NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A client admitted for regulation of her insulin dosage. The client takes 15 units of Humulin N insulin at 8 AM every day.
Question 1 of 5
At 4 PM, which of the following nursing observations would indicate a complication from the insulin?
Correct Answer: B
Rationale: Strategy: Determine the cause of each symptom and how it relates to hypoglycemia. (1) signs of hyperglycemia (2) correct-Humulin N insulin is an intermediate-acting insulin that peaks from eight to twelve hours after administration; this is when signs and symptoms of hypoglycemia will occur (3) signs of hyperglycemia (4) signs of hyperglycemia
Extract:
A nursing assistant is assigned to constant observation of a suicidal patient.
Question 2 of 5
Which of the following statements made by the nursing assistant would require IMMEDIATE intervention by the nurse?
Correct Answer: D
Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that something is wrong. (1) no reason to intervene (2) appropriate, client is not to be left alone for any reason (3) no reason to intervene (4) correct-client under constant observation; must not be left alone for any reason
Extract:
Question 3 of 5
All of the following clients need care. Who should the nurse see first?
Correct Answer: A
Rationale: A blood sugar of 40 indicates severe hypoglycemia, a life-threatening emergency requiring immediate intervention. Pain complaints are less urgent.
Question 4 of 5
The nurse is caring for a client with a history of systemic lupus erythematosus.
Correct Answer: B
Rationale: Fever and joint pain are common in systemic lupus erythematosus due to autoimmune inflammation. Chest pain may occur with pericarditis, but weight gain and headaches are less specific.
Extract:
A client preparing for surgery.
Question 5 of 5
Which of the following statements by the client BEST indicates to the nurse an emotional readiness for surgery?
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) indicates feelings of fear and helplessness (2) indicates fear and lack of trust (3) correct-indicates acceptance and a readiness to participate in postoperative care (4) indicates fear that something will be missed