NCLEX-RN
NCLEX RN Practice Exam Questions
Extract:
Question 1 of 5
When determining whether or not a client is a candidate for restraints, which of the following would be considered an appropriate reason for a restraint?
Correct Answer: A
Rationale: Restraints are justified for current dangerous behavior (
A) posing immediate risk to self or others. History of falls (
B), past violence (
C), or non-cooperation (
D) do not warrant restraints.
Question 2 of 5
The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:
Correct Answer: B
Rationale: A glycosylated hemoglobin (HbA1c) of 2.5% is below the normal range (4-5.6%), indicating overly tight glucose control, but in context, it suggests good diabetes management.
Question 3 of 5
A client has a diagnosis of discoid lupus erythematosus (DLE). The nurse recognizes that discoid lupus differs from systemic lupus erythematosus because it:
Correct Answer: B
Rationale: Discoid lupus erythematosus primarily affects the skin, causing chronic rashes, unlike systemic lupus, which can involve multiple organs.
Question 4 of 5
The nurse is performing a neurological assessment on a client admitted with TIAs. Assessment findings reveal an absence of the gag reflex. The nurse suspects injury to:
Correct Answer: B
Rationale: The vagus nerve (X) innervates the pharynx and is responsible for the gag reflex, so its injury would cause an absent gag reflex.
Question 5 of 5
A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
Correct Answer: B
Rationale: Pegfilgrastim (Neulasta) stimulates white blood cell production. A WBC count of 6,000/mm indicates the drug is effective in preventing neutropenia.