NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Laboratory reference ranges
CD4+ T lymphocyte cells
600-1500 cells/μL
Hemoglobin A1c
Good diabetic control
<7%
Fair diabetic control
8%-9%
Poor diabetic control
>9%
Platelets
150,000-400,000/mm3
(150-400 × 109/L)
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Question 1 of 5
The nurse reviews new laboratory results for assigned clients. Which finding is the priority for the nurse to report to the supervising registered nurse?
Correct Answer: C
Rationale: A serum glucose of 65 mg/dL indicates hypoglycemia, which is critical in a client on total parenteral nutrition, as it may require immediate adjustment of glucose infusion or administration of dextrose.
Extract:
Question 2 of 5
The physician has recommended that an adult male be scheduled for a left heart catheterization. The client asks the nurse what a cardiac catheterization is for. What information should be included when responding to this client?
Correct Answer: A
Rationale: Left heart catheterization visualizes coronary arteries to assess for blockages, aiding in diagnosing coronary artery disease.
Question 3 of 5
The nurse is documenting the assessment of a client's peripheral pulses. The nurse palpates the top portion of the client's feet and notes that the right pulse is full and strong, and the left pulse is diminished but still palpable. Which of the following would be correct documentation to include in the client's medical record?
Correct Answer: A
Rationale: The dorsalis pedis pulse is palpated on the top of the foot. A 3+ pulse is full and strong, and 1+ is diminished but palpable, accurately reflecting the findings.
Question 4 of 5
A 35-year-old client of Puerto Rican-American descent is diagnosed with ovarian cancer. The client states, 'I refuse both radiation and chemotherapy because they are 'hot.' The next action for the nurse to take is to
Correct Answer: D
Rationale: ask the client to talk about concerns regarding 'hot' treatments. The 'hot-cold' system is found among Mexican-Americans, Puerto Ricans, and other Hispanic-Latinos. Most foods, beverages, herbs, and medicines are categorized as hot or cold, which are symbolic designations and do not necessarily indicate temperature or spiciness. Care and treatment regimens can be negotiated with clients within this framework.
Question 5 of 5
The nurse is contributing to the plan of care for an 8-year-old client with autism spectrum disorder. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Consistency in schedule (
A), parental presence (
B), familiar staff (
C), and a private room with familiar items (
D) reduce anxiety in children with autism. Therapeutic touch (E) may be distressing due to sensory sensitivities.