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
Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.
Correct Answer: A,B,C
Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).
Question 3 of 5
The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?
Correct Answer: C
Rationale: Gradually increasing the time of separation can help the child adjust to the mother's absence, reducing anxiety and screaming over time.
Question 4 of 5
The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is
Correct Answer: C
Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).
Question 5 of 5
A woman who had a tuberculosis test three days ago reports to the nurse to have the test read. Which finding, if present, indicates a positive result and a need for referral and follow-up?
Correct Answer: B
Rationale: A raised (indurated) area >10 mm indicates a positive TB skin test, requiring follow-up for potential latent or active TB.