NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a newborn with suspected coarctation of the aorta. Which finding is most likely?
Correct Answer: A
Rationale: Coarctation of the aorta causes narrowed aortic flow, leading to diminished femoral pulses. Murmurs may occur, but pulse discrepancy is most characteristic.
Question 2 of 5
The nurse is preparing to administer both regular and NPH insulin to a client with diabetes. Place in sequence the correct method for completing this task.
Correct Answer: C, D, B, A
Rationale:
To prevent contamination: Inject air into regular insulin vial (
C), then NPH vial (
D). Withdraw regular insulin (
B), then NPH insulin (
A). Regular insulin is clear, drawn first to avoid clouding with NPH.
Question 3 of 5
The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: A high-iron diet includes iron-rich foods like veal and spinach. Sliced veal, spinach salad, and whole-wheat roll (
B) are optimal. Other options lack significant iron sources.
Question 4 of 5
A new diabetic is learning to administer his insulin. He receives 10 units of NPH insulin and 12 units of regular insulin each morning. Which of the following statements reflects understanding of the nurse's teaching?
Correct Answer: A
Rationale: When mixing regular and NPH insulin in one syringe, regular (clear) insulin is drawn first to prevent contamination of the regular insulin vial with NPH (cloudy). They can be mixed, so two injections are unnecessary.
Question 5 of 5
Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?
Correct Answer: B
Rationale: Meningitis at six months can cause brain injury, contributing to cerebral palsy, a condition often linked to perinatal or early postnatal neurological damage. Full-term birth, physiologic jaundice, and sore throats are not directly related.