NCLEX PN Practice Test 1 Questions
and Answers| Latest Update
1. . While undergoing hemodialysis, the client becomes restless and tells the nurse he has
a headache and feels nauseous. Which of the following complications does the nurse
suspect?
A. Infection.
B. Disequilibrium syndrome.
C. Air embolus.
D. Acute hemolysis. ✔️✔️B. Disequilibrium syndrome.
2. . An elderly couple is speaking to the nurse about their ambivalence related to sending
the client, their adult, dual-diagnosed (bipolar and drug addict) son, into residential
placement. They tell the nurse that neither keeping their son at home nor sending him
to a facility is a satisfactory solution for them. What information should the nurse keep
in mind when discussing this dilemma with the family? Select all that apply.
A. Implement what is best for the couple.
B. Suggest another psychiatric evaluation for the son.
C. Look for all potential options for care.
D. Review the client's treatment history.
E. Consult legal authorities for information. ✔️✔️C. Look for all potential options for
care.
D. Review the client's treatment history.
3. 13. The nurse is caring for a 44-year-old client diagnosed with hypoparathyroidism.
Which electrolyte imbalance is closely associated with hypoparathyroidism?
A. Hypocalcemia.
B. Hyponatremia.
C. Hyperkalemia.
D. Hypophosphatemia. ✔️✔️A. Hypocalcemia
, 4. 14. The nurse is caring for a client diagnosed with end-stage liver disease. The client has
completed an advance directive and a do-not-resuscitate (DNR) document and wishes to
receive palliative care. Which of the following would correspond to the client's wish for
comfort care?
A. Positioning frequently to prevent skin breakdown and providing pain
management and other comfort measures.
B. Carrying out vigorous resuscitation efforts if the client were to stop breathing,
but no resuscitation if the heart stops beating.
C. Providing intravenous fluids when the client becomes dehydrated.
D. Providing total parenteral nutrition (TPN) if the client is not able to eat. ✔️✔️A.
Positioning frequently to prevent skin breakdown and providing pain
management and other comfort measures.
5. 15. The nurse is caring for a client receiving warfarin therapy (Coumadin®) following a
stroke. The client's PT/INR was completed at 7:00 A.M. prior to the morning meal with
an INR reading of 4.0. Which of the following is the nurse's first priority?
A. Call the physician to request an increase in the Coumadin® dose.
B. Administer a vitamin K injection IM and notify the physician of the results.
C. Assess the client for bleeding around the gums or in the stool and notify the
physician of the lab results and latest dose of Coumadin®.
D. Notify the next shift to hold the daily dose of Coumadin® scheduled for 5:00 pm.
✔️✔️C. Assess the client for bleeding around the gums or in the stool and notify
the physician of the lab results and latest dose of Coumadin®.
6. 16. The nurse is checking laboratory values on a patient who has crackling rales in the
lower lobes, 2+ pitting edema, and dyspnea with minimal exertion. Which of the
following laboratory values does the nurse expect to be abnormal?
A. Potassium.
B. B-type natriuretic peptide (BNP).
C. C-reactive protein (CRP).
D. Platelets. ✔️✔️B. B-type natriuretic peptide (BNP).
and Answers| Latest Update
1. . While undergoing hemodialysis, the client becomes restless and tells the nurse he has
a headache and feels nauseous. Which of the following complications does the nurse
suspect?
A. Infection.
B. Disequilibrium syndrome.
C. Air embolus.
D. Acute hemolysis. ✔️✔️B. Disequilibrium syndrome.
2. . An elderly couple is speaking to the nurse about their ambivalence related to sending
the client, their adult, dual-diagnosed (bipolar and drug addict) son, into residential
placement. They tell the nurse that neither keeping their son at home nor sending him
to a facility is a satisfactory solution for them. What information should the nurse keep
in mind when discussing this dilemma with the family? Select all that apply.
A. Implement what is best for the couple.
B. Suggest another psychiatric evaluation for the son.
C. Look for all potential options for care.
D. Review the client's treatment history.
E. Consult legal authorities for information. ✔️✔️C. Look for all potential options for
care.
D. Review the client's treatment history.
3. 13. The nurse is caring for a 44-year-old client diagnosed with hypoparathyroidism.
Which electrolyte imbalance is closely associated with hypoparathyroidism?
A. Hypocalcemia.
B. Hyponatremia.
C. Hyperkalemia.
D. Hypophosphatemia. ✔️✔️A. Hypocalcemia
, 4. 14. The nurse is caring for a client diagnosed with end-stage liver disease. The client has
completed an advance directive and a do-not-resuscitate (DNR) document and wishes to
receive palliative care. Which of the following would correspond to the client's wish for
comfort care?
A. Positioning frequently to prevent skin breakdown and providing pain
management and other comfort measures.
B. Carrying out vigorous resuscitation efforts if the client were to stop breathing,
but no resuscitation if the heart stops beating.
C. Providing intravenous fluids when the client becomes dehydrated.
D. Providing total parenteral nutrition (TPN) if the client is not able to eat. ✔️✔️A.
Positioning frequently to prevent skin breakdown and providing pain
management and other comfort measures.
5. 15. The nurse is caring for a client receiving warfarin therapy (Coumadin®) following a
stroke. The client's PT/INR was completed at 7:00 A.M. prior to the morning meal with
an INR reading of 4.0. Which of the following is the nurse's first priority?
A. Call the physician to request an increase in the Coumadin® dose.
B. Administer a vitamin K injection IM and notify the physician of the results.
C. Assess the client for bleeding around the gums or in the stool and notify the
physician of the lab results and latest dose of Coumadin®.
D. Notify the next shift to hold the daily dose of Coumadin® scheduled for 5:00 pm.
✔️✔️C. Assess the client for bleeding around the gums or in the stool and notify
the physician of the lab results and latest dose of Coumadin®.
6. 16. The nurse is checking laboratory values on a patient who has crackling rales in the
lower lobes, 2+ pitting edema, and dyspnea with minimal exertion. Which of the
following laboratory values does the nurse expect to be abnormal?
A. Potassium.
B. B-type natriuretic peptide (BNP).
C. C-reactive protein (CRP).
D. Platelets. ✔️✔️B. B-type natriuretic peptide (BNP).
