NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The nurse caring for a client who has pneumonia, which is caused by a gram-positive bacteria, inspects her sputum. Because the client's pneumonia is caused by a gram-positive bacteria, the nurse expects to find the sputum to be:
Correct Answer: B
Rationale: Bright red sputum with streaks is associated with pneumonia caused by gram-negative bacteria, such as Klebsiella pneumonia. Pneumococcal pneumonia, caused by gram-positive bacteria, has a characteristic productive cough with green or rust-colored sputum. Green-colored sputum is more characteristic of Pseudomonas than of gram-positive bacterial pneumonia. Pink-tinged and frothy sputum is more characteristic of pulmonary edema than of gram-positive bacterial pneumonia.
Question 2 of 5
The nurse is preparing to administer a dose of insulin lispro (Humalog). When is the onset of action for this medication?
Correct Answer: A
Rationale: Insulin lispro, a rapid-acting insulin, has an onset of 5–15 minutes, making it ideal for pre-meal administration. Other insulins have slower onsets.
Question 3 of 5
A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:
Correct Answer: C
Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.
Question 4 of 5
The nurse is caring for a patient following a thyroidectomy. Which of the following is an early symptom of hypocalcemia?
Correct Answer: C
Rationale: Numbness or tingling in the extremities is an early sign of hypocalcemia, which can occur post-thyroidectomy due to parathyroid gland disruption. Chvostek’s sign and prolonged QT intervals are later signs, and 3+ reflexes are not specific.
Question 5 of 5
A female client with major depression stated that 'life is hopeless and not worth living.' The nurse should place highest priority on which of the following questions?
Correct Answer: B
Rationale: Maintenance of the client's life is the priority; assessment of suicidal intent is imperative.