NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN

Extract:

Question 1 of 5

A new nursing graduate indicates in charting entries that he is a licensed registered nurse, although he has not yet received the results of the licensing exam. The graduate's action can result in a charge of:

Correct Answer: A

Rationale: Falsely claiming RN licensure is fraud, a deliberate misrepresentation.

Question 2 of 5

A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?

A. amniocentesis B. ultrasound of the baby C. delivery of the baby D. C-section

Correct Answer: C

Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.

Question 3 of 5

A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect?

A. Blood glucose 92 mg/dL B. Urine specific gravity 1.020 C. White blood count of 7,500 D. Glycosylated hemoglobin 3.5 mg/dL

Correct Answer: B

Rationale: Desmopressin increases water reabsorption, concentrating urine; a urine specific gravity of 1.020 indicates effective treatment.

Question 4 of 5

The nurse is caring for a client with suspected meningitis who will be having a lumbar puncture. Which statement regarding aftercare is correct?

A. Specimen jars should be labeled and numbered and taken to the laboratory immediately and refrigerated. B. The nurse should position the client with the head of the bed up 20 degrees so the client can drink fluids to replace CSF removed during the procedure. C. The nurse should put the client in the low semi-Fowler's position with a pillow under her abdomen to increase intra-abdominal pressure. D. The nurse should assess for numbness, tingling, pain at injection site, movement of the extremities, any drainage at the site, and the ability to void.

Correct Answer: D

Rationale: Post-lumbar puncture care includes assessing for neurological changes, pain, drainage, and voiding to detect complications like nerve injury or CSF leak.

Question 5 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:

A. Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels. B. Total Parenteral Nutrition cannot be managed with oral hypoglycemics. C. Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels. D. Total Parenteral Nutrition leads to further pancreatic disease.

Correct Answer: C

Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.

NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Nurselytic

NCLEX-RN

NCLEX-RN

NCLEX RN Practice Test Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Access More Questions!

NCLEX RN Basic

NCLEX RN Premium