NCLEX-PN
NCLEX PN Test Questions
Extract:
Laboratory Reference Range
Glucose - Random
71-200 mg/dL
(3.9-11.1 mmol/L)
Question 1 of 5
The nurse is caring for a client with diabetes mellitus. The client is alert and oriented but appears shaky and pale. The client's capillary blood glucose level is 50 mg/dL (2.8 mmol/L). Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia. Giving 4 oz of regular soda provides fast-acting carbohydrates to raise blood sugar quickly. Glucagon is used for severe hypoglycemia when the client is unresponsive, and repeating the test delays treatment.
Extract:
Question 2 of 5
All of the following are common reasons that nurses are reluctant to delegate except:
Correct Answer: C
Rationale: Confidence in subordinates encourages delegation, while lack of confidence, desire for control, or perfectionism are common barriers to delegating tasks. Coordinated Care
Question 3 of 5
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
Correct Answer: A
Rationale: Self-awareness of the nurse's own cultural biases is the first step in providing culturally competent care, ensuring nonjudgmental interactions. The other actions are secondary or prescriptive. Psychosocial Integrity
Question 4 of 5
The mother of a 4 month-old infant asks the nurse about the dangers of sunburn while they are on vacation at the beach. Which of the following is the best advice about sun protection for this child?
Correct Answer: D
Rationale: Infants under 6 months of age should be kept out of the sun or shielded from it. Even on a cloudy day, the infant can be sunburned while near water. A hat and light protective clothing should be worn.
Question 5 of 5
Which discharge teaching instructions should the nurse reinforce to the parents of a 2-year-old with group A streptococcal pharyngitis? Select all that apply.
Correct Answer: A,B,D
Rationale: Completing antibiotics prevents resistance, cool liquids/soft foods ease swallowing, and replacing the toothbrush prevents reinfection. A week-long daycare exclusion is excessive (24-48 hours post-antibiotics is sufficient), and lozenges are unsafe for a 2-year-old due to choking risk.