NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
Which of the following is appropriate when developing a plan of care for promoting the development of a preschooler? Select all that apply.
Correct Answer: A,B,C
Rationale: Anticipatory guidance, understanding behavior, and identifying deviations support preschooler development. Predicting future development is not feasible, and daycare is not universally required.
Question 2 of 5
The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action should the nurse instruct the client to take?
Correct Answer: C
Rationale: The NPH insulin bottle needs to be rotated for at least 1 minute between both hands. This resuspends the insulin. The nurse should not shake the bottles. Shaking causes foaming and bubbles to form, which may trap particles of insulin and alter the dosage. Regular insulin is drawn up before NPH insulin. Insulin may be maintained at room temperature. Additional bottles of insulin for future use should be stored in the refrigerator. Air does not need to be removed from the insulin bottles.
Question 3 of 5
A client receives morphine for postoperative pain. Which of the following assessments should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Morphine can cause sedation and altered mental status, requiring regular assessment to monitor for adverse effects.
Question 4 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: B
Rationale: Neck stiffness is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation.
Question 5 of 5
During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:
Correct Answer: C
Rationale: Muscular strength against gravity but not resistance is graded as 3 on the 0-5 scale, indicating fair strength.