NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which treatment approach would be most effective for this client?
Correct Answer: B
Rationale: During an adolescent growth spurt, a regimen of multiple insulin doses achieves better control of the blood glucose level because it more closely simulates endogenous insulin release. A single daily dose of insulin wouldn't control this client's blood glucose level as effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level. An adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an oral antidiabetic agent instead of insulin.
Question 2 of 5
A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of the prolonged use of prednisolone is:
Correct Answer: C
Rationale: Prolonged use of prednisolone, a corticosteroid, causes hirsutism (excessive hair growth) due to hormonal effects. Weight gain, not loss , and increased appetite, not decreased , are typical. Integumentary bronzing is unrelated.
Question 3 of 5
An 18-month old is scheduled for a cleft palate repair. The usual type of restraints for a child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints prevent the child from touching the surgical site while allowing some movement. Full arm or wrist restraints are too restrictive. Mummy restraints are used in other contexts.
Question 4 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.
Question 5 of 5
The nurse is assigned to a client with a radical mastectomy. Which intervention by the nurse demonstrates the concept of caring?
Correct Answer: C
Rationale: Arranging a Reach for Recovery visit offers peer support, addressing emotional and psychological needs, demonstrating caring. Other options are educational but less focused on emotional support.