NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:
Correct Answer: C
Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.
Question 2 of 5
The nurse cares for two children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess
Correct Answer: C
Rationale: Height and weight assess for failure to thrive, a key indicator of neglect. Bruises on knees/elbows are common in children and less specific.
Question 3 of 5
A client with tuberculosis who has been on combined therapy with rifampin and isoniazid asks the nurse how long he will have to take medication. The nurse should tell the client that:
Correct Answer: C
Rationale: Standard treatment for active tuberculosis involves 6 months of combined therapy with rifampin and isoniazid to ensure complete eradication.
Question 4 of 5
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct Answer: D
Rationale: Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Nausea, headache, and dizziness are less specific.
Question 5 of 5
Where is the best site for examining for the presence of petechiae in an African American client?
Correct Answer: C
Rationale: The earlobes are a reliable site to assess petechiae in dark-skinned individuals, as they are less pigmented and allow easier visualization of small hemorrhages.