2026 NCLEX PN ARCHER REVIEW EXAM |650+Qs&As
|ALREADY GRADED A+
The licensed practical/vocational (LPN/VN) nurse is caring for a client with
cardiac arrest and assisting the registered nurse (RN) in identifying priorities
and delegation. As the LPN/VN assists with assigning roles to other staff, this
is demonstrating which leadership style?
A. Authoritative
B. Situational
C. Democratic
D. Laissez-faire
Authoritative
Rationale:
Authoritative leadership is demonstrated in this situation as the nurse assists
with the delegation and provides directives to accomplish tasks. This is an
appropriate leadership style in an emergency where one individual assigns
tasks/roles to decrease confusion and chaos in an emergent situation.
What is the normal level of creatinine in a healthy adult male?
A. 0.4 to 0.8 mg/dL
B. 0.1-0.4 mg/dL
,C. 0.6-1.2 mg/dL
D. 1.5-2.0 mg/dL
0.6-1.2 mg/dL
Rationale:
Creatinine values reflect both the amount of muscle a person has and their
amount of kidney function. Hence, the levels are slightly lower in women due
to lesser muscle mass. Most men with normal kidney function have 0.6 to 1.2
milligrams/deciliters (mg/dL) of creatinine. Most women with normal kidney
function have between 0.5 to 1.1 mg/dL of creatinine.
The nurse is caring for a client who has a serum calcium level of 13.2 mg/dL(9-
10.5 mg/dL). Which of the following medications would be expected orders for
this condition?
Select all that apply.
Phosphorus
Calcitonin
Vitamin D
IV calcium gluconate
Glucocorticoids
Phosphorus
Calcitonin
,Glucocorticoids
Rationale:
The normal serum calcium level is 8.4-10.2 mg/dL. This client has a high serum
calcium level (hypercalcemia). Phosphorus is a medication that the nurse
would expect to administer to treat hypercalcemia. Phosphorus and calcium
have an inverse relationship, so by increasing the serum level of phosphorus
the nurse can decrease the serum level of calcium. Oral phosphate is the
preferred method of administering phosphorus. If given IV, calcium phosphate
forms and precipitates in the tissues. This “precipitation phenomenon”
reduces serum calcium levels very quickly.
Calcitonin is a medication that the nurse would expect to administer to treat
hypercalcemia. Calcitonin is a thyroid hormone that decreases the plasma
calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
Glucocorticoids are steroids that can be used to treat a variety of conditions,
including hypercalcemia associated with certain cancers. Glucocorticoids work
by inhibiting the activity of cells that break down bone and release calcium
into the blood.
The nurse is reviewing labs for a patient with a serum potassium level of 3.3
mg/dL(3.5-5 mEq/L). Which action would the nurse recognize as the highest
priority?
, A. Educate the patient on potassium-rich foods
B. Implement telemetry monitoring
C. Obtain an order for STAT IM KCl
D. Assess the patient’s neurological status
Implement telemetry monitoring
Rationale:
The normal range for serum potassium is between 3.5-5 mg/dL, so this
patient’s level is low. Hypokalemia can lead to life-threatening cardiac
arrhythmias. Of the options provided, initiating telemetry monitoring would
be the highest priority in order to assess the patient’s heart function and
monitor for any changes.
The nurse is caring for a client with acute renal failure. Which of the following
laboratory results should be reported to the primary healthcare provider
(PHCP)?
A. Blood urea nitrogen 20 mg/dL
B. Serum potassium 6 mEq/L
C. Venous blood pH 7.30
|ALREADY GRADED A+
The licensed practical/vocational (LPN/VN) nurse is caring for a client with
cardiac arrest and assisting the registered nurse (RN) in identifying priorities
and delegation. As the LPN/VN assists with assigning roles to other staff, this
is demonstrating which leadership style?
A. Authoritative
B. Situational
C. Democratic
D. Laissez-faire
Authoritative
Rationale:
Authoritative leadership is demonstrated in this situation as the nurse assists
with the delegation and provides directives to accomplish tasks. This is an
appropriate leadership style in an emergency where one individual assigns
tasks/roles to decrease confusion and chaos in an emergent situation.
What is the normal level of creatinine in a healthy adult male?
A. 0.4 to 0.8 mg/dL
B. 0.1-0.4 mg/dL
,C. 0.6-1.2 mg/dL
D. 1.5-2.0 mg/dL
0.6-1.2 mg/dL
Rationale:
Creatinine values reflect both the amount of muscle a person has and their
amount of kidney function. Hence, the levels are slightly lower in women due
to lesser muscle mass. Most men with normal kidney function have 0.6 to 1.2
milligrams/deciliters (mg/dL) of creatinine. Most women with normal kidney
function have between 0.5 to 1.1 mg/dL of creatinine.
The nurse is caring for a client who has a serum calcium level of 13.2 mg/dL(9-
10.5 mg/dL). Which of the following medications would be expected orders for
this condition?
Select all that apply.
Phosphorus
Calcitonin
Vitamin D
IV calcium gluconate
Glucocorticoids
Phosphorus
Calcitonin
,Glucocorticoids
Rationale:
The normal serum calcium level is 8.4-10.2 mg/dL. This client has a high serum
calcium level (hypercalcemia). Phosphorus is a medication that the nurse
would expect to administer to treat hypercalcemia. Phosphorus and calcium
have an inverse relationship, so by increasing the serum level of phosphorus
the nurse can decrease the serum level of calcium. Oral phosphate is the
preferred method of administering phosphorus. If given IV, calcium phosphate
forms and precipitates in the tissues. This “precipitation phenomenon”
reduces serum calcium levels very quickly.
Calcitonin is a medication that the nurse would expect to administer to treat
hypercalcemia. Calcitonin is a thyroid hormone that decreases the plasma
calcium level by inhibiting bone resorption and lowering the serum calcium
concentration.
Glucocorticoids are steroids that can be used to treat a variety of conditions,
including hypercalcemia associated with certain cancers. Glucocorticoids work
by inhibiting the activity of cells that break down bone and release calcium
into the blood.
The nurse is reviewing labs for a patient with a serum potassium level of 3.3
mg/dL(3.5-5 mEq/L). Which action would the nurse recognize as the highest
priority?
, A. Educate the patient on potassium-rich foods
B. Implement telemetry monitoring
C. Obtain an order for STAT IM KCl
D. Assess the patient’s neurological status
Implement telemetry monitoring
Rationale:
The normal range for serum potassium is between 3.5-5 mg/dL, so this
patient’s level is low. Hypokalemia can lead to life-threatening cardiac
arrhythmias. Of the options provided, initiating telemetry monitoring would
be the highest priority in order to assess the patient’s heart function and
monitor for any changes.
The nurse is caring for a client with acute renal failure. Which of the following
laboratory results should be reported to the primary healthcare provider
(PHCP)?
A. Blood urea nitrogen 20 mg/dL
B. Serum potassium 6 mEq/L
C. Venous blood pH 7.30
