NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
An adult who has hepatitis A asks the nurse why her skin is yellow. The nurse should include which information when replying?
Correct Answer: A
Rationale: Hepatitis A impairs liver function, reducing bilirubin conjugation and excretion, leading to its accumulation in the blood, causing jaundice. The virus does not produce pigment, nor does the liver overproduce bilirubin or excrete waste through skin.
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
A student nurse is caring for a client with iron deficiency anemia who is newly prescribed ferrous sulfate. Which action by the student nurse requires the supervising nurse to intervene?
Correct Answer: D
Rationale: Calcium inhibits iron absorption, so administering ferrous sulfate with a calcium supplement reduces its effectiveness, requiring intervention.
Question 4 of 5
The nurse is screening clients for those at risk for developing a pressure injury. At highest risk for developing a pressure injury is the client
Correct Answer: D
Rationale: Clients with quadriplegia are at high risk due to immobility, which impairs circulation and increases pressure on skin. Moist skin increases the risk of skin breakdown, and elevated temperature may indicate infection or inflammation, further increasing risk.
Question 5 of 5
The nurse is assigning client care tasks to unlicensed assistive personnel. Which statement by the nurse is appropriate?
Correct Answer: A
Rationale: Assigning vital signs for multiple clients is clear, specific, and within the UAP's scope of practice, ensuring safe delegation.