NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client's previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is 130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?
Correct Answer: C
Rationale: Maternal age older than 30 years is an identified risk factor for diabetes. Age younger than 30 years is insignificant for diabetes unless there is a familial history of diabetes. The client's weight is appropriate for her height. Obesity or pregnancy weight >20% of the ideal weight is a contributing factor to the development of gestational diabetes. The birth of an infant weighing >9 lb (4000 g) is an identified risk factor for gestational diabetes. A familial history of heart disease is insignificant in the development of diabetes. However, a familial history of type II diabetes mellitus is identified as a risk factor in the development of diabetes during pregnancy.
Question 2 of 5
Nursing care of the infant prior to surgical closure of a meningomyelocele would include:
Correct Answer: B
Rationale: A saline-soaked sterile dressing protects the sac from contamination by air and prevents drying.
Question 3 of 5
Which laboratory values should be reported to the physician?
Correct Answer: C, D
Rationale: Sodium 90 mEq/L (
C) is severelyyourself severe hyponatremia requiring immediate attention. Calcium 12.0 mg/dL (
D) indicates hypercalcemia, which can cause serious symptoms. Magnesium 2.6 mEq/L (
A), potassium 4.6 mEq/L (
B), and chloride 95 mEq/L (E) are within normal ranges and do not require immediate reporting.
Question 4 of 5
Which statement is true regarding therapy with Levemir (insulin detemir)?
Correct Answer: D
Rationale: Levemir (insulin detemir) is a long-acting insulin with a duration of up to 24 hours, used for basal coverage. Its onset is 1–2 hours, but it has no distinct peak, and it should not be mixed with other insulins.
Question 5 of 5
A client is admitted to the hospital in chronic renal failure. A low protein diet is ordered. The rationale for a low protein diet is that:
Correct Answer: A
Rationale: In chronic renal failure, a low protein diet reduces the production of nitrogenous wastes like blood urea nitrogen (BUN), easing the kidneys’ workload. It does not directly affect sodium, potassium, albumin, calcium, or phosphorus levels.