Daily NCLEX Question #7 (Pediatrics)
A nurse is assessing a child with suspected epiglottitis. Which action should the nurse avoid?
A) Keeping emergency airway equipment available
B) Allowing the child to remain in a position of comfort
C) Inspecting the throat with a tongue depressor
D) Notifying the appropriate emergency airway team
A nurse is assessing a child with suspected epiglottitis. Which action should the nurse avoid?
A) Keeping emergency airway equipment available
B) Allowing the child to remain in a position of comfort
C) Inspecting the throat with a tongue depressor
D) Notifying the appropriate emergency airway team
Nclex review rn and LPN for 2026
Select the correct answer:
Answer:
B) Monitor serum sodium levels closely to ensure the concentration does not increase by more than 8 to 12 mEq/L in a 24-hour period.
Option B (Correct): Rapid correction of severe hyponatremia causes water to shift rapidly out of brain cells, leading to osmotic demyelination syndrome (ODS) (formerly central pontine myelinolysis)—an irreversible, devastating neurological condition characterized by spastic quadriparesis, pseudobulbar palsy, and locked-in syndrome. Serum sodium must never be corrected faster than 0.5 mEq/L/hr or 8 to 12 mEq/L over 24 hours.
Option A (Incorrect): Hypertonic saline is a high-alert medication that must always be administered via a programmable infusion pump, never via free-flow gravity tubing, and correcting to 135 mEq/L in 6 hours would cause fatal cerebral demyelination.
Option C (Incorrect): Clients with SIADH have dilutional hyponatremia from excess water retention and require strict fluid restriction (typically less than 800 to 1,000 mL/day), not increased oral free water.
Option D (Incorrect): Chvostek and Trousseau signs assess for neuromuscular irritability in hypocalcemia and hypomagnesemia, not hyponatremia.
B) Monitor serum sodium levels closely to ensure the concentration does not increase by more than 8 to 12 mEq/L in a 24-hour period.
Option B (Correct): Rapid correction of severe hyponatremia causes water to shift rapidly out of brain cells, leading to osmotic demyelination syndrome (ODS) (formerly central pontine myelinolysis)—an irreversible, devastating neurological condition characterized by spastic quadriparesis, pseudobulbar palsy, and locked-in syndrome. Serum sodium must never be corrected faster than 0.5 mEq/L/hr or 8 to 12 mEq/L over 24 hours.
Option A (Incorrect): Hypertonic saline is a high-alert medication that must always be administered via a programmable infusion pump, never via free-flow gravity tubing, and correcting to 135 mEq/L in 6 hours would cause fatal cerebral demyelination.
Option C (Incorrect): Clients with SIADH have dilutional hyponatremia from excess water retention and require strict fluid restriction (typically less than 800 to 1,000 mL/day), not increased oral free water.
Option D (Incorrect): Chvostek and Trousseau signs assess for neuromuscular irritability in hypocalcemia and hypomagnesemia, not hyponatremia.
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Daily NCLEX Question #8 (SATA - Hypoglycemia)
A conscious client with diabetes has a blood glucose level of 54 mg/dL. Which actions are appropriate? Select all that apply.
A) Give 15 g of fast-acting carbohydrate.
B) Recheck blood glucose in 15 minutes.
C) Administer the client's scheduled insulin immediately.
D) Repeat treatment with fast-acting carbohydrate if glucose remains below 70 mg/dL.
E) Encourage the client to exercise.
A conscious client with diabetes has a blood glucose level of 54 mg/dL. Which actions are appropriate? Select all that apply.
A) Give 15 g of fast-acting carbohydrate.
B) Recheck blood glucose in 15 minutes.
C) Administer the client's scheduled insulin immediately.
D) Repeat treatment with fast-acting carbohydrate if glucose remains below 70 mg/dL.
E) Encourage the client to exercise.
Nclex review rn and LPN for 2026
Select the correct answer:
Answer:
C) Inspecting the throat with a tongue depressor
50% of 12 voters got this right.
Suspected epiglottitis is an airway emergency. Manipulating the throat can trigger complete airway obstruction. The nurse should avoid unnecessary throat examination and obtain urgent expert airway management.
A. Appropriate because airway obstruction can develop rapidly.
B. Appropriate because forcing the child to lie down may worsen distress.
D. Appropriate because the child may require emergency airway intervention.
NCLEX tip: Suspected epiglottitis = protect the airway; do not examine the throat with a tongue depressor.
C) Inspecting the throat with a tongue depressor
50% of 12 voters got this right.
Suspected epiglottitis is an airway emergency. Manipulating the throat can trigger complete airway obstruction. The nurse should avoid unnecessary throat examination and obtain urgent expert airway management.
A. Appropriate because airway obstruction can develop rapidly.
B. Appropriate because forcing the child to lie down may worsen distress.
D. Appropriate because the child may require emergency airway intervention.
NCLEX tip: Suspected epiglottitis = protect the airway; do not examine the throat with a tongue depressor.
Daily NCLEX Question #9 (Supervision & Intervention of UAP Care)
A registered nurse is observing an unlicensed assistive personnel (UAP) providing morning care to several clients. Which actions by the UAP require the RN to intervene immediately? (Select all that apply.)
A) Placing a blood pressure cuff on the left arm of a client who has a maturing arteriovenous (AV) fistula in the left forearm.
B) Elevating the head of the bed to 30 degrees for a client receiving continuous enteral tube feedings via a nasogastric tube.
C) Disconnecting a client's indwelling urinary catheter from the drainage tubing to obtain a fresh urine specimen.
D) Assisting a client with left-sided hemiparesis to ambulate by standing on the client's weaker left side while holding a gait belt.
E) Applying a warm compress to the lower extremity of a client diagnosed with an acute deep vein thrombosis (DVT) who states their leg feels cold.
A registered nurse is observing an unlicensed assistive personnel (UAP) providing morning care to several clients. Which actions by the UAP require the RN to intervene immediately? (Select all that apply.)
A) Placing a blood pressure cuff on the left arm of a client who has a maturing arteriovenous (AV) fistula in the left forearm.
B) Elevating the head of the bed to 30 degrees for a client receiving continuous enteral tube feedings via a nasogastric tube.
C) Disconnecting a client's indwelling urinary catheter from the drainage tubing to obtain a fresh urine specimen.
D) Assisting a client with left-sided hemiparesis to ambulate by standing on the client's weaker left side while holding a gait belt.
E) Applying a warm compress to the lower extremity of a client diagnosed with an acute deep vein thrombosis (DVT) who states their leg feels cold.
Nclex review rn and LPN for 2026
Select all that apply:
Answer:
A) Give 15 g of fast-acting carbohydrate.
B) Recheck blood glucose in 15 minutes.
D) Repeat treatment with fast-acting carbohydrate if glucose remains below 70 mg/dL.
A. Correct. A conscious client who can swallow safely should receive approximately 15 g of fast-acting carbohydrate.
B. Correct. Recheck glucose after 15 minutes to determine whether treatment worked.
C. Incorrect. Insulin can worsen hypoglycemia and should not be given as an immediate response to the low glucose.
D. Correct. Repeat the 15 g treatment and recheck in another 15 minutes if glucose remains low.
E. Incorrect. Exercise can lower glucose further.
If the client becomes unconscious or cannot swallow safely, do not give oral food or fluids. Use glucagon or IV dextrose as appropriate to the situation and available orders or protocol.
NCLEX tip: Remember the 15-15 rule for conscious clients who can swallow safely.
A) Give 15 g of fast-acting carbohydrate.
B) Recheck blood glucose in 15 minutes.
D) Repeat treatment with fast-acting carbohydrate if glucose remains below 70 mg/dL.
A. Correct. A conscious client who can swallow safely should receive approximately 15 g of fast-acting carbohydrate.
B. Correct. Recheck glucose after 15 minutes to determine whether treatment worked.
C. Incorrect. Insulin can worsen hypoglycemia and should not be given as an immediate response to the low glucose.
D. Correct. Repeat the 15 g treatment and recheck in another 15 minutes if glucose remains low.
E. Incorrect. Exercise can lower glucose further.
If the client becomes unconscious or cannot swallow safely, do not give oral food or fluids. Use glucagon or IV dextrose as appropriate to the situation and available orders or protocol.
NCLEX tip: Remember the 15-15 rule for conscious clients who can swallow safely.
🎉 NCLEX-RN PASSED AT 150 QUESTIONS AND LICENSE SECURED! 🩺🥹
Huge congratulations to Sarah on this incredible achievement! She passed her NCLEX-RN examination at 150 questions and has officially obtained her nursing license! 🎊👏
Every hour of studying, every challenge, and every moment of perseverance has led to this beautiful milestone. Her dedication and determination have paid off, and we couldn’t be prouder!
Sarah, welcome to the nursing profession! May your career be filled with success, compassion, and countless opportunities to make a difference. ❤️
Your success story could be next!
Are you preparing for the NCLEX-RN or NCLEX-PN? Join our review community for practice questions, detailed rationales, study materials, and exam preparation support.
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Text me directly on Telegram: @Bensreal
#NCLEXRN #NCLEXSuccess #NCLEXPassed #NursingLicense #RegisteredNurse #NursingJourney #NCLEXPreparation #CongratulationsSarah #FutureNurse 🎉
Huge congratulations to Sarah on this incredible achievement! She passed her NCLEX-RN examination at 150 questions and has officially obtained her nursing license! 🎊👏
Every hour of studying, every challenge, and every moment of perseverance has led to this beautiful milestone. Her dedication and determination have paid off, and we couldn’t be prouder!
Sarah, welcome to the nursing profession! May your career be filled with success, compassion, and countless opportunities to make a difference. ❤️
Your success story could be next!
Are you preparing for the NCLEX-RN or NCLEX-PN? Join our review community for practice questions, detailed rationales, study materials, and exam preparation support.
📩 Want to start your NCLEX journey with us?
Text me directly on Telegram: @Bensreal
#NCLEXRN #NCLEXSuccess #NCLEXPassed #NursingLicense #RegisteredNurse #NursingJourney #NCLEXPreparation #CongratulationsSarah #FutureNurse 🎉
Daily NCLEX Question #10 (SIADH vs. Diabetes Insipidus (DI) Differentiation)
A nurse in the neurosurgical intensive care unit is caring for a client who underwent a transsphenoidal hypophysectomy 12 hours ago. The client's urine output over the past 2 hours is 950 mL. Laboratory results show a urine specific gravity of 1.002 and a serum sodium of 152 mEq/L. Which condition and corresponding treatment should the nurse anticipate?
A) Syndrome of Inappropriate Antidiuretic Hormone (SIADH); administer IV furosemide and restrict fluids.
B) Diabetes Insipidus (DI); administer IV desmopressin (DDAVP) and hypotonic intravenous fluids.
C) Cerebral Salt Wasting (CSW); administer 3% hypertonic saline and fludrocortisone.
D) Hyperosmolar Hyperglycemic State (HHS); initiate an intravenous regular insulin infusion.
A nurse in the neurosurgical intensive care unit is caring for a client who underwent a transsphenoidal hypophysectomy 12 hours ago. The client's urine output over the past 2 hours is 950 mL. Laboratory results show a urine specific gravity of 1.002 and a serum sodium of 152 mEq/L. Which condition and corresponding treatment should the nurse anticipate?
A) Syndrome of Inappropriate Antidiuretic Hormone (SIADH); administer IV furosemide and restrict fluids.
B) Diabetes Insipidus (DI); administer IV desmopressin (DDAVP) and hypotonic intravenous fluids.
C) Cerebral Salt Wasting (CSW); administer 3% hypertonic saline and fludrocortisone.
D) Hyperosmolar Hyperglycemic State (HHS); initiate an intravenous regular insulin infusion.
Nclex review rn and LPN for 2026
Select all that apply:
Answer:
A) Placing a blood pressure cuff on the left arm of a client who has a maturing arteriovenous (AV) fistula in the left forearm.
C) Disconnecting a client's indwelling urinary catheter from the drainage tubing to obtain a fresh urine specimen.
E) Applying a warm compress to the lower extremity of a client diagnosed with an acute deep vein thrombosis (DVT) who states their leg feels cold.
A. Correct — Requires Intervention. Venipuncture and blood pressure measurements are strictly contraindicated on an extremity with an AV fistula or graft, as compression can thrombose and destroy vascular access.
B. Incorrect — Safe Practice. Keeping the head of the bed elevated at least 30 to 45 degrees during continuous tube feedings prevents pulmonary aspiration.
C. Correct — Requires Intervention. An indwelling urinary catheter is a closed sterile system. Disconnecting the catheter from the drainage tubing breaks sterility and introduces a high risk of catheter-associated urinary tract infection (CAUTI). Urine specimens must be aspirated via the sterile sampling port.
D. Incorrect — Safe Practice. Standing on the client's affected (weaker) side while using a gait belt is the correct technique to support the knee and hip if the leg buckles.
E. Correct — Requires Intervention. While warm compresses were historically used, applying unprescribed heat or massaging a limb with an acute DVT by a UAP is unsafe without a specific provider order and vascular evaluation, especially if arterial insufficiency coexists.
A) Placing a blood pressure cuff on the left arm of a client who has a maturing arteriovenous (AV) fistula in the left forearm.
C) Disconnecting a client's indwelling urinary catheter from the drainage tubing to obtain a fresh urine specimen.
E) Applying a warm compress to the lower extremity of a client diagnosed with an acute deep vein thrombosis (DVT) who states their leg feels cold.
A. Correct — Requires Intervention. Venipuncture and blood pressure measurements are strictly contraindicated on an extremity with an AV fistula or graft, as compression can thrombose and destroy vascular access.
B. Incorrect — Safe Practice. Keeping the head of the bed elevated at least 30 to 45 degrees during continuous tube feedings prevents pulmonary aspiration.
C. Correct — Requires Intervention. An indwelling urinary catheter is a closed sterile system. Disconnecting the catheter from the drainage tubing breaks sterility and introduces a high risk of catheter-associated urinary tract infection (CAUTI). Urine specimens must be aspirated via the sterile sampling port.
D. Incorrect — Safe Practice. Standing on the client's affected (weaker) side while using a gait belt is the correct technique to support the knee and hip if the leg buckles.
E. Correct — Requires Intervention. While warm compresses were historically used, applying unprescribed heat or massaging a limb with an acute DVT by a UAP is unsafe without a specific provider order and vascular evaluation, especially if arterial insufficiency coexists.
Daily NCLEX Question #11 (Multi-Client Prioritization)
The nurse on an acute medical unit is reviewing morning laboratory results and clinical assessments for four clients. Which client should the nurse evaluate first?
A) A client with Addison's disease who has a blood pressure of 82/46 mm Hg, a serum sodium of 126 mEq/L, and a serum potassium of 6.4 mEq/L.
B) A client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) who has a serum sodium of 128 mEq/L and reports a mild frontal headache and thirst.
C) A client with hypothyroidism who has a thyroid-stimulating hormone (TSH) level of 18 mIU/L, reports constipation, and has a heart rate of 58 beats/min.
D) A client with type 2 diabetes mellitus who has a fasting blood glucose of 245 mg/dL and trace ketones in the urine.
The nurse on an acute medical unit is reviewing morning laboratory results and clinical assessments for four clients. Which client should the nurse evaluate first?
A) A client with Addison's disease who has a blood pressure of 82/46 mm Hg, a serum sodium of 126 mEq/L, and a serum potassium of 6.4 mEq/L.
B) A client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) who has a serum sodium of 128 mEq/L and reports a mild frontal headache and thirst.
C) A client with hypothyroidism who has a thyroid-stimulating hormone (TSH) level of 18 mIU/L, reports constipation, and has a heart rate of 58 beats/min.
D) A client with type 2 diabetes mellitus who has a fasting blood glucose of 245 mg/dL and trace ketones in the urine.
Nclex review rn and LPN for 2026
Select the correct answer:
Answer:
B) Diabetes Insipidus (DI); administer IV desmopressin (DDAVP) and hypotonic intravenous fluids.
50% of 6 voters got this right.
Option B (Correct): Manipulation or resection of the pituitary gland during a transsphenoidal hypophysectomy can impair the release of antidiuretic hormone (ADH, vasopressin) from the posterior pituitary, causing Neurogenic Diabetes Insipidus (DI). Without ADH, the renal collecting ducts cannot reabsorb water, resulting in massive polyuria ("diabetes insipidus = Dry Inside": urine output greater than 200–250 mL/hr), dilute urine (specific gravity less than 1.005), and hypernatremic dehydration (serum sodium greater than 145 mEq/L). Treatment consists of synthetic ADH replacement (desmopressin) and free water replacement via oral intake or hypotonic IV fluids (0.45% sodium chloride or D_5W).
Option A (Incorrect): SIADH presents with the exact opposite findings ("Soaked Inside"): oliguria, concentrated urine (specific gravity greater than 1.030), and dilutional hyponatremia.
Option C (Incorrect): Cerebral salt wasting causes profound natriuresis (hyponatremia) rather than hypernatremia.
Option D (Incorrect): HHS is a complication of type 2 diabetes characterized by extreme hyperglycemia (greater than 600 mg/dL) and glucosuria, which causes high urine specific gravity.
B) Diabetes Insipidus (DI); administer IV desmopressin (DDAVP) and hypotonic intravenous fluids.
50% of 6 voters got this right.
Option B (Correct): Manipulation or resection of the pituitary gland during a transsphenoidal hypophysectomy can impair the release of antidiuretic hormone (ADH, vasopressin) from the posterior pituitary, causing Neurogenic Diabetes Insipidus (DI). Without ADH, the renal collecting ducts cannot reabsorb water, resulting in massive polyuria ("diabetes insipidus = Dry Inside": urine output greater than 200–250 mL/hr), dilute urine (specific gravity less than 1.005), and hypernatremic dehydration (serum sodium greater than 145 mEq/L). Treatment consists of synthetic ADH replacement (desmopressin) and free water replacement via oral intake or hypotonic IV fluids (0.45% sodium chloride or D_5W).
Option A (Incorrect): SIADH presents with the exact opposite findings ("Soaked Inside"): oliguria, concentrated urine (specific gravity greater than 1.030), and dilutional hyponatremia.
Option C (Incorrect): Cerebral salt wasting causes profound natriuresis (hyponatremia) rather than hypernatremia.
Option D (Incorrect): HHS is a complication of type 2 diabetes characterized by extreme hyperglycemia (greater than 600 mg/dL) and glucosuria, which causes high urine specific gravity.
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☑️ Results update from the database to a pass 💯💯
☑️ exact exam questions and answers for your exam test date
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Daily NCLEX Question #12 (Acute Adrenal Insufficiency (Addisonian Crisis) Fluid & Electrolyte Profile)
A client who has taken oral prednisone 40 mg daily for 2 years for systemic lupus erythematosus abruptly stopped taking the medication 4 days ago after running out of refills. The client arrives in the emergency department with severe abdominal pain, vomiting, confusion, and a blood pressure of 74/40 mm Hg. Which intravenous fluid and medication regimen should the nurse prepare to administer?
A) 0.45% sodium chloride, regular insulin IV, and oral potassium chloride.
B) 0.9% sodium chloride with 5% dextrose (D_5NS) and intravenous hydrocortisone sodium succinate.
C) 3% sodium chloride and intravenous cosyntropin only.
D) Lactated Ringer's solution and intravenous levothyroxine.
A client who has taken oral prednisone 40 mg daily for 2 years for systemic lupus erythematosus abruptly stopped taking the medication 4 days ago after running out of refills. The client arrives in the emergency department with severe abdominal pain, vomiting, confusion, and a blood pressure of 74/40 mm Hg. Which intravenous fluid and medication regimen should the nurse prepare to administer?
A) 0.45% sodium chloride, regular insulin IV, and oral potassium chloride.
B) 0.9% sodium chloride with 5% dextrose (D_5NS) and intravenous hydrocortisone sodium succinate.
C) 3% sodium chloride and intravenous cosyntropin only.
D) Lactated Ringer's solution and intravenous levothyroxine.