NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN

Extract:

Question 1 of 5

The nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow up?

Correct Answer: A

Rationale: Black, tarry stool (melena) indicates upper gastrointestinal bleeding, a serious complication in cirrhosis due to portal hypertension or varices, requiring immediate intervention.

Question 2 of 5

Which of these tests would the nurse expect to monitor for the evaluation of clients aged 18 and older with poor glycemic control?

A. A glycosylated hemoglobin (A1c) should be performed during an initial assessment and during follow-up assessment, which should occur in longer than 3-month intervals B. A glycosylated hemoglobin is to be obtained at least two years C. A fasting glucose and a glycosylated hemoglobin is to be obtained at 3 months intervals after the initial assessment D. A glucose tolerance test, a fasting glucose and a glycosylated hemoglobin should be obtained at 6-month intervals after the initial assessment

Correct Answer: A

Rationale: The American Diabetes Association (AD
A) recommends obtaining a glycosylated hemoglobin during an initial assessment and then routinely as part of continuing care for clients with poor glycemic control.

Question 3 of 5

The nurse cares for a child with bed bug bites. Which parent statement indicates that further teaching is required?

A. I need to have the entire house treated by pest control to ensure the bed bugs are gone. B. I should concentrate on alleviating scratching as it can cause further complications. C. My other family members and pets are at risk of bed bug bites. D. This must have happened because I did not wash the bed sheets this week.

Correct Answer: D

Rationale: Bed bug infestations are not caused by unwashed sheets but by exposure to infested environments. This misconception indicates a need for further teaching about bed bug transmission and prevention.

Question 4 of 5

The mother of 6-month-old twins is in the doctor's office because one of the infants has an ear infection. The mother says to the nurse, 'I just don't know if I can handle another problem. It is all so overwhelming.' How should the nurse respond initially?

A. You're their mother. I'm sure you know what's best for them.' B. Have you called social services to see if you qualify for assistance?' C. My sister had twins and she survived. You will too.' D. It must be tough to have two little ones. What seems to be the biggest problem?'

Correct Answer: D

Rationale: Acknowledging the mother's stress and exploring her challenges builds rapport and identifies support needs. Other responses dismiss or redirect her concerns.

Extract:

Laboratory reference ranges
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)

Question 5 of 5

The nurse is assisting with the care of four clients with diabetes mellitus. Which of the following prescriptions should the nurse clarify with the health care provider?

A. 10 units regular insulin IV push for serum glucose level >250 mg/dL (13.9 mmol/L) B. 14 units glargine insulin subcutaneous injection every night at 2000 C. 18 units aspart insulin subcutaneous injection 15 minutes before breakfast D. 20 units NPH insulin IV push administered every morning at 700

Correct Answer: D

Rationale: NPH insulin is not administered IV, as it is a suspension and can cause embolism or erratic absorption. This prescription requires clarification.

NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN Questions, Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN

NCLEX Practice Test PN Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Extract:

Question 5 of 5

Similar Questions

Access More Questions!

NCLEX PN Basic

NCLEX PN Premium