NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A client with insulin-dependent diabetes takes 20 units NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:
Correct Answer: C
Rationale: NPH insulin peaks 6-12 hours after administration (1-3 p.m.), making 3 p.m. the time to watch for hypoglycemia. Other times are outside the peak window.
Extract:
Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 150 mEq/L (150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 6.0 mEq/L (6.0 mmol/L)
Calcium
9.0-10.5 mg/dL
(2.25-2.62 mmol/L) 9.0 mg/dL (2.25 mmol/L)
Phosphate
3.0-4.5 mg/dL
(0.97-1.45 mmol/L) 5.8 mg/dL (1.87 mmol/L)
Question 2 of 5
The home health nurse has reviewed the most recent laboratory test results for a client with chronic kidney disease. Which of the following would be an appropriate afternoon snack to recommend for the client?
Correct Answer: C
Rationale: CKD patients need low-potassium, low-phosphorus snacks. Oatmeal with apples (
C) is suitable. Milk (
A) is high in phosphorus, and chips (
B) are high in sodium. Pudding (
D) may have additives.
Extract:
Question 3 of 5
The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?
Correct Answer: B
Rationale: Consistency with caregivers reduces anxiety and improves trust for confused clients, enhancing care quality. Daily rotation, gender restrictions, or caregiver choice are less effective.
Question 4 of 5
A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?
Correct Answer: C
Rationale: Promoting the child's optimal development. The primary goal is to promote the child's optimum development.
Question 5 of 5
The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?
Correct Answer: B,D,E
Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.