NCLEX RN Practice Questions with Answers
Question 1 of 5.
The nurse obtains a finger-stick glucose of 400 mg/dL (22.85 mmol/L) for a client who receives total parenteral nutrition (TPN). Which follow-up intervention should the nurse implement?
A. Discontinue the current TPN infusion.
B. Decrease the infusion rate of the TPN.
C. Replace TPN with 5% dextrose solution.
D. Confer with provider for glucose control.
Explanation: A glucose level of 400 mg/dL indicates significant hyperglycemia, which is a potential complication of TPN due to its high dextrose content. The nurse should confer with the primary health care provider to obtain orders for glucose control, such as insulin administration, to manage the hyperglycemia safely. Discontinuing or altering the TPN infusion without provider orders is inappropriate, as TPN is a critical nutrition source, and abrupt changes could cause metabolic imbalances. Replacing TPN with 5% dextrose would not address the hyperglycemia and could exacerbate it.
Question 2 of 5.
Conflicts, according to Lewin, include which types of conflict? Select all that apply.
A. Conceptualization conflicts
B. Avoidance - Avoidance conflicts
C. Approach - Approach conflicts
D. Resolvable conflicts
E. Unresolvable conflicts
F. Double Approach - Avoidance conflicts
G. Approach-Avoidance conflicts
Explanation: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.
Question 3 of 5.
The 2nd priority needs according to the MAAUAR method of priority setting include which of the following?
A. Assessment
B. Movement
C. Understanding level
D. Risks
Explanation: The MAAUAR method prioritizes: Mental status, Acute pain, Acute eliminated needs, Urgent needs, Abnormal vital signs, Risks. The second priority is Acute pain, but among the options, Risks aligns as a high-priority need following initial physiological concerns.
Question 4 of 5.
Select the legal term that is accurately paired with its description.
A. Assault: Touching a person without their consent
B. Battery: Threatening to touch a person without their consent
C. Slander: False oral defamatory statements.
D. Slander: False written defamatory statements.
Explanation: Slander is correctly defined as false oral defamatory statements. Assault is threatening harm , battery is unauthorized touching , and libel is false written defamation .
Question 5 of 5.
Which of these clients is at greatest risk for falls?
A. A 77 year old female client in a client room that has low glare floors.
B. An 87 year old female client in a client room that has low glare floors.
C. A 27 year old sedated male client.
D. A 37 year old male client with impaired renal perfusion.
Explanation: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.
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