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NCLEX RN Practice Test Questions

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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

A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?

Correct Answer: D

Rationale: may be confused and stuporous

Question 3 of 5

The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?

Correct Answer: C

Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.

Question 4 of 5

The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?

Correct Answer: C

Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.

Question 5 of 5

The RN is making assignments for the morning staff. Which client should be cared for by the RN?

Correct Answer: D

Rationale: Hemoptysis indicates potential severe bleeding, requiring the RN's advanced assessment and intervention skills.

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The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation techniques. Which of the following statements by the client indicates understanding?
The nurse working in an outpatient clinic has the opportunity to teach a client recently diagnosed with irritable bowel syndrome (IBS). Which of the following topics would be most appropriate for the nurse to include? Select all that apply.

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