NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
The incidence of Sickle Cell Anemia is higher among black American babies.
Question 1 of 5
The symptoms of sickle cell anemia are not evident until later during infancy because
Correct Answer: C
Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.
Extract:
Francis is a 48-year-old female with elevated blood sugar level.
Question 2 of 5
An immediate danger to confront Francis secondary to her elevated blood sugar level is
Correct Answer: B
Rationale: Glucose has an osmotic diuretic effect causing polyuria, which can lead to dehydration and impending shock if not addressed promptly.
Extract:
Question 3 of 5
The client's blood gas values are: pH=7.35; CO2=60; HCO3=34; and pO2=60. The nurse correctly interprets these to indicate that the client is in which state?
Correct Answer: A
Rationale: Normal pH with elevated CO2 and HCO3 indicates compensated respiratory acidosis, where kidneys retain bicarbonate to balance chronic CO2 retention.
Question 4 of 5
A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?
Correct Answer: A
Rationale: Lethargy. Hypothyroidism slows metabolism, leading to symptoms like lethargy, constipation, and cold intolerance.
Question 5 of 5
A nurse is caring for a patient with diabetes mellitus who is experiencing hyperglycemia. Which of the following interventions should the nurse implement? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Insulin corrects hyperglycemia, sugar-free fluids prevent dehydration, monitoring tracks progress, and DKA assessment detects complications. Carbohydrate snacks worsen hyperglycemia.