NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The noon blood glucose level of a client with type 1 diabetes mellitus is 250 mg/dL. The physician orders a sliding-scale insulin regimen based on the client's blood glucose level. The order reads, 'Give regular insulin using the following scale: 0 to 140 mg/dL: None; 141 to 200 mg/dL: 2 units; 201 to 250 mg/dL: 4 units; 251 to 300 mg/dL: 6 units; 301 to 350 mg/dL: 8 units; 351 to 400 mg/dL: 10 units; Over 400 mg/dL: Notify physician.' How many units of insulin should the nurse plan to give?
Correct Answer: B
Rationale: A blood glucose of 250 mg/dL corresponds to 4 units of regular insulin per the sliding-scale order.
Question 2 of 5
Laboratory data for an adult client diagnosed with Pneumocystis carinii pneumonia indicate immunosuppression. Which is the most important in determining the client's susceptibility to this infection?
Correct Answer: D
Rationale: Pneumocystis carinii pneumonia is associated with immunosuppression, often linked to HIV, which is commonly transmitted through sexual practices.
Question 3 of 5
When a client becomes angry and shouts at the nurse because of a dislike for food that was served, which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Listening attentively allows the client to vent frustrations, de-escalates the situation, and fosters therapeutic communication.
Question 4 of 5
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
Correct Answer: A
Rationale: A pulse oximeter reading of 85% indicates low oxygen saturation, a direct sign of respiratory difficulty in a smoker.
Question 5 of 5
Which assessment finding provides the earliest indication that a client is hypoxic?
Correct Answer: B
Rationale: Disorientation is an early sign of hypoxia, as the brain is highly sensitive to oxygen deprivation.