NCLEX-RN
Free NCLEX RN Practice Test Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of regular insulin to a client based on a sliding scale. The client’s blood glucose is 320 mg/dL. The sliding scale orders 6 units of regular insulin for a blood glucose of 301–350 mg/dL. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: the sliding scale indicates 6 units for a blood glucose of 320 mg/dL, so the dose is correct
Question 2 of 5
A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?
Correct Answer: B
Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.
Question 3 of 5
In order to ensure adequate protein intake during pregnancy, how many additional grams of protein should the woman ingest daily during the second half of the pregnancy? Report your answer using a whole number.
Correct Answer: 25
Rationale: Pregnant women need an additional 25 grams of protein daily in the second half of pregnancy to support fetal growth and maternal health.
Question 4 of 5
A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:
Correct Answer: B
Rationale: A nasogastric tube decompresses the stomach, preventing nausea and aspiration post-laryngectomy.
Question 5 of 5
A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?
Correct Answer: C
Rationale: Prior radiation therapy, especially for Hodgkin's disease, is a known risk factor for developing leukemia due to DNA damage in bone marrow cells.