NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Laboratory Reference Ranges
Sodium
136-145 mEq/L
(136-145 mmol/L)
Question 1 of 5
The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Extremity drift (
A), unconsciousness (
B), heparin before surgery (
C), and severe hyponatremia (
D) are urgent and require notification. Refusing pain medication (E) is not critical.
Extract:
Question 2 of 5
The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?
Correct Answer: B
Rationale: Gonorrhea and chlamydia (
B) are bacterial infections that commonly cause pelvic inflammatory disease and infertility if untreated. Other options are less associated with these outcomes.
Question 3 of 5
The client with Cushing's disease will most likely exhibit signs of:
Correct Answer: A
Rationale: Cushing's disease causes hypercortisolism, leading to hypokalemia due to increased potassium excretion. Hypernatremia , hypocalcaemia , and hypermagnesemia are not typical in Cushing's disease.
Question 4 of 5
The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.
Correct Answer: A,B
Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.
Question 5 of 5
The nurse is talking with a client who has a new prescription for misoprostol to prevent gastric ulcers. Which of the following statements by the client would require follow-up?
Correct Answer: C
Rationale: Taking misoprostol with antacids (
C) reduces its efficacy and requires follow-up. Taking with meals (
A), using contraception (
B), and reporting black stools (
D) are correct.