NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
When administering total parenteral nutrition, the nurse should assess the client for signs of rebound hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
Correct Answer: B
Rationale: Rebound hypoglycemia occurs when TPN is stopped abruptly, causing a rapid drop in blood glucose due to persistent insulin release. Tapering the infusion prevents this.
Question 2 of 5
Endotracheal tube cuff pressure should never exceed:
Correct Answer: B
Rationale: Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion.
Question 3 of 5
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:
Correct Answer: C
Rationale: Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B,
D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.
Question 4 of 5
The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:
Correct Answer: A
Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.
Question 5 of 5
The mother of a two-year-old with burns over 40% of the body asks the nurse how long it will take for the burns to heal. The nurse’s response is based on the knowledge that second-degree burns require:
Correct Answer: C
Rationale: Second-degree burns, affecting the epidermis and dermis, typically heal in 14–21 days with proper care. Healing time depends on depth and infection control, but 14–21 days is standard.