NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse reviews a client's electrolyte results and notes a
potassium level of 5.5 mEq/L. The nurse understands that a
potassium value at this level would be noted with which
condition - Correct Answers ✅Traumatic burn
Rationale:
A serum potassium level that exceeds 5.1 mEq/L is indicative
of hyperkalemia. 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 hyperkalemia. The client
with Cushing's syndrome or diarrhea and the client who has
been overusing laxatives are at risk for hypokalemia.
A nurse reviews a client's electrolyte results and notes that
the potassium level is 5.4 mEq/L. Which of the following
would the nurse note on the cardiac monitor as a result of
this laboratory value? - Correct Answers ✅Narrow, peaked
T waves
Rationale:
A serum potassium level of 5.4 mEq/L is indicative of
hyperkalemia. Cardiac changes include a wide, flat P wave; a
,NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
prolonged PR interval; a widened QRS complex; narrow,
peaked T waves; and a depressed ST segment.
A nurse is reviewing the health records of assigned clients.
The nurse plans care knowing that which client is at the
lowest risk for the development of third-spacing? - Correct
Answers ✅The client with diabetes mellitus
Fluid that shifts into the interstitial spaces and remains there
is referred to as third-space fluid. Common sites for third-
spacing include the abdomen, pleural cavity, peritoneal
cavity, and pericardial sac. Third-space fluid is physiologically
useless because it does not circulate to provide nutrients for
the cells. Risk factors include liver or kidney disease, major
trauma, burns, sepsis, wound healing, major surgery,
malignancy, malabsorption syndrome, malnutrition,
alcoholism, and older age.
A nurse is reviewing the health records of assigned clients.
The nurse plans care knowing that which client is at risk for
fluid volume deficit? - Correct Answers ✅The client with a
colostomy
Rationale:
Causes of a fluid volume deficit include vomiting, diarrhea,
conditions that cause increased respirations or increased
,NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
urinary output, insufficient intravenous fluid replacement,
draining fistulas, ileostomy, and colostomy. A client with
cirrhosis, CHF, or decreased kidney function is at risk for fluid
volume excess.
A nurse reviews electrolyte values and notes a sodium level
of 130 mEq/L. The nurse understands that this sodium level
would be noted in a client with which condition? - Correct
Answers ✅The client with the syndrome of inappropriate
secretion of antidiuretic hormone (SIADH)
Rationale:
Hyponatremia is a serum sodium level less than 135 mEq/L.
Hyponatremia can result secondary to SIADH. The client with
an inadequate daily water intake, watery diarrhea, or
diabetes insipidus is at risk for hypernatremia.
A nurse is caring for a client with leukemia and notes that the
client has poor skin turgor and flat neck and hand veins. The
nurse suspects hyponatremia. What additional signs would
the nurse expect to note in this client if hyponatremia is
present? - Correct Answers ✅Postural blood pressure
changes
Rationale:
, NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
Postural blood pressure changes occur in the client with
hyponatremia. Dry mucous membranes and intense thirst are
seen in clients with hypernatremia. A slow, bounding pulse is
not indicative of hyponatremia. In a client with hyponatremia,
a rapid thready pulse is noted.
A nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which of the following signs would be an
indication of this diagnosis - Correct Answers
✅Generalized muscle weakness
Rationale:
Generalized muscle weakness is seen in clients with
hypercalcemia. Options 1,twitching 2, Positive Trousseau's
sign and 3 Hyperactive bowel sounds identify signs of
hypocalcemia.
A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as
prescribed to the client? - Correct Answers ✅Calcitonin
(Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This
client is experiencing hypercalcemia. Calcium gluconate and
calcium chloride are medications used for the treatment of
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse reviews a client's electrolyte results and notes a
potassium level of 5.5 mEq/L. The nurse understands that a
potassium value at this level would be noted with which
condition - Correct Answers ✅Traumatic burn
Rationale:
A serum potassium level that exceeds 5.1 mEq/L is indicative
of hyperkalemia. 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 hyperkalemia. The client
with Cushing's syndrome or diarrhea and the client who has
been overusing laxatives are at risk for hypokalemia.
A nurse reviews a client's electrolyte results and notes that
the potassium level is 5.4 mEq/L. Which of the following
would the nurse note on the cardiac monitor as a result of
this laboratory value? - Correct Answers ✅Narrow, peaked
T waves
Rationale:
A serum potassium level of 5.4 mEq/L is indicative of
hyperkalemia. Cardiac changes include a wide, flat P wave; a
,NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
prolonged PR interval; a widened QRS complex; narrow,
peaked T waves; and a depressed ST segment.
A nurse is reviewing the health records of assigned clients.
The nurse plans care knowing that which client is at the
lowest risk for the development of third-spacing? - Correct
Answers ✅The client with diabetes mellitus
Fluid that shifts into the interstitial spaces and remains there
is referred to as third-space fluid. Common sites for third-
spacing include the abdomen, pleural cavity, peritoneal
cavity, and pericardial sac. Third-space fluid is physiologically
useless because it does not circulate to provide nutrients for
the cells. Risk factors include liver or kidney disease, major
trauma, burns, sepsis, wound healing, major surgery,
malignancy, malabsorption syndrome, malnutrition,
alcoholism, and older age.
A nurse is reviewing the health records of assigned clients.
The nurse plans care knowing that which client is at risk for
fluid volume deficit? - Correct Answers ✅The client with a
colostomy
Rationale:
Causes of a fluid volume deficit include vomiting, diarrhea,
conditions that cause increased respirations or increased
,NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
urinary output, insufficient intravenous fluid replacement,
draining fistulas, ileostomy, and colostomy. A client with
cirrhosis, CHF, or decreased kidney function is at risk for fluid
volume excess.
A nurse reviews electrolyte values and notes a sodium level
of 130 mEq/L. The nurse understands that this sodium level
would be noted in a client with which condition? - Correct
Answers ✅The client with the syndrome of inappropriate
secretion of antidiuretic hormone (SIADH)
Rationale:
Hyponatremia is a serum sodium level less than 135 mEq/L.
Hyponatremia can result secondary to SIADH. The client with
an inadequate daily water intake, watery diarrhea, or
diabetes insipidus is at risk for hypernatremia.
A nurse is caring for a client with leukemia and notes that the
client has poor skin turgor and flat neck and hand veins. The
nurse suspects hyponatremia. What additional signs would
the nurse expect to note in this client if hyponatremia is
present? - Correct Answers ✅Postural blood pressure
changes
Rationale:
, NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
Postural blood pressure changes occur in the client with
hyponatremia. Dry mucous membranes and intense thirst are
seen in clients with hypernatremia. A slow, bounding pulse is
not indicative of hyponatremia. In a client with hyponatremia,
a rapid thready pulse is noted.
A nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which of the following signs would be an
indication of this diagnosis - Correct Answers
✅Generalized muscle weakness
Rationale:
Generalized muscle weakness is seen in clients with
hypercalcemia. Options 1,twitching 2, Positive Trousseau's
sign and 3 Hyperactive bowel sounds identify signs of
hypocalcemia.
A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as
prescribed to the client? - Correct Answers ✅Calcitonin
(Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This
client is experiencing hypercalcemia. Calcium gluconate and
calcium chloride are medications used for the treatment of
