NCLEX-PN
NCLEX PN Practice Tests Questions
Extract:
Laboratory reference ranges
Hematocrit
Male: 42%-52%
(0.42-0.52)
Female: 37%-47%
(0.37-0.47)
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)
Female: 12-16 g/dL
(120-160 g/L)
Question 1 of 5
The nurse is reviewing the chart of a client who has a traumatic below-the-knee amputation. Which client should the nurse see first?
Correct Answer: A
Rationale: Stinging and inability to move toes in a new cast suggest compartment syndrome, a surgical emergency. Phantom limb pain and normal hematocrit/enoxaparin are less urgent.
Extract:
Question 2 of 5
When monitoring an infant with a left-to-right sided heart shunt, which findings would the nurse expect during the physical assessment? Select all that apply.
Correct Answer: C,D,E
Rationale: Left-to-right shunts (e.g., VS
D) cause pulmonary overcirculation, leading to diaphoresis, murmurs, and poor weight gain. Clubbing and cyanosis are more typical of right-to-left shunts.
Question 3 of 5
The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by reversing dilation of cerebral blood vessels. Which physician prescription would the nurse expect to accomplish this?
Correct Answer: A
Rationale: Hyperventilation is utilized to decrease the PCO2 to 27-30, producing cerebral blood vessel constriction. Answers B, C, and D can decrease cerebral edema, but not by constriction of cerebral blood vessels; therefore, they are wrong.
Question 4 of 5
The nurse is reinforcing teaching with a client who has a prescription for sertraline for the treatment of depression. Which of the following statements by the client would indicate a correct understanding of the teaching?
Correct Answer: D
Rationale: Reporting self-harm thoughts is critical, as sertraline may increase suicide risk initially. Discontinuing abruptly risks relapse, food restrictions apply to MAOIs, and benefits take weeks, not days.
Question 5 of 5
A young woman has routine blood work done at her prenatal appointment. The results indicate that she has a hemoglobin level of 10 g/dL. The nurse explains to her that this result is:
Correct Answer: C
Rationale: A hemoglobin of 10 g/dL is low (normal in pregnancy: 11-12 g/dL), indicating possible anemia, requiring further evaluation.