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
One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
Correct Answer: A
Rationale: Sock and mitten burns (circumferential burns on hands and feet) are inconsistent with a fall into a bathtub and suggest immersion, raising suspicion of abuse.
Question 3 of 5
The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:
Correct Answer: B
Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.
Question 4 of 5
The nurse is assessing a client with suspected multiple sclerosis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: vision changes and muscle weakness are common symptoms of multiple sclerosis due to demyelination
Question 5 of 5
The nurse is caring for a client with staphylococcus epidermidis. The client is on a vancomycin IV. What nursing consideration should the nurse be aware of regarding this medication?
Correct Answer: C
Rationale: Vancomycin requires monitoring trough levels (drawn before a dose) to ensure therapeutic efficacy and prevent toxicity.