NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 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 2 of 5
A client with a history of chronic kidney disease is admitted with complaints of shortness of breath. The nurse should give priority to:
Correct Answer: A
Rationale: Shortness of breath in chronic kidney disease may indicate fluid overload, so administering diuretics is the priority.
Question 3 of 5
Assessment of the client with pericarditis may reveal which of the following?
Correct Answer: C
Rationale: No S3 or S4 are noted with pericarditis. No change in pulse pressure occurs. The symptoms of pericarditis vary with the cause, but they usually include chest pain, dyspnea, tachycardia, rise in temperature, and friction rub caused by fibrin or other deposits. The pain seen with pericarditis typically worsens with deep inspiration. Tamponade is not typically seen early on, and no change in pulse pressure occurs.
Question 4 of 5
A client is admitted with suspected Legionnaires' disease. Which factor increases the risk of developing Legionnaires' disease?
Correct Answer: A
Rationale: Steroid use increases the risk of Legionnaires' disease by suppressing the immune system, making it easier for Legionella bacteria to cause infection.
Question 5 of 5
When assessing the client with acute arterial occlusion, the nurse would expect to find:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to tissue necrosis, which may present as minute blackened areas on the toes, indicating severe ischemia.