NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
Correct Answer: B
Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.
Question 2 of 5
The client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?
Correct Answer: C
Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.
Question 3 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.
Question 4 of 5
A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?
Correct Answer: A
Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce motor symptoms like intractable tremors in Parkinson's disease. It does not directly affect dopamine or serotonin production, and medication is often still required post-surgery.
Question 5 of 5
The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?
Correct Answer: D
Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.