NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 241:

  The LPN reviews a patient's ABG results:

  pH 7.41, PO2 86 mmHg, PCO2 39 mmHg, HCO3 32 mEq/L.

  Which of the results is out of range?

  A. PO2

  B. HCO3

  C. PCO2

  D. pH

  Correct Answer: B

• Question 242:

  Which of the following patients would be least likely to develop hypernatremia?

  A. a patient with chronic renal insufficiency

  B. a patient with diabetes insipidus

  C. a patient with extensive thermal burns

  D. a patient taking anabolic steroids

  Correct Answer: A

• Question 243:

  The LPN is caring for a patient with ascites related to liver failure. The patient becomes hypotensive and complains of cramps.

  Which of the following is least likely related to the hypotension and cramps?

  A. decreased renal blood flow

  B. recent diuretics

  C. excessive IV intake

  D. increased aldosterone

  Correct Answer: C

• Question 244:

  The LPN collects this set of vital signs from the patient:

  Pulse 67,

  Blood Pressure 167/89,

  Temperature 96.2 F,

  Pulse Ox 98%.

  What would be the most appropriate next action?

  A. Apply a warm blanket.

  B. Administer Metoprolol.

  C. Contact the physician.

  D. Review the patient's chart.

  Correct Answer: D

• Question 245:

  Which of these patients would be most likely to have an elevated glucose reading?

  A. a 43-year-old female who is fasting awaiting a knee arthroscopy

  B. a 34-year-old male with pancreatitis

  C. a 56-year-old male with Addison's disease

  D. a 29-year-old female with Sickle Cell Anemia

  Correct Answer: B

• Question 246:

  A 22-year-old male patient comes into the ER with suspected ketoacidosis. Which lab value would reflect this finding?

  A. serum bicarbonate of 27 mmol/L

  B. PaCO2 of 40

  C. serum glucose of 90

  D. blood pH of 7.29

  Correct Answer: D

• Question 247:

  The LPN is taking care of a female patient with a cesium implant.

  Which statement made by the nurse would be accurate?

  A. "Vaginal stenosis may occur as a result of this treatment."

  B. "As long as you are comfortable, sexual intercourse may continue as normal during your treatment."

  C. "You will likely feel hungrier than usual as a result of this treatment."

  D. "Constipation frequently occurs as a result of having a cesium implant."

  Correct Answer: A

• Question 248:

  A 27-year-old female patient comes in complaining of calf pain. Which question, if asked by the LPN, would be the least helpful?

  A. Are you on birth control?

  B. Have you traveled recently?

  C. Do you smoke?

  D. What herbal supplements do you take?

  Correct Answer: D

• Question 249:

  The LPN is instructing a patient on post-op care after nasal surgery. Which of these statements would be incorrect?

  A. Needing to change the gauze under the nose every 15 minutes for the first few hours after surgery is expected.

  B. Feelings of numbness and facial fullness around the nose should be reported immediately.

  C. Glasses may be worn with the nasal splint in place.

  D. Sleep propped up at a 45 degree angle for the first few postoperative days.

  Correct Answer: B

• Question 250:

  The LPN is taking care of a female patient scheduled to go for an MRI later today. Which of these would require further action from the nurse?

  A. The patient ate juice and a bagel 5 hours ago.

  B. The patient has a hemoglobin level of 11.8.

  C. The patient has a cochlear implant.

  D. The patient has a broken leg.

  Correct Answer: C