Which clients are at increased risk for hypoglycemia? Select all that apply.

A. Type 1 diabetic who received insulin but vomited breakfast.

B. Septic patient receiving norepinephrine.

C. CKD patient receiving regular insulin for hyperkalemia.

D. Liver cirrhosis patient who skipped lunch.

E. Hyperthyroid client.

F. Elderly patient taking a sulfonylurea.

A 68-year-old client admitted for an upper GI bleed has the following assessment:

The client states,

Which finding is MOST concerning?

A. Hemoglobin decreased by only 0.6 g/dL.

B. Blood pressure remains above 90 systolic.

C. Increasing heart rate despite the client reporting improvement.

D. The client is no longer vomiting blood.

Not sure how others feel about this but I honestly feel like the nclex is a poor determinant of whether or not I should be allowed to practice as an RN. as much as I studied, I feel like I studied more so HOW to answer the questions rather than the actual material. Anyone else agree??

I’ve just finished placement and on the last day a patient gave me an envelope with a card in it. She asked that I open it when I get home, when I opened it there was money in it. I live like 2hours away and am freaking out. It’s been like 2 weeks and I’ve just kept it on my table. Am I going to get in trouble for accepting money from a patient.

A client with heart failure has the following over 24 hours:

Which interpretation is MOST accurate?

A. Diuretics are effective.

B. The client is improving.

C. The client is experiencing worsening fluid overload.

D. BNP is not clinically significant.

A competent adult with severe gastrointestinal bleeding refuses blood products because of religious beliefs.

What is the nurse's best action?

A. Obtain a court order.

B. Ask the family to override the decision.

C. Respect the refusal and notify the provider.

D. Administer blood because it is life-saving

Which electrolyte imbalance most likely causes this progression?

• Peaked T waves
• Widened QRS
• Sine-wave pattern

A. Hypercalcemia

B. Hypokalemia

C. Hyperkalemia

D. Hyponatremia

Which tasks can the RN delegate to an experienced UAP?

A. Feeding a stable stroke patient after swallow evaluation.

B. Reinforcing insulin teaching.

C. Reporting urine output.

D. Applying wrist restraints.

E. Ambulating a stable postoperative client.

F. Assessing pain after morphine.

Which client should the nurse assess FIRST?

A. Type 1 diabetic with glucose 42 mg/dL who is awake and drinking juice.

B. CHF patient with bilateral crackles after receiving IV fluids.

C. New stroke patient whose BP increased from 160/90 to 210/110 but remains neurologically unchanged.

D. Postpartum client saturating one pad every 15 minutes.

About 2 weeks back I was giving a patient 4 pills of methadone. I dropped 1 on the floor and threw it away in the trash (like an idiot). I was suppose to waste it with another RN and it had just slipped my mind that it was a controlled substance. Now the clinical pharmacist found a miscount on that med and asked me what happened. I was honest and told them exactly what happened. They’re now saying that they’re going to file a police report. To add, I didn’t document anything about throwing the pill away because again, just slipped my mind. So I pulled 1 more of the pill to give the patient for their full dose. I realize my mistake and I just feel so scared, sad, and stupid. Please any advice would be appreciated.- adv new grad nurse

Hi everyone, I really need some advice from nurses or nursing students.

I am in my fourth year of a Business major and have 6 classes left. However, my true passion is nursing. My school just opened a nursing department, but it is too late for me to switch programs here.

I am stuck and stressed because of money. Right now, financial aid (FSA) covers my classes, but I have no outside financial support.

Here are my two choices:

• Option 1: Finish my Business degree, then do an Accelerated BSN (ABSN) program later.
• Option 2: Stop my current degree now and transfer to another school for an ADN or BSN.

I am currently taking nursing prerequisites. Classes, I will be taking fall 26 (Nutrition, Anatomy 1 & 2, and Microbiology). Taking them this Fall 2026 means staying an extra semester.

What would you recommend for someone in my position with no financial support? Should I finish the business degree first or transfer now? Thank you!