Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions with Answers Questions

Extract:


Question 1 of 5

The nurse is preparing to insert a urinary catheter. Which action ensures sterile technique?

Correct Answer: C

Rationale: Applying sterile lubricant to the catheter tip maintains sterile technique, reducing the risk of infection during urinary catheter insertion.

Question 2 of 5

A 10-year-old child has the following blood glucose readings during a 24-hour period. Which reading requires the most immediate intervention?

Correct Answer: A

Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate intervention to prevent neurological complications.

Question 3 of 5

A client with a history of cirrhosis is admitted with hepatic encephalopathy. The nurse should include which of the following in the plan of care?

Correct Answer: A

Rationale: Lactulose reduces ammonia levels in hepatic encephalopathy.

Question 4 of 5

Methylphenidate is prescribed for a child with a diagnosis of attention deficit hyperactivity disorder (ADHD). At which time of day should the nurse instruct the mother to administer the medication?

Correct Answer: D

Rationale: Methylphenidate is a central nervous stimulant and should be taken before breakfast and before the noontime meal. It should not be taken in the afternoon or evening because the stimulating effect causes insomnia. The remaining options are incorrect.

Question 5 of 5

The mother of a child with bronchial asthma tells the nurse that the child wants a pet. Which of the following pets is most appropriate?

Correct Answer: A

Rationale: Pets are discouraged when parents are trying to allergy-proof a home for a child with bronchial asthma, unless the pets are kept outside. Pets with hair or feathers are especially likely to trigger asthma attacks. A fish is a satisfactory pet for this child, but the parents should be taught to keep the fish tank clean to prevent it from harboring mold.

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