NCLEX PN EXAM REVIEW: CORE
CONCEPTS & CLINICAL
KNOWLEDGE
Table of Contents
. Cardiovascular, Respiratory, & Renal
1
2. Fluid & Electrolyte Balance
3. Acid-Base Balance
4. Endocrine System
5. Diabetes Mellitus
6. Medications & Pharmacology
7. Leadership & Management
8. Patient Positioning & Mobility
9. Pediatrics & Maternity
10. General Clinical Knowledge & Lab Values
11.Psychosocial Development
,1. Cardiovascular, Respiratory, & Renal
1 . Acute glomerulonephritis that is associated with beta-hemolytic strep
is an immunologic disorder that is caused by beta-hemolytic strep and
occurs:
● . 7 days after a respiratory infection
A
● B. 14 days after a skin infection
● C. 21 days after a respiratory or skin infection
● D. Immediately after a respiratory infection
. Peripheral edema, shortness of breath, and dizziness are common with
2
pacemaker failure due to:
● . Fluid overload
A
● B. Decreased cardiac output
● C. Pacemaker failure, leading to decreased cardiac output
● D. Normal aging
. Which of the following is a complication that occurs during the first 24
3
hours after a percutaneous liver biopsy?
● . Sepsis
A
● B. Hemorrhage
● C. Jaundice
● D. Ascites
. Increased pulse, a decreased blood pressure, and increased
4
respirations indicate shock, which is a result of a/an:
● . Fluid overload
A
● B. Hemorrhage
● C. Allergic reaction
● D. Infection
5. When a client is being prepared for a thoracentesis, the nurse should
,assist the client to which position?
A
● . Lying flat on the back
● B. Standing with arms raised
● C. Lying in bed on the unaffected side with the head of the bed
elevated 45 degrees
● D. Sitting in a chair
6. What is a thoracentesis?
● . A procedure to remove fluid from the abdomen
A
● B. A procedure to biopsy the liver
● C. A procedure to remove fluid from the lung
● D. A procedure to remove cerebrospinal fluid
. An assessment of a client with a tension pneumothorax reveals what
7
key sign?
● . Tracheal deviation towards the affected side
A
● B. Tracheal deviation towards the unaffected side
● C. Increased blood pressure
● D. Bradycardia
2. Fluid & Electrolyte Balance
8. What is common after repeated vomiting?
A
● . Hypernatremia and hyperkalemia
● B. Hypokalemia and hypomagnesemia; it is important to check a
client's electrolyte levels
● C. Hypercalcemia and hypernatremia
● D. Fluid volume excess
9. Why are diuretics given?
A
● . To promote absorption of sodium and water
● B. To promote excretion of sodium and water through the kidneys
, C
● . To increase blood pressure
● D. To decrease urine output
1 0. Hypotension and hypovolemic shock are complications of a
paracentesis due to the removal of a large volume of fluid. The procedure
is a/an:
● . Thoracentesis
A
● B. Paracentesis
● C. Lumbar puncture
● D. Endoscopy
1 1. Potassium-rich gastrointestinal (GI) fluids are lost through GI suction,
which places the client at risk for:
● . Hyperkalemia
A
● B. Hypokalemia
● C. Hyponatremia
● D. Hypernatremia
1 2. Clients who experience the cellular shifting of potassium, as in the
early stages of massive cell destruction (i.e., with trauma, burns, sepsis,
or metabolic or respiratory acidosis), are at risk for:
● . Hypokalemia
A
● B. Hyperkalemia
● C. Hypocalcemia
● D. Hypomagnesemia
1 3. Sensible losses are those that the person is aware of, such as those
that occur through:
● . Perspiration and breathing
A
● B. Wound drainage, GI tract losses, and urination
● C. Sweat and skin evaporation
● D. Insensible losses
1 4. Insensible losses may occur without the person's awareness.
Insensible losses occur daily through the:
● A. Kidneys
CONCEPTS & CLINICAL
KNOWLEDGE
Table of Contents
. Cardiovascular, Respiratory, & Renal
1
2. Fluid & Electrolyte Balance
3. Acid-Base Balance
4. Endocrine System
5. Diabetes Mellitus
6. Medications & Pharmacology
7. Leadership & Management
8. Patient Positioning & Mobility
9. Pediatrics & Maternity
10. General Clinical Knowledge & Lab Values
11.Psychosocial Development
,1. Cardiovascular, Respiratory, & Renal
1 . Acute glomerulonephritis that is associated with beta-hemolytic strep
is an immunologic disorder that is caused by beta-hemolytic strep and
occurs:
● . 7 days after a respiratory infection
A
● B. 14 days after a skin infection
● C. 21 days after a respiratory or skin infection
● D. Immediately after a respiratory infection
. Peripheral edema, shortness of breath, and dizziness are common with
2
pacemaker failure due to:
● . Fluid overload
A
● B. Decreased cardiac output
● C. Pacemaker failure, leading to decreased cardiac output
● D. Normal aging
. Which of the following is a complication that occurs during the first 24
3
hours after a percutaneous liver biopsy?
● . Sepsis
A
● B. Hemorrhage
● C. Jaundice
● D. Ascites
. Increased pulse, a decreased blood pressure, and increased
4
respirations indicate shock, which is a result of a/an:
● . Fluid overload
A
● B. Hemorrhage
● C. Allergic reaction
● D. Infection
5. When a client is being prepared for a thoracentesis, the nurse should
,assist the client to which position?
A
● . Lying flat on the back
● B. Standing with arms raised
● C. Lying in bed on the unaffected side with the head of the bed
elevated 45 degrees
● D. Sitting in a chair
6. What is a thoracentesis?
● . A procedure to remove fluid from the abdomen
A
● B. A procedure to biopsy the liver
● C. A procedure to remove fluid from the lung
● D. A procedure to remove cerebrospinal fluid
. An assessment of a client with a tension pneumothorax reveals what
7
key sign?
● . Tracheal deviation towards the affected side
A
● B. Tracheal deviation towards the unaffected side
● C. Increased blood pressure
● D. Bradycardia
2. Fluid & Electrolyte Balance
8. What is common after repeated vomiting?
A
● . Hypernatremia and hyperkalemia
● B. Hypokalemia and hypomagnesemia; it is important to check a
client's electrolyte levels
● C. Hypercalcemia and hypernatremia
● D. Fluid volume excess
9. Why are diuretics given?
A
● . To promote absorption of sodium and water
● B. To promote excretion of sodium and water through the kidneys
, C
● . To increase blood pressure
● D. To decrease urine output
1 0. Hypotension and hypovolemic shock are complications of a
paracentesis due to the removal of a large volume of fluid. The procedure
is a/an:
● . Thoracentesis
A
● B. Paracentesis
● C. Lumbar puncture
● D. Endoscopy
1 1. Potassium-rich gastrointestinal (GI) fluids are lost through GI suction,
which places the client at risk for:
● . Hyperkalemia
A
● B. Hypokalemia
● C. Hyponatremia
● D. Hypernatremia
1 2. Clients who experience the cellular shifting of potassium, as in the
early stages of massive cell destruction (i.e., with trauma, burns, sepsis,
or metabolic or respiratory acidosis), are at risk for:
● . Hypokalemia
A
● B. Hyperkalemia
● C. Hypocalcemia
● D. Hypomagnesemia
1 3. Sensible losses are those that the person is aware of, such as those
that occur through:
● . Perspiration and breathing
A
● B. Wound drainage, GI tract losses, and urination
● C. Sweat and skin evaporation
● D. Insensible losses
1 4. Insensible losses may occur without the person's awareness.
Insensible losses occur daily through the:
● A. Kidneys
