anticipate being prescribed?
Allopurinol
Acetaminophen
Colchicine
Corticosteroid taper only
Which teaching points should the nurse include for a patient with diabetes who is taking corticosteroids? Select all that apply.
Take with food
Closely monitor fingerstick glucose levels
Expect rapid immune improvement
Avoid stopping abruptly
A patient on corticosteroids reports feeling “better than usual” despite worsening lab values. How should the nurse interpret this?
The medication is curing the disease
The medication is masking symptoms
The disease has resolved
The dose is too low
