NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus.
Correct Answer: B
Rationale: Elevated morning blood glucose levels suggest the dawn phenomenon, where blood sugar rises in the early morning due to hormonal changes. Adding 3 units of NPH insulin at 10 PM addresses this by providing longer-acting insulin coverage. Reducing the diet, adding regular insulin, or eliminating the snack does not target the dawn phenomenon effectively.
Extract:
A client is admitted to the neurology unit for a myelogram.
Question 2 of 5
It would be MOST important for the nurse to ask which of the following questions?
Correct Answer: A
Rationale: Strategy: Think about each answer choice and how it relates to a myelogram. (1) correct-dye is injected into subarachnoid space before an x-ray of spinal cord and vertebral column to assist in identifying spinal lesions; if client is allergic to dye, there is a major safety issue (2) important that client drink extra fluids after the Test to replace the CSF lost during Test (3) appropriate for magnetic resonance imaging (MRI) (4) obtain history of medication that can lower seizure threshold (phenothiazines, neuroleptics)
Extract:
Question 3 of 5
When caring for a client with myasthenia gravis, an important nursing consideration would be to
Correct Answer: D
Rationale: client has increased muscle fatigue, needs more assistance toward end of day
Question 4 of 5
The nurse is caring for an adult for whom phenytoin (Dilantin) has been prescribed. Which is of greatest concern to the nurse?
Correct Answer: B
Rationale: Gingival hyperplasia is a significant side effect of phenytoin, requiring dental care and possible dose adjustment, more concerning than normal urine discoloration or social drinking.
Extract:
The nurse is caring for a 17-year-old married male scheduled for a hernia repair. The nurse administers meperidine hydrochloride (Demerol) 50 mg and hydroxyzine pamoate (Vistaril) 25 mg IM. Thirty minutes later the nurse discovers that the informed consent is unsigned.
Question 5 of 5
Which of the following actions by the nurse is BEST?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate action, should inform physician (2) can't sign informed consent if client has been drinking alcohol or has been pre-medicated for surgery (3) correct-physician needs to be informed (4) married minor is considered emancipated; provides own consent for treatment