NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
A client with a partial bowel obstruction has a Miller-Abbot tube inserted to decompress the bowel. While the tube is in place, the nurse should give priority to:
Correct Answer: C
Rationale: Preventing skin breakdown by changing the tape daily is critical to avoid tissue damage around the insertion site. Irrigation and suction settings depend on physician orders, and advancing the tube is not a nursing priority without specific instructions.
Extract:
Laboratory reference ranges
CD4+ T lymphocyte cells
600-1500 cells/μL
Hemoglobin A1c
Good diabetic control
<7%
Fair diabetic control
8%-9%
Poor diabetic control
>9%
Platelets
150,000-400,000/mm3
(150-400 × 109/L)
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Question 2 of 5
The nurse reviews new laboratory results for assigned clients. Which finding is the priority for the nurse to report to the supervising registered nurse?
Correct Answer: C
Rationale: A serum glucose of 65 mg/dL indicates hypoglycemia, which is critical in a client on total parenteral nutrition, as it may require immediate adjustment of glucose infusion or administration of dextrose.
Extract:
Question 3 of 5
What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?
Correct Answer: A
Rationale: Acceptance of the pregnancy. During the first trimester the maternal focus is directed toward acceptance of the pregnancy and adjustment to the minor discomforts.
Question 4 of 5
The nurse is planning care for a client who has a hearing impairment. Which action will likely help the most with communication?
Correct Answer: C
Rationale: Speaking slowly and clearly enhances comprehension for hearing-impaired clients. Repeating, shouting, or gestures may confuse or overwhelm.
Question 5 of 5
The client is admitted with hypokalemia. An IV of normal saline is infusing at $80 \mathrm{ml} /$ hour with 10 meq of $\mathrm{KCl} /$ hour. Prior to beginning the infusion, the nurse should:
Correct Answer: B
Rationale: Hypokalemia is often associated with hypomagnesemia, which can impair potassium correction. Checking the magnesium level ensures effective treatment. Sodium , creatinine , and calcium levels are less directly related to potassium infusion safety.