NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse cares for a client diagnosed with Addison disease. Which clinical finding would the nurse anticipate?
Correct Answer: D
Rationale: Addison disease causes weight loss (
D) due to cortisol deficiency. Acanthosis nigricans (
A), hirsutism (
B), and truncal obesity (
C) are associated with other endocrine disorders.
Question 2 of 5
The mother of a newborn asks why the nurse is checking the baby's nose. The nurse replies that it is important to check nasal patency because the newborn:
Correct Answer: B
Rationale: Newborns are obligate nose breathers, making nasal patency critical to prevent respiratory distress. Sneezing ability, apnea, or rapid respirations are unrelated.
Question 3 of 5
The nurse is caring for a man who has recently been diagnosed with angina. Which statement he makes indicates understanding of his condition?
Correct Answer: B
Rationale: Taking nitroglycerin for chest pain reflects proper angina management. Avoiding exercise, fearing heart attacks, or calling for all pain are misconceptions.
Question 4 of 5
One month ago, a client was prescribed phenytoin 100 mg orally 3 times daily. The client's current serum phenytoin level is 32 mcg/mL (127 μmol/L). Which action by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: A phenytoin level of 32 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), so the dose should be decreased (
B). Continuing (
A) or increasing (
C) the dose risks toxicity. Repeating the level (
D) delays intervention.
Extract:
Laboratory reference ranges
1-hour glucose screen - Gestational diabetes
<140 mg/dL
(<7.8 mmol/L)
Hemoglobin (pregnant)
>11.0 g/dL
(>110 g/L)
WBC (pregnant)
5000-15,000/mm3
(5-15 × 109/L)
Question 5 of 5
The licensed practical nurse (LPN) is collecting data on several clients in the antepartum unit. Which of the following clients should the LPN report to the registered nurse for further assessment?
Correct Answer: B
Rationale: Hemoglobin of 9 g/dL (
B) indicates anemia, requiring further assessment. Normal glucose (
A), reactive nonstress test (
C), and slightly elevated WBC (
D) are less urgent.