NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
A client with type 1 diabetes mellitus is admitted with symptoms of hyperglycemia. Which laboratory finding should the nurse expect?
Correct Answer: C
Rationale: Hyperglycemia in type 1 diabetes often leads to diabetic ketoacidosis, with ketones in the urine due to fat metabolism, a key finding to monitor.
Question 2 of 5
The nurse caring for a client after shoulder arthroplasty for rheumatoid arthritis monitors the client for brachial plexus compromise. To assess the status of the median nerve, which action would the nurse perform?
Correct Answer: D
Rationale:
To assess the median nerve status, the client should be instructed to grasp the nurse's hand. The nurse should note the strength of the client's first and second fingers. A weak grip may indicate compromise of the median nerve. Asking the client to spread all fingers wide and resist pressure assesses the ulnar nerve status. Monitoring for flexion of the biceps by raising the forearm assesses the cutaneous nerve status. Asking the client to move the thumb toward the palm and back to neutral position assesses the radial nerve status.
Question 3 of 5
A client in the second stage of labor has had no anesthesia or analgesia. The nurse should assist the client into which of the following positions so the client can begin pushing?
Correct Answer: A
Rationale: Squatting with a C-shaped body facilitates pushing by aligning the pelvis and using gravity, ideal for the second stage of labor without anesthesia.
Question 4 of 5
The mother of a 2-year-old who has been bitten by the family dog asks the nurse what to do about the bite. What should the nurse tell the mother?
Correct Answer: B
Rationale: Washing the bite area with running water helps clean the wound and reduce infection risk. Tetanus status and rabies risk can be assessed afterward, but immediate cleaning is the priority.
Question 5 of 5
A client with a diagnosis of rheumatoid arthritis is prescribed etanercept (Enbrel). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Etanercept, a TNF inhibitor, increases the risk of infections due to immune suppression.