NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to
Correct Answer: B
Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.
Extract:
Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:
Question 2 of 5
Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:
Correct Answer: B
Rationale: Folic acid education is primary prevention, reducing the risk of neural tube defects.
Extract:
Question 3 of 5
A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.
Question 4 of 5
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using the defrost setting on a microwave prevents overheating formula, but the temperature must be checked. Partially used bottles should be discarded after 4 hours, formula is mixed 1:1, and adding new formula to used bottles risks contamination. Health Promotion and Maintenance
Question 5 of 5
A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?
Correct Answer: B
Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.