NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
The current focus of performance improvement activities is to facilitate and address:
Correct Answer: C
Rationale: Performance improvement activities focus on achieving optimal client outcomes by improving the quality and safety of care delivery.
Question 2 of 5
A normal, healthy infant is brought to the clinic for the first immunization against polio. The nurse should administer this vaccine by what route?
Correct Answer: A
Rationale: The polio vaccine for infants is administered orally (OPV) in many regions, though inactivated polio vaccine (IPV) is given intramuscularly in some settings. Based on the options, oral is correct.
Question 3 of 5
A client with a history of type 1 diabetes mellitus is prescribed insulin aspart (NovoLog). The nurse should explain that this insulin:
Correct Answer: B
Rationale: Insulin aspart is a rapid-acting insulin administered immediately before meals to control postprandial glucose.
Question 4 of 5
An infant is brought to the clinic for a regular checkup and the diphtheria, tetanus, and acellular pertussis (DTaP) and inactivated polio vaccine (IPV) immunizations. The child is recovering from a cold and is afebrile. The child's sibling has cancer and is receiving chemotherapy. Which of the following actions is most appropriate?
Correct Answer: B
Rationale: The infant is afebrile and recovering, and neither DTaP nor IPV is live vaccines, so they are safe to administer despite the sibling's immunocompromised state.
Question 5 of 5
A family has taken home their newborn and later received a call from the pediatrician that the PKU levels for their newborn daughter are abnormally high. Additional testing confirmed the diagnosis of phenylketonuria. The parents refuse to believe the results as no one else in their family has the disease. The nurse explains that the disease:
Correct Answer: A
Rationale: Phenylketonuria is an autosomal recessive disorder, requiring both parents to contribute a defective gene. It is not caused by a single parent's gene, cannot be cured by diet alone (though managed by low-phenylalanine diet), and may impact future childbearing as parents are carriers.