NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Laboratory reference ranges
WBC
5000–10,000/mm³
(5–10 × 10⁹/L)
Question 1 of 5
The nurse is caring for 4 clients. Which client should the nurse see first?
Correct Answer: A
Rationale: Weak pulses and mottled skin suggest vascular compromise, a life-threatening complication requiring immediate attention. The other conditions are less urgent.
Extract:
Question 2 of 5
A thyroid scan, a cardiac catheterization, a gallbladder x-ray, and an intravenous pyelogram are ordered for a client. Which test should the nurse schedule to be done first?
Correct Answer: A
Rationale: Thyroid scans use radioactive iodine, which can interfere with other tests' contrast agents or imaging. Scheduling it first prevents interaction with cardiac catheterization, gallbladder x-ray, or IVP.
Question 3 of 5
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
Correct Answer: B
Rationale: Alcohol potentiates the action of tricyclic antidepressants.
Question 4 of 5
The nurse is reinforcing education to a group of parents about ways to decrease the risk of sudden infant death syndrome. Which of the following recommendations should the nurse suggest? Select all that apply.
Correct Answer: A,C,D
Rationale: Breastfeeding, pacifier use, and a smoke-free environment reduce SIDS risk. Cosleeping and side-lying positions increase risk.
Question 5 of 5
A client with a diagnosis of acoustic neuroma asks the nurse to explain what is wrong with his hearing. The nurse's response is based on the knowledge that an acoustic neuroma is:
Correct Answer: C
Rationale: An acoustic neuroma is a benign tumor of the eighth cranial (auditory) nerve that can affect hearing and balance and may cause compression of nearby structures, such as the cerebellum. Answer A is incorrect because acoustic neuromas are benign, not malignant. Answer B is incorrect because it involves the fifth cranial nerve, which is unrelated. Answer D refers to a glomus tumor, not an acoustic neuroma.