NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
Correct Answer: B
Rationale: Exercise lowers blood sugar, so a snack may be needed to maintain appropriate glucose levels. The other options are incorrect as they increase the risk of hypoglycemia or are factually inaccurate.
Question 2 of 5
The nurse is teaching a client with a history of gout about medication adherence. The nurse should tell the client to:
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels in gout, so adherence is critical to prevent flares.
Question 3 of 5
A client with Addison's disease is receiving Solu-Medrol (methylprednisolone). Which of the following interventions would the nurse implement?
Correct Answer: C
Rationale: Addison’s disease involves adrenal insufficiency and methylprednisolone replaces deficient corticosteroids. Monitoring sodium and potassium levels is essential as Addison’s can cause hyperkalemia and hyponatremia which may be affected by steroid therapy.
Question 4 of 5
A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?
Correct Answer: C
Rationale: D10W provides glucose to prevent hypoglycemia when TPN is interrupted, as TPN contains high dextrose. Lactated Ringers (
A), normal saline (
B), and Normosol R (
D) lack sufficient glucose.
Question 5 of 5
The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:
Correct Answer: A
Rationale: Cloudy dialysate returns suggest peritonitis, a serious complication of peritoneal dialysis, requiring immediate medical attention.