NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
A 19-year-old male with type 1 diabetes has the flu. The nurse expects what insulin changes may be required during the illness?
Correct Answer: B
Rationale: Illness increases insulin resistance due to stress hormones, often requiring more insulin to manage hyperglycemia in type 1 diabetes.
Question 2 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) presents with weight gain, lethargy, slowed speech, and decreased respiratory rate due to metabolic slowing.
Question 3 of 5
A client requires insertion of a nasogastric tube. When preparing the client for the procedure, the nurse should place the client in which of the following positions?
Correct Answer: A
Rationale: High Fowler's position with the head tilted forward (
A) facilitates nasogastric tube insertion by aligning the esophagus and reducing the risk of aspiration. Tilting the head backward (B,
D) or using a neutral position in semi-Fowler's (
C) is less effective for this procedure.
Question 4 of 5
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Correct Answer: B
Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.
Question 5 of 5
A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:
Correct Answer: B
Rationale: Lovenox is injected into the abdomen to ensure proper subcutaneous absorption and minimize bruising.