Complete Question Bank

NCLEX RN· Safe and Effective Care Environment · NCLEX RN Simulated Exam Test Bank

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient suffering from hyperglycemia would be experiencing:

A. Low blood sugar

B. High blood sugar

C. Normal blood sugar

D. None of the above

Expert Explanatory Rationale

Correct Answer: High blood sugar

Question 2 of 5

Mr. Thomas is a well-groomed 68-year-old male patient who had prostate surgery two days ago. He has an indwelling catheter and a urinary drainage bag. You have weighed him at 9 am each morning for 3 mornings in a row. Today, on the 4th day, his morning weight is 3 pounds more than it was the day before. Why could he have gained these 3 pounds in one day, on a 1000 calorie diet?

A. It is obvious that his visitors have been sneaking him junk food from the local fast-food restaurant.

B. It may be that his urinary drainage bag was not emptied today and it was emptied on previous days.

C. It is obvious that the scale is broken and it should be replaced immediately to prevent these false weights.

D. A 3-pound weight gain is not significant enough to question and should just be noted.

Expert Explanatory Rationale

Correct Answer: It may be that his urinary drainage bag was not emptied today and it was emptied on previous days.

Question 3 of 5

A newly admitted patient with major depression has lost 20 pounds over the past month and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.

A. Imbalanced nutrition: Less than body requirements

B. Chronic low self-esteem

C. Risk for suicide

D. Hopelessness

Expert Explanatory Rationale

Correct Answer: Chronic low self-esteem

Question 4 of 5

An adult's blood pressure reads 40/20. You place the patient in a Trendelenberg position before rechecking the blood pressure. What actions will you take to position the patient correctly?

A. lower the head of the bed and raise the foot of the bed

B. raise the head of the bed up to about 60 to 75 degrees

C. raise the head of the bed up to about 75 to 90 degrees

D. raise the siderails and place the bed in the high position

Expert Explanatory Rationale

Correct Answer: lower the head of the bed and raise the foot of the bed

Question 5 of 5

The most accurate reading for a temperature is done:

A. Orally

B. Aurally through a clean canal

C. Rectally

D. Axially

Expert Explanatory Rationale

Correct Answer: Aurally through a clean canal

Ready to Guarantee Your Result?

Start Your NCLEX RN Preparation Journey Today

Access over 300,000 verified practice questions, comprehensive subject diagnostic exams, and timed clinical simulations engineered for success.

Browse Other Nursing Exams