NCLEX-PN Examination 2026: Comprehensive Test for Registered
Nurse Licensure | Full Practice Questions & Answers
Prepare for the NCLEX-PN 2026 with our complete, expertly crafted practice test. Includes 300+
questions on end-stage renal disease, cardiovascular, respiratory, and multi-system nursing
concepts with detailed answers and rationales. Ideal for aspiring licensed practical nurses seeking
thorough exam readiness
Question 1
Which finding is most typical of a client with end-stage renal disease?
A. Polyuria
B. Hyperkalemia
C. Low serum creatinine
D. Respiratory alkalosis
Correct Answer: B. Hyperkalemia
Rationale: ESRD causes inability to excrete potassium, leading to dangerous
elevations.
Question 2
A client with ESRD is at greatest risk for which acid–base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Correct Answer: C. Metabolic acidosis
,Question 3
Which urine output pattern is expected in end-stage renal disease?
A. Polyuria
B. Nocturia
C. Oliguria or anuria
D. Normal output
Correct Answer: C
Question 4
Which laboratory value is expected in ESRD?
A. Decreased BUN
B. Decreased creatinine
C. Increased creatinine
D. Normal phosphorus
Correct Answer: C
Question 5
Which cardiovascular finding is commonly associated with ESRD?
A. Hypotension
B. Bradycardia
C. Hypertension
D. Bounding pulses only
Correct Answer: C
,Question 6
A client with ESRD is at risk for anemia due to decreased production of:
A. Platelets
B. White blood cells
C. Erythropoietin
D. Albumin
Correct Answer: C
Question 7
Which electrolyte imbalance places the ESRD client at risk for dysrhythmias?
A. Hyponatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Correct Answer: C
Question 8
Which physical finding is most consistent with fluid overload in ESRD?
A. Dry mucous membranes
B. Weight loss
C. Peripheral edema
D. Sunken eyes
Correct Answer: C
Question 9
, Which dietary restriction is most important for a client with ESRD?
A. Increased protein
B. Increased potassium
C. Restricted potassium
D. Unlimited fluids
Correct Answer: C
Question 10
Which statement by a client with ESRD indicates understanding of the disease?
A. “My kidneys will recover with rest.”
B. “Dialysis removes waste my kidneys cannot.”
C. “I should drink more fluids daily.”
D. “High potassium is not dangerous.”
Correct Answer: B
11. Which lab value is expected in ESRD?
A. Low phosphorus
B. High calcium
C. High phosphorus
D. Low potassium
Answer: C
12. ESRD most commonly causes which hematologic condition?
A. Leukocytosis
B. Anemia
C. Polycythemia
D. Thrombocytopenia
Answer: B
13. Which ECG change may occur due to ESRD?
Nurse Licensure | Full Practice Questions & Answers
Prepare for the NCLEX-PN 2026 with our complete, expertly crafted practice test. Includes 300+
questions on end-stage renal disease, cardiovascular, respiratory, and multi-system nursing
concepts with detailed answers and rationales. Ideal for aspiring licensed practical nurses seeking
thorough exam readiness
Question 1
Which finding is most typical of a client with end-stage renal disease?
A. Polyuria
B. Hyperkalemia
C. Low serum creatinine
D. Respiratory alkalosis
Correct Answer: B. Hyperkalemia
Rationale: ESRD causes inability to excrete potassium, leading to dangerous
elevations.
Question 2
A client with ESRD is at greatest risk for which acid–base imbalance?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Correct Answer: C. Metabolic acidosis
,Question 3
Which urine output pattern is expected in end-stage renal disease?
A. Polyuria
B. Nocturia
C. Oliguria or anuria
D. Normal output
Correct Answer: C
Question 4
Which laboratory value is expected in ESRD?
A. Decreased BUN
B. Decreased creatinine
C. Increased creatinine
D. Normal phosphorus
Correct Answer: C
Question 5
Which cardiovascular finding is commonly associated with ESRD?
A. Hypotension
B. Bradycardia
C. Hypertension
D. Bounding pulses only
Correct Answer: C
,Question 6
A client with ESRD is at risk for anemia due to decreased production of:
A. Platelets
B. White blood cells
C. Erythropoietin
D. Albumin
Correct Answer: C
Question 7
Which electrolyte imbalance places the ESRD client at risk for dysrhythmias?
A. Hyponatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypermagnesemia
Correct Answer: C
Question 8
Which physical finding is most consistent with fluid overload in ESRD?
A. Dry mucous membranes
B. Weight loss
C. Peripheral edema
D. Sunken eyes
Correct Answer: C
Question 9
, Which dietary restriction is most important for a client with ESRD?
A. Increased protein
B. Increased potassium
C. Restricted potassium
D. Unlimited fluids
Correct Answer: C
Question 10
Which statement by a client with ESRD indicates understanding of the disease?
A. “My kidneys will recover with rest.”
B. “Dialysis removes waste my kidneys cannot.”
C. “I should drink more fluids daily.”
D. “High potassium is not dangerous.”
Correct Answer: B
11. Which lab value is expected in ESRD?
A. Low phosphorus
B. High calcium
C. High phosphorus
D. Low potassium
Answer: C
12. ESRD most commonly causes which hematologic condition?
A. Leukocytosis
B. Anemia
C. Polycythemia
D. Thrombocytopenia
Answer: B
13. Which ECG change may occur due to ESRD?
