NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Laboratory Reference Ranges
Glucose – Fasting
70–110 mg/dL
(3.9–6.1 mmol/L)
Question 1 of 5
A client with type 1 diabetes is prescribed NPH insulin before breakfast and dinner. Although the client reports feeling well, the 6 AM fasting blood glucose is 60 mg/dL. Which action should the nurse recommend to the client?
Correct Answer: B
Rationale: A fasting blood glucose of 60 mg/dL indicates hypoglycemia risk with NPH insulin, which peaks overnight. A bedtime snack prevents nocturnal hypoglycemia. Ketones are checked for hyperglycemia, increased carbohydrates may cause hyperglycemia, and skipping doses disrupts control.
Extract:
Question 2 of 5
The nurse manager hears a provider loudly criticize one of the staff nurses within the hearing range of others. The nurse manager's next action should be to
Correct Answer: D
Rationale: Assertive communication respects the needs of all parties to express themselves, but not at the expense of others. The nurse manager needs to protect clients and staff from this display and assist the nurse employee.
Question 3 of 5
Which statement, if made by the client, indicates a possible problem?
Correct Answer: B
Rationale: Black stools may indicate gastrointestinal bleeding, a serious concern requiring evaluation. Other statements reflect normal variations or minor issues.
Question 4 of 5
Which observation in the newborn of a diabetic mother would require immediate nursing intervention?
Correct Answer: C
Rationale: Jitteriness in a newborn of a diabetic mother may indicate hypoglycemia, requiring immediate intervention. Crying, wakefulness, and yawning are normal behaviors, so A, B, and D are incorrect.
Question 5 of 5
A client is scheduled for a myelogram. Which of the following medications orders should be questioned?
Correct Answer: B
Rationale: Ibuprofen (Motrin) has anticoagulant properties, increasing bleeding risk during a myelogram, a procedure involving spinal puncture. Other medications are safer.