NCLEX-PN
NCLEX PN Test Questions
Extract:
Laboratory results
Albumin
3.5-5 g/dL
(35-50 g/L)
2.0 g/dL (20 g/L)
Cholesterol
<200 mg/dL
(<5.2 mmol/L)
275 mg/dL (7.1 mmol/L)
Urinalysis
Protein
0-8 mg/dL
300 mg/dL
Question 1 of 5
A nurse is reviewing the laboratory values of a 3-year-old with nephrotic syndrome. The nurse interprets the results to most clearly reflect which physiologic process related to nephrotic syndrome?
Correct Answer: B
Rationale: Nephrotic syndrome is a collection of symptoms resulting from various causes of glomerular injury (Option 2). The most common cause of nephrotic syndrome in children is minimal change nephrotic syndrome, which is generally considered idiopathic. Less common secondary causes may be related to systemic disease or infection, such as glomerulonephritis, drug toxicity, or acquired immunodeficiency syndrome.
Extract:
Question 2 of 5
Four clients have requested medication for pain. The licensed practical nurse should give priority to medicating:
Correct Answer: D
Rationale: Pain from a myocardial infarction indicates ongoing ischemia, requiring immediate attention to reduce cardiac demand. Fractured femur, laminectomy, and head injury pain, while serious, are less immediately life-threatening.
Question 3 of 5
The nurse is talking with a client who has schizophrenia. The client states, 'I had a pet rabbit when I was growing up. Carrots are probably my favorite vegetable. Do you know that oranges grow on trees?' The nurse should recognize that the client is demonstrating
Correct Answer: C
Rationale: Tangentiality involves shifting topics without clear connections, as seen in the client’s unrelated statements about rabbits, carrots, and oranges. Associative looseness is more disorganized, concrete thinking lacks abstract thought, and neologisms involve invented words.
Question 4 of 5
The nurse is reinforcing teaching on nutritional therapy for a client with chronic kidney disease. Which statement indicates that further teaching is needed?
Correct Answer: B
Rationale: Salt substitutes often contain potassium, which is restricted in chronic kidney disease due to impaired kidney excretion. This statement indicates a misunderstanding. The other statements correctly reflect sodium restriction, phosphorus restriction, and fluid intake considerations.
Question 5 of 5
A client is admitted with right lower quadrant pain, nausea, and a temperature of 100°F. What does the nurse expect will be done initially?
Correct Answer: C
Rationale: Symptoms suggest appendicitis; a CBC is initial to assess for infection (elevated WB
C), guiding further diagnostic steps.