NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A client has received preoperative teaching for the vertical partial laryngectomy that he is scheduled to have in the morning. The nurse determines that the teaching has been effective when the client states:
Correct Answer: C
Rationale: The client will have minimal difficulty swallowing after a vertical partial laryngectomy, indicating effective preoperative teaching. Special swallowing training is typically required for supraglottic (horizontal partial) laryngectomy, not vertical. Voice quality will be altered, and radical neck dissection is associated with total laryngectomy.
Question 2 of 5
The nurse is teaching a client with a history of psoriasis about skin care. The nurse should tell the client to:
Correct Answer: A
Rationale: Moisturizing the skin helps reduce dryness and scaling in psoriasis, improving skin barrier function and comfort.
Question 3 of 5
The physician prescribes regular insulin, five units subcutaneous. Regular insulin begins to exert an effect:
Correct Answer: C
Rationale: Regular insulin (short-acting) has an onset of 30–60 minutes when given subcutaneously, peaking at 2–3 hours. This allows time for absorption and glucose-lowering effects.
Question 4 of 5
The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:
Correct Answer: C
Rationale: Neonates of diabetic mothers are often large for gestational age (macrosomic) due to maternal hyperglycemia and are at risk for hypoglycemia after birth due to high insulin levels. Hyperglycemia and small size are less common.
Question 5 of 5
The client is admitted with a suspected bowel obstruction. Which diagnostic test is most likely to confirm the diagnosis?
Correct Answer: A
Rationale: An abdominal X-ray is the initial test to confirm bowel obstruction, showing air-fluid levels or dilated loops of bowel. Barium enema and colonoscopy are contraindicated due to perforation risk, and ultrasound is less specific.