NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
Correct Answer: C
Rationale: NPH insulin peaks 4-12 hours after administration, so a snack around 3 PM helps prevent hypoglycemia during peak action.
Question 2 of 5
The nurse must administer in one syringe a combined dose of two different insulins from two vials. Place the steps (Roman numerals) in the correct order.
Order the Items
Source Container
Correct Answer: A,B,F,C,E
Rationale: The correct order is: Cleanse vials (I), inject air into vial 1 (II), inject air into vial 2 (VI), withdraw from vial 1 (III), withdraw from vial 2 (V). Changing needles (IV) is not standard.
Question 3 of 5
The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:
Correct Answer: C
Rationale: Sundowning is a common phenomenon in dementia where confusion worsens in the late afternoon and evening.
Question 4 of 5
A client is being evaluated for carpel tunnel syndrome. The nurse is observed tapping over the median nerve in the wrist and asking the client if there is pain or tingling. Which assessment is the nurse performing?
Correct Answer: B
Rationale: Tinel's sign involves tapping over the median nerve to elicit pain or tingling, indicating carpal tunnel syndrome. Phalen's maneuver involves wrist flexion, and the others assess meningitis.
Question 5 of 5
The nurse is caring for a client with suspected AIDS dementia complex. The first sign of dementia in the client with AIDS is:
Correct Answer: B
Rationale: Loss of concentration is an early cognitive change in AIDS dementia complex.