NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse knows that a client with right-sided hemiplegia understands teaching regarding ambulation with a cane if she states:
Correct Answer: D
Rationale: For right-sided hemiplegia, the cane is held in the left hand to support the weaker right side. Holding it in the right hand or advancing it with the right leg is incorrect. A walker is not always necessary.
Question 2 of 5
The nurse has just completed a dressing change on an elderly client who is allowed bathroom privileges. Which action is most essential for the nurse to take before leaving the client's bedside?
Correct Answer: A
Rationale: Hand washing prevents infection transmission post-dressing change, a critical step. Lowering the bed, toileting, or pain assessment are secondary.
Extract:
Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9–11.1 mmol/L)
Hematocrit
Male: 42%–52%
(0.42-0.52)
Female: 37%–47%
(0.37–0.47)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L)
Troponin T (cTnT)
<0.1 ng/mL
(<0.1 mcg/L)
B-type natriuretic peptide
<100 pg/mL
(<28.9 pmol/L)
Question 3 of 5
The nurse is reviewing laboratory data for a client admitted to the emergency department with chest pain. Which serum value requires immediate action by the nurse?
Correct Answer: D
Rationale: Elevated troponin T (0.7 ng/mL) indicates myocardial injury, requiring immediate action for possible myocardial infarction. Other values are less critical.
Extract:
Laboratory reference ranges
Phosphate
3.0–4.5 mg/dL
(0.97–1.45 mmol/L)
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Magnesium
1.3–2.1 mEq/L
(0.65–1.05 mmol/L)
Hemoglobin A1c
4.0%–5.9%
Good diabetic control
<7%
Fair diabetic control
8%-9%
Poor diabetic control
>9%
Question 4 of 5
The nurse is preparing to administer scheduled medications to assigned clients. Which of the following medications should the nurse hold for clarification prior to administering?
Correct Answer: C
Rationale: Clopidogrel increases bleeding risk in a client with low platelets (70,000/mm³), requiring clarification. The other medications align with the clients' conditions.
Extract:
Question 5 of 5
The nurse notes that a client with COPD demonstrates increased dyspnea in certain positions. Which position is most likely to lessen the client's dyspnea?
Correct Answer: B
Rationale: The client with chronic obstructive pulmonary disease has increased difficulty breathing when lying down. His respiratory effort is improved by standing or sitting upright or by having the bed in high Fowler's position. Answers A, C, and D do not alleviate the client's dyspnea; therefore they are incorrect.