NCLEX-RN
NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The home health nurse is planning for the day's visits. Which client should be seen first?
Correct Answer: C
Rationale: The client with a decubitus ulcer is at risk for infection and complications, making them the priority for assessment.
Question 2 of 5
If both parents are carriers of the defective gene for a disease with an autosomal recessive inheritance, what percentage chance does each child have of inheriting the gene from both parents and developing the disorder? Report your answer using a whole number.
Correct Answer: 25
Rationale: Autosomal recessive inheritance: Each parent has a 50% chance of passing the defective gene, so the child's chance is 0.5 X 0.5 = 0.25 or 25%.
Question 3 of 5
A client with end-stage renal failure receives hemodialysis via an arteriovenous fistula (AV) placed in the right arm. When caring for the client, the nurse should:
Correct Answer: C
Rationale: Auscultating for a bruit confirms AV fistula patency, which is critical for hemodialysis.
Question 4 of 5
The physician has scheduled a Whipple procedure for a client with pancreatic cancer. The nurse recognizes that the client's cancer is located in:
Correct Answer: B
Rationale: The Whipple procedure is typically performed for pancreatic cancer in the head of the pancreas, involving resection of the pancreatic head, duodenum, and other structures.
Question 5 of 5
A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:
Correct Answer: C
Rationale: TPN is a high-glucose solution, often causing hyperglycemia, necessitating sliding-scale insulin to manage blood glucose levels.