NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The intensive care nurse is caring for a client who has just been extubated. Which interventions are appropriate at this time?
Correct Answer: B,C,D,E
Rationale: Post-extubation, warmed, humidified oxygen (
B) prevents mucosal drying, ice chips (
C) moisten the mouth, oral sponges (
D) maintain hygiene, and incentive spirometry (E) promotes lung expansion. Oral narcotics (
A) are risky due to potential airway compromise.
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
The home health nurse is reinforcing teaching for a client with atrial fibrillation who is prescribed digoxin 0.25 mg orally on even-numbered days. Which client statement will require further teaching about digoxin?
Correct Answer: D
Rationale: Taking blood pressure (
D) is unrelated to digoxin monitoring. Anorexia (A Anorexia (
A), dizziness (
B), and visual changes (
C) are signs of digoxin toxicity, requiring provider notification.
Question 5 of 5
A 78-year-old client is admitted following a cerebrovascular accident. He cannot move his left arm and leg. Which finding would indicate to the nurse that the client also has homonymous hemianopia?
Correct Answer: B
Rationale: Homonymous hemianopia, a visual field defect from right brain stroke, causes left-sided vision loss, so the client misses the nurse on the left, unlike arm movement, swallowing, or speech issues.