RN NCLEX-RN 5

Question 1

A nurse is teaching a client with type 2 diabetes about sick-day management. Which instruction is most important?

Accepted Answer

Continue taking diabetes medications and monitor blood glucose more frequently.

Answer

Illness increases stress hormones that raise blood glucose, so medications should be continued and glucose monitored more frequently during sick days.

Question 2

A nurse is caring for a laboring client who receives an epidural. Fifteen minutes later, the client's blood pressure drops from 118/76 to 82/50 mmHg. What is the priority intervention?

Accepted Answer

Turn the client to a lateral position and increase IV fluid rate

Answer

Epidural-induced hypotension is treated by positioning the client laterally to relieve aortocaval compression and increasing IV fluids to restore preload.

Question 3

A nurse is assessing a client's wound and notes the edges are approximated with moderate serous drainage and no odor. Which wound classification applies?

Accepted Answer

Clean wound healing by primary intention

Answer

Approximated wound edges with serous drainage and no signs of infection describe a clean wound healing by primary intention following surgical closure.

Question 4

A nurse is preparing to administer 0.5 mL of a medication subcutaneously. Which needle size and angle is correct?

Accepted Answer

25-gauge, 5/8-inch needle at 45–90 degrees

Answer

Subcutaneous injections use a 25–27-gauge, 5/8-inch needle inserted at 45–90 degrees depending on body mass to deposit medication into subcutaneous tissue.

Question 5

A nurse is receiving a verbal order from a physician via telephone. Which action reflects safe communication practice?

Accepted Answer

Repeat the order aloud while writing and ask the physician to confirm

Answer

Read-back and verbal confirmation of telephone orders is the Joint Commission-recommended practice to prevent transcription errors.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN NCLEX-RN 5