NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client is admitted with a ruptured spleen following a four-wheeler accident. In preparation for surgery, the nurse suspects that the client is in the compensatory stage of shock because of which clinical manifestation?
Correct Answer: A
Rationale: Compensatory shock involves normal BP (120/70), tachycardia (HR 120), and early neurological changes (confusion). Options B, C, and D indicate progressive or irreversible shock with severe symptoms.
Question 2 of 5
The nurse is preparing to administer both regular and NPH insulin to a client with diabetes. Place in sequence the correct method for completing this task.
Correct Answer: C, D, B, A
Rationale:
To prevent contamination: Inject air into regular insulin vial (
C), then NPH vial (
D). Withdraw regular insulin (
B), then NPH insulin (
A). Regular insulin is clear, drawn first to avoid clouding with NPH.
Question 3 of 5
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?
Correct Answer: B
Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.
Question 4 of 5
A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?
Correct Answer: A
Rationale: An intrauterine device (IU
D) is safe and effective for women with diabetes as it does not affect glucose metabolism. Oral contraceptives may worsen glycemic control and diaphragms/sponges require spermicides that increase infection risk in diabetics.
Question 5 of 5
A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:
Correct Answer: A
Rationale: A supportive environment fosters trust and safety in PTSD, aiding recovery. Discussing the attack or controlling emotions may retraumatize, and hypnotics are secondary.