NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
The physician prescribes regular insulin, five units subcutaneous. Regular insulin begins to exert an effect:
Correct Answer: C
Rationale: Regular insulin (short-acting) has an onset of 30–60 minutes when given subcutaneously, peaking at 2–3 hours. This allows time for absorption and glucose-lowering effects.
Question 2 of 5
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is 'rule out hepatitis.' Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis. Which of the following represents a high-risk group for contracting this disease?
Correct Answer: B
Rationale: Oncology nurses are at high risk due to exposure to invasive procedures and potential sources of infection, unlike the other groups listed.
Question 3 of 5
The nurse is caring for a patient following a thyroidectomy. Which of the following is an early symptom of hypocalcemia?
Correct Answer: C
Rationale: Numbness or tingling in the extremities is an early sign of hypocalcemia, which can occur post-thyroidectomy due to parathyroid gland disruption. Chvostek’s sign and prolonged QT intervals are later signs, and 3+ reflexes are not specific.
Question 4 of 5
The nurse is caring for a client with a history of bipolar disorder. Which medication is most likely to be prescribed for mood stabilization?
Correct Answer: B
Rationale: Lithium carbonate is a first-line mood stabilizer for bipolar disorder, preventing manic and depressive episodes. Fluoxetine treats depression, alprazolam is for anxiety, and methylphenidate is for ADHD.
Question 5 of 5
The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:
Correct Answer: C
Rationale: Neonates of diabetic mothers are often large for gestational age (macrosomic) due to maternal hyperglycemia and are at risk for hypoglycemia after birth due to high insulin levels. Hyperglycemia and small size are less common.