NCLEX-PN
NCLEX PN Test Questions Questions
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 1 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 2 of 5
The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?
Correct Answer: A
Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.
Question 3 of 5
The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?
Correct Answer: B
Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.
Question 4 of 5
A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?
Correct Answer: A
Rationale: Low hemoglobin. Hemodialysis corrects electrolyte imbalances but does not improve anemia.
Question 5 of 5
Prior to administering a feeding, the nurse checks for placement of a feeding tube. What is the best way to do this?
Correct Answer: B
Rationale: Measuring the pH of aspirated fluid (pH <5.5) confirms gastric placement, the most reliable method to prevent aspiration.