NCLEX RN Practice Test Free
Question 1 of 5.
The nurse is caring for a client with bipolar disorder. The client has been manipulating some of the staff and other clients in order to get her way. Which actions by the nurse are appropriate in managing this client? Select all that apply.
A. giving support when the client exhibits positive behaviors
B. setting clear limits and communicating expected behaviors
C. role playing with the client to demonstrate appropriate behaviors
D. treating the client more like a friend in order to show respect for her as a person
E. giving the client small gifts, such as extra dessert, in order to encourage appropriate behavior
Explanation: Appropriate actions include reinforcing positive behaviors (A), setting clear limits (B), and role-playing (C) to promote appropriate interactions. Treating as a friend (D) or giving gifts (E) blurs boundaries and encourages manipulation.
Question 2 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 client’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 client’s bedtime snack.
Explanation: dawn phenomena, treatment is to adjust evening diet, bedtime snack, insulin dose, and exercise to prevent early morning hyperglycemia
Question 3 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 4 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 5 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