NCLEX Questions, NCLEX Trainer Test 8 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

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Extract:

A client recently diagnosed with insulin-dependent diabetes mellitus (IDDM). As part of the treatment plan, the client receives Humulin N 32 units and Humulin R 8 units each morning.


Question 1 of 5

Which of the following actions, if performed by the client while preparing the morning insulin injection, would require an intervention by the nurse?

Correct Answer: B

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) clear insulin always drawn up first (2) correct-Humulin R is clear and drawn up first, only 8 units are ordered, Humulin N is cloudy (3) allows you to withdraw medication later (4) allows you to withdraw medication later

Extract:


Question 2 of 5

The nurse is caring for a client who is receiving IV ceftriaxone for a urinary tract infection. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: A temperature of 100.8°F suggests worsening infection, requiring immediate reporting. Options A, C, and D are normal or less urgent.

Question 3 of 5

The nurse is to open a sterile package. How should the nurse plan to open the first flap?

Correct Answer: B

Rationale: Opening the first flap away from the nurse maintains sterility by preventing hands from passing over the sterile field. Opening toward the nurse or to the sides risks contamination.

Question 4 of 5

A woman is seen in clinic with complaints suggesting cholecystitis or cholelithiasis. What teaching should the nurse expect to reinforce?

Correct Answer: D

Rationale: Fatty foods trigger gallbladder contraction, worsening pain in cholecystitis or cholelithiasis; avoiding them reduces symptoms. Sitting up, carbonated drinks, or caffeine are less critical.

Question 5 of 5

A 32-year-old man comes to the clinic for a glycosylated hemoglobin assay (HbA1c). The result is 6%. The nurse should

Correct Answer: A

Rationale: An HbA1c of 6% indicates good diabetes control (normal 4–6%). Documenting is appropriate as no action is needed. Options B, C, and D are unnecessary.

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