NCLEX-RN
NCLEX RN Nursing Exam Questions
Extract:
Question 1 of 5
The client has an order for sliding scale insulin at 1900 hours and Lantus (glargine) insulin at the same hour. The nurse should:
Correct Answer: B
Rationale: Lantus (glargine) is a long-acting insulin and should not be mixed with short-acting sliding scale insulin (e.g. regular insulin) due to differing pharmacokinetics. Administering them in separate injections ensures proper action profiles.
Question 2 of 5
The nurse is teaching a child's parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:
Correct Answer: C
Rationale: Dandelion leaves are not a source of lead. Pencils are not a source of lead poisoning. Chewing on objects painted before 1960 is a common source of lead poisoning in children. Gasoline is another source. Stuffed animals are not a source of lead.
Question 3 of 5
A client with a history of a stroke is receiving Plavix (clopidogrel). The nurse should monitor the client for:
Correct Answer: A
Rationale: Clopidogrel, an antiplatelet, increases bleeding risk, requiring monitoring for signs like bruising or epistaxis. Hypertension, hypoglycemia, and fever are not primary concerns.
Question 4 of 5
A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?
Correct Answer: D
Rationale:
To the client, suicide may be a reasonable action and the only one he can cope with at this time. This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another client's problems in conversation. This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.
Question 5 of 5
The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:
Correct Answer: A
Rationale: Transphenoidal hypophysectomy can disrupt pituitary function, affecting glucose regulation. Monitoring blood sugar is critical to detect hypo- or hyperglycemia. Suctioning, positioning, or coughing is not routine.