NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A client with atrial fibrillation is being discharged home after being stabilized with medications, including digoxin. Which client statement regarding digoxin toxicity indicates that reinforcement of the discharge education is needed?
Correct Answer: D
Rationale: Increasing potassium intake is incorrect and risky with digoxin, as it can affect drug levels. Other statements reflect correct understanding.
Extract:
Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9–11.1 mmol/L)
Hematocrit
Male: 42%–52%
(0.42-0.52)
Female: 37%–47%
(0.37–0.47)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L)
Troponin T (cTnT)
<0.1 ng/mL
(<0.1 mcg/L)
B-type natriuretic peptide
<100 pg/mL
(<28.9 pmol/L)
Question 2 of 5
The nurse is reviewing laboratory data for a client admitted to the emergency department with chest pain. Which serum value requires immediate action by the nurse?
Correct Answer: D
Rationale: Elevated troponin T (0.7 ng/mL) indicates myocardial injury, requiring immediate action for possible myocardial infarction. Other values are less critical.
Extract:
Question 3 of 5
The nurse is auscultating an elderly bedridden client's breath sounds and hears crackles. What is the best interpretation of this finding?
Correct Answer: C
Rationale: Crackles in a bedridden elderly client suggest fluid in the lungs or atelectasis, which deep breathing can help clear. It's not normal, not immediately life-threatening, and oxygen is premature without further assessment.
Question 4 of 5
The nurse is attending an end-of-year school family picnic. Which situation needs an immediate intervention?
Correct Answer: B
Rationale: A 3-year-old alone in a wading pool is at immediate risk of drowning, requiring urgent intervention. A poses a choking risk but is less immediately life-threatening. C and D are age-appropriate activities with lower immediate risk.
Question 5 of 5
The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?
Correct Answer: C
Rationale: Supples, vesicles, and crusts will be present at one time. Chickenpox lesions appear in multiple stages simultaneously.