NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Laboratory reference ranges
Sodium
136-145 mEq/L
(136-145 mmol/L)
Potassium
3.5-5 mEq/L
(3.5-5 mmol/L)
Creatinine
Male: 0.6–1.3 mg/dL
(53.0–114.9 μmol/L)
Female: 0.5-1.1 mg/dL
(44.2-97.2 μmol/L)
BUN
10-20 mg/dL
(3.6-7.1 mmol/L)
Question 1 of 5
The nurse has been made aware of laboratory test results for a client who is receiving continuous cardiac monitoring. The client is asymptomatic, and the cardiac monitor shows normal sinus rhythm. Which of the following is most likely an erroneous test result?
Correct Answer: C
Rationale: A potassium level of 7.0 mEq/L (
C) is life-threatening and would likely cause arrhythmias, inconsistent with normal sinus rhythm and asymptomatic status, suggesting an error. Elevated BUN (
A), sodium (
B), and creatinine (
D) are concerning but plausible in renal or dehydration issues without immediate cardiac effects.
Extract:
Question 2 of 5
The nurse is caring for a client with overflow urinary incontinence related to diabetic neuropathy. Which of the following interventions are appropriate?
Correct Answer: C,D,E
Rationale: Inspecting for skin breakdown (
C), measuring postvoid residuals (
D), and double voiding (E) manage overflow incontinence. Restricting fluids (
A) risks dehydration, and bearing down (
B) may worsen incontinence.
Question 3 of 5
The nurse is reinforcing teaching to the parents of a hospitalized 3-month-old about separation anxiety. The nurse notices that the parents still seem concerned about leaving the infant while they work. Which statement by one of the parents indicates that the teaching has been effective?
Correct Answer: C
Rationale: Infants at 3 months (
C) do not yet exhibit separation anxiety and cannot sense parental anxiety. Crying (
A), feeling abandoned (
B), and understanding return (
D) occur later in development.
Question 4 of 5
The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent
Correct Answer: B
Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).
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.