NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
The nurse is reading the results of a tuberculin skin test (see figure). The nurse should interpret the results as:
Correct Answer: C
Rationale: A positive tuberculin skin test (induration ‰¥10 mm in most cases) indicates exposure to Mycobacterium tuberculosis. Without the figure, the context suggests a positive result based on typical test interpretation.
Question 2 of 5
A health care provider orders 0.5 mg of protamine sulfate for a client who is showing signs of bleeding after receiving a 100-unit dose of heparin. The nurse should expect the effects of the protamine sulfate to be noted in which of the following time frames?
Correct Answer: C
Rationale: Protamine sulfate neutralizes heparin rapidly, with effects typically seen within 20 minutes of administration. This allows for quick reversal of heparin's anticoagulant effects in cases of bleeding. The other time frames are either too short or too long.
Question 3 of 5
A 38-year-old male client with testicular cancer is concerned about his fertility after treatment. The nurse should inform him about:
Correct Answer: A
Rationale: Sperm banking before treatment is a proactive option for preserving fertility, as testicular cancer treatments like chemotherapy or surgery may impair sperm production.
Question 4 of 5
The nurse administers fat emulsion solution during TPN as ordered based on the understanding that this type of solution:
Correct Answer: A
Rationale: Fat emulsion solutions in TPN provide essential fatty acids to prevent deficiency. They do not primarily provide carbohydrates, promote glucose metabolism, or maintain body weight. CN: Pharmacological and parenteral therapies; CL: Apply
Question 5 of 5
A client with type 1 diabetes mellitus has influenza. The nurse should instruct the client to:
Correct Answer: A
Rationale: Influenza can increase blood glucose levels due to stress and illness, requiring more frequent monitoring to adjust insulin doses.