NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The client is receiving a continuous infusion of insulin for diabetic ketoacidosis. Which laboratory value should the nurse monitor most closely?
Correct Answer: A
Rationale: Insulin therapy in diabetic ketoacidosis shifts potassium into cells, risking hypokalemia, which can cause arrhythmias. Sodium, BUN, and A1C are monitored but are less critical during acute treatment.
Question 2 of 5
A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:
Correct Answer: C
Rationale: A volume control set allows the nurse to control the amount of fluid administered over a set period.
Question 3 of 5
The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?
Correct Answer: C
Rationale: Turkey breast is lean and low in saturated fats compared to macaroni and cheese (high in dairy fat) shrimp (moderate cholesterol) and meat sauce (contains beef fat). It is the best choice for a low-fat low-cholesterol diet.
Question 4 of 5
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:
Correct Answer: B
Rationale: HIV is a contraindication for breastfeeding due to the risk of viral transmission to the infant. Diabetes hypertension and thyroid disease are not absolute contraindications though they require management.
Question 5 of 5
The charge nurse witnesses the nursing assistant hitting an elderly client in the long-term care facility. The nursing assistant can be charged with:
Correct Answer: C
Rationale: Hitting a client constitutes assault, a deliberate act causing harm or fear of harm. Negligence involves failure to act, tort is a broader legal term, and malpractice applies to professional errors, not intentional harm.