NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A new diabetic is learning to administer his insulin. He receives 10 units of NPH insulin and 12 units of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?
Correct Answer: A
Rationale: When mixing regular and NPH insulin in one syringe, regular (clear) insulin is drawn first to prevent contamination of the regular insulin vial with NPH (cloudy). They can be mixed, so two injections are unnecessary.
Question 2 of 5
A client with a history of heart failure is admitted with complaints of edema. The nurse should give priority to:
Correct Answer: A
Rationale: Diuretics reduce edema in heart failure, improving fluid balance and symptoms.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should expect the client to have:
Correct Answer: A
Rationale: COPD causes air trapping, leading to a barrel chest due to hyperinflated lungs.
Question 4 of 5
The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother's lap. Which should the nurse do first?
Correct Answer: B
Rationale: When examining an infant, the nurse should start with the least invasive procedures to maintain the infant’s calm state. Listening to heart and lung sounds is non-invasive and can be done while the infant is quiet. Checking the Babinski reflex, palpating the abdomen, or checking tympanic membranes may cause discomfort and disrupt the exam.
Question 5 of 5
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?
Correct Answer: B
Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.