NCLEX RN Practice Test Free

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Question 1 of 5.

The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to

A. reduce the clientâ€™s diet to 1,500 calorie ADA.

B. order 3 additional units of NPH insulin at 10 PM.

C. order an additional 10 units of regular insulin at 8 PM.

D. eliminate the clientâ€™s bedtime snack.

Explanation: dawn phenomena, treatment is to adjust evening diet, bedtime snack, insulin dose, and exercise to prevent early morning hyperglycemia

Question 2 of 5.

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

A. can no longer produce any insulin.

B. produce minimal amounts of insulin.

C. are unable to administer their injections.

D. have a sustained decreased blood glucose.

Explanation: oral hypoglycemic agents are administered to type II (non-insulindependent) clients who are able to produce minimal amounts of insulin

Question 3 of 5.

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

A. The client can shave himself and brush his teeth.

B. The client can transfer himself into and out of his wheelchair.

C. The client can maneuver his wheelchair without difficulty.

D. The client can prepare his own well-balanced meals.

Explanation: essential if client is to perform ADLs

Question 4 of 5.

A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose of this medication and notify the physician if which of the following is observed on the cardiac monitor?

A. One premature ventricular contraction (PVC).

B. Sinus rhythm with occasional bigeminy.

C. Persistent tachycardia of 112 beats per minute.

D. Prolongation of the QT interval.

Explanation: prolongation of the QT interval is a side effect that can lead to torsades de pointes, a life-threatening arrhythmia

Question 5 of 5.

The nurse is assessing a newborn 24 hours after birth. Which of the following findings would require further evaluation?

A. Heart rate of 140 beats per minute.

B. Respiratory rate of 40 breaths per minute.

C. Presence of milia on the nose.

D. Caput succedaneum crossing the suture line.

Explanation: milia are normal, but persistent or widespread milia may indicate other issues; other findings are within normal limits for a newborn

Question 1 of 5.

A. reduce the clientâ€™s diet to 1,500 calorie ADA.

B. order 3 additional units of NPH insulin at 10 PM.

C. order an additional 10 units of regular insulin at 8 PM.

D. eliminate the clientâ€™s bedtime snack.

Question 2 of 5.

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

A. can no longer produce any insulin.

B. produce minimal amounts of insulin.

C. are unable to administer their injections.

D. have a sustained decreased blood glucose.

Question 3 of 5.

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

A. The client can shave himself and brush his teeth.

B. The client can transfer himself into and out of his wheelchair.

C. The client can maneuver his wheelchair without difficulty.

D. The client can prepare his own well-balanced meals.

Question 4 of 5.

A. One premature ventricular contraction (PVC).

B. Sinus rhythm with occasional bigeminy.

C. Persistent tachycardia of 112 beats per minute.

D. Prolongation of the QT interval.

Question 5 of 5.

The nurse is assessing a newborn 24 hours after birth. Which of the following findings would require further evaluation?

A. Heart rate of 140 beats per minute.

B. Respiratory rate of 40 breaths per minute.

C. Presence of milia on the nose.

D. Caput succedaneum crossing the suture line.

Question 1 of 5.

A. reduce the clientâ€™s diet to 1,500 calorie ADA.

B. order 3 additional units of NPH insulin at 10 PM.

C. order an additional 10 units of regular insulin at 8 PM.

D. eliminate the clientâ€™s bedtime snack.

Question 2 of 5.

The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who

A. can no longer produce any insulin.

B. produce minimal amounts of insulin.

C. are unable to administer their injections.

D. have a sustained decreased blood glucose.

Question 3 of 5.

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

A. The client can shave himself and brush his teeth.

B. The client can transfer himself into and out of his wheelchair.

C. The client can maneuver his wheelchair without difficulty.

D. The client can prepare his own well-balanced meals.

Question 4 of 5.

A. One premature ventricular contraction (PVC).

B. Sinus rhythm with occasional bigeminy.

C. Persistent tachycardia of 112 beats per minute.

D. Prolongation of the QT interval.

Question 5 of 5.

The nurse is assessing a newborn 24 hours after birth. Which of the following findings would require further evaluation?

A. Heart rate of 140 beats per minute.

B. Respiratory rate of 40 breaths per minute.

C. Presence of milia on the nose.

D. Caput succedaneum crossing the suture line.

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