NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Laboratory results
Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)
Question 1 of 5
The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?
Correct Answer: B
Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.
Extract:
Question 2 of 5
The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?
Correct Answer: D
Rationale: Decreasing insulin during illness can lead to hyperglycemia or ketoacidosis, as insulin needs may increase.
Question 3 of 5
A 4-year old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?
Correct Answer: C
Rationale: A white cell count of 16,000 is elevated, suggesting infection, which must be reported before surgery. Hemoglobin , platelets , and urine specific gravity are normal.
Question 4 of 5
A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?
Correct Answer: C
Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.
Question 5 of 5
The nurse is reinforcing instructions to a client on collection of a sputum specimen for culture and sensitivity. Which of the following client statements indicate that teaching has been effective? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Rinsing the mouth, avoiding contamination, deep coughing, and sitting upright ensure a quality specimen. Morning collection is preferred for higher yield.