NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Laboratory reference ranges
Glucose (fasting)
Infant – Within 24 hours after birth
≥40 mg/dL (2.2 mmol/L)
Question 1 of 5
The nurse is caring for assigned newborns. Which of the following newborns should the nurse check first?
Correct Answer: D
Rationale: A glucose level of 38 mg/dL with jitteriness (
D) indicates hypoglycemia, a critical condition requiring immediate intervention. Crackles (
A), asymmetric Moro reflex (
B), and respiratory rate of 52 (
C) are less urgent.
Extract:
Question 2 of 5
The nurse is caring for a client with hyperosmolar hyperglycemic state (HHS). The nurse should recognize which characteristic is most consistent with HHS?
Correct Answer: B
Rationale: Altered consciousness (
B) is a hallmark of HHS due to severe hyperglycemia and dehydration. Abdominal pain (
A) and Kussmaul respirations (
D) are more typical of DKA, and HHS is associated with type 2 diabetes (
C).
Question 3 of 5
A danger following a bone marrow transplantation is graft-host disease. The initial sign of graft-versus-host disease is:
Correct Answer: B
Rationale: A rash is often the earliest sign of graft-versus-host disease, reflecting immune attack on the skin. Other signs may follow but are less initial.
Question 4 of 5
Which of the following toys is the most appropriate for a 2-year old with Tetralogy of Fallot?
Correct Answer: C
Rationale: A push-pull toy encourages gentle physical activity suitable for a 2-year-old with Tetralogy of Fallot, who may tire easily. A toy horn requires exertion, a stethoscope is not age-appropriate, and a shape sorter is sedentary.
Extract:
Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 126 mEq/L
(126 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.8 mEq/L
(4.8 mmol/L)
Calcium
9.0–10.5 mg/dL
(2.25–2.62 mmol/L) 9.0 mg/dL
(2.25 mmol/L)
Question 5 of 5
A client with heart failure has gained 5 lb (2.26 kg) over the last 3 days. The nurse reviews the client's blood laboratory results. Based on this information, what medication administration does the nurse anticipate?
Correct Answer: C
Rationale: Weight gain in heart failure suggests fluid retention. Furosemide (
C), a diuretic, is anticipated to reduce fluid overload. Sodium chloride (
A) worsens fluid retention, and calcium gluconate (
B) and sodium polystyrene (
D) address other conditions.