NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Extract:
Which of the following lab finding is a strong indicator of DIC?
Question 2 of 5
Which of the following lab finding is a strong indicator of DIC?
Correct Answer: B
Rationale: Elevated D-dimer indicates fibrin degradation, a hallmark of DIC.
Extract:
Question 3 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Extract:
Miss Helen Roller is admitted following a diagnosis of congestive heart failure. She tells you she is unable to wash herself without assistance because of shortness of breath. You notice she also has difficulty walking to the bathroom unassisted for the same reason.
Question 4 of 5
Which of the following nursing diagnosis is most important?
Correct Answer: B
Rationale: Activity intolerance due to shortness of breath is the most pressing issue affecting her daily functioning.
Extract:
Question 5 of 5
A nurse is teaching a new mother about breastfeeding. Which of the following instructions should the nurse include? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: Frequent feeding, proper latch, alternating breasts, and burping ensure nutrition and comfort. Limiting feeding time is unnecessary and may reduce milk supply.