NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:
Correct Answer: D
Rationale: A nurse can give this information to a client. Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. Exercise makes insulin more efficient unless the diabetes is poorly controlled. Exercise makes insulin more efficient in moving more glucose into the cells.
Question 2 of 5
The client is admitted with a burn injury covering 30% of the body. Which fluid is most likely to be ordered for resuscitation?
Correct Answer: B
Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation (per Parkland formula) to replace intravascular volume and electrolytes lost in burns. Normal saline can cause hyperchloremia, dextrose is inadequate, and albumin is used later.
Question 3 of 5
A client on the infectious disease unit is discussing transmission of human immunodeficiency virus (HIV). The nurse would need to provide more client education based on which client statement?
Correct Answer: C
Rationale: HIV is not easily transmitted by casual contact.
Question 4 of 5
The client is admitted with a diagnosis of hypoparathyroidism. Which electrolyte imbalance is the client at risk for?
Correct Answer: C
Rationale: Hypoparathyroidism reduces parathyroid hormone, decreasing calcium levels and causing hypocalcemia. Potassium, hypercalcemia, and hypermagnesemia are not directly related.
Question 5 of 5
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
Correct Answer: B
Rationale: This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. This answer is correct. The nurse should appropriately present reality. This answer is incorrect. Showing interest would reinforce the delusional system. This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.