NCLEX RN Practice Questions with Answers

NCLEX RN Practice Questions with Answers Related

Review NCLEX RN Practice Questions with Answers related questions and content

Place the following steps for mixing NPH and regular insulin in the proper sequential order from # 1 to # 6 below. #1 - Prep the top of the shorter acting insulin with an alcohol swab #2 - Inject air that is equal to the ordered dosage of the shorter acting insulin using the same insulin syringe. #3 - Withdraw the ordered dosage of the shorter acting insulin using the same insulin syringe. #4 - Prep the top of the longer acting insulin vial with an alcohol swab. #5 - Inject air that is equal to the ordered dosage of the longer acting insulin using the insulin syringe. #6 - Withdraw the ordered dosage of the longer acting insulin using the same insulin syringe.

  • A. 1,5,4,2,3,6
  • B. 4,3,2,6, 1,5
  • C. 4,2,5,3, 1,6
  • D. 1,5,3,6,4,2
Correct Answer: A

Rationale: The correct sequence is: 1) Prep short-acting insulin vial, 2) Inject air into short-acting vial, 3) Withdraw short-acting insulin, 4) Prep long-acting insulin vial, 5) Inject air into long-acting vial, 6) Withdraw long-acting insulin to avoid contamination.

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A client with a history of type 2 diabetes mellitus is prescribed liraglutide (Victoza). The nurse should monitor the client for which of the following side effects?

  • A. Hypoglycemia.
  • B. Pancreatitis.
  • C. Hypertension.
  • D. Weight gain.
Correct Answer: B

Rationale: Liraglutide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.

A client with a history of chronic kidney disease is prescribed sevelamer (Renagel). The nurse should instruct the client to:

  • A. Take the medication with meals.
  • B. Take the medication on an empty stomach.
  • C. Avoid taking the medication with calcium supplements.
  • D. Stop the medication if constipation occurs.
Correct Answer: A

Rationale: Sevelamer should be taken with meals to bind phosphate in the gut.

A postoperative nursing goal for the infant who has had surgery to correct imperforate anus is to prevent tension on the perineum. To achieve this goal, the nurse should not place the neonate on the:

  • A. Abdomen, with legs pulled up under the body.
  • B. Back, with legs suspended at a 90-degree angle.
  • C. Left side, with hips elevated.
  • D. Right side, with hips elevated.
Correct Answer: A

Rationale: The abdominal position with legs tucked increases perineal tension, risking surgical site strain, unlike the other positions.

The nurse instills 5 mL of normal saline before suctioning a client's tracheostomy tube. The instillation is effective when:

  • A. The secretions are thinned.
  • B. The client coughs.
  • C. There is minimal friction when the catheter is passed into the tracheostomy tube.
  • D. There is humidification for the respiratory tract.
Correct Answer: A

Rationale: Instilling normal saline thins secretions, facilitating effective suctioning of the tracheostomy tube.

The nurse is caring for a client with a history of osteoarthritis. Which of the following non-pharmacologic interventions should be included in the plan of care?

  • A. Apply heat to affected joints.
  • B. Restrict weight-bearing activities.
  • C. Encourage a low-protein diet.
  • D. Limit range-of-motion exercises.
Correct Answer: A

Rationale: Heat therapy reduces stiffness and pain in osteoarthritis.

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