NCLEX PN
Archer Review
Verified Q&As
2025/2026
Latest Update 2025/2026
,The nurse should understand the Some other issues covered by the Nurse Practice Act include grounds for
regulations of nursing practice as put disciplinary action, licensure requirements, and the rights of the nurse licensee if
forth by the Nurse Practice Act. Which of disciplinary action is taken.
the following statements are correct?
The Nurse Practice Act defines the scope of nursing practice.
Select all that apply.
Rationale:
Some other issues covered by the Nurse Nurse practice acts (NPAs) contain a provision that creates and empowers a state
Practice Act include grounds for board of nursing to regulate nursing practice in that state. All 50 states, the District of
disciplinary action, licensure requirements, Columbia, and the four U.S. territories have established nursing boards. Although
and the rights of the nurse licensee if NPAs can vary from state to state, they all have standard components because states
disciplinary action is taken. used ANA guidelines in developing their regulations.
The Nurse Practice Act defines the scope A state’s nurse practice act usually includes the following:
of nursing practice. The authority of the board of nursing, its composition, and powers
A definition of nursing and the boundaries of nursing practice
All nurses have the responsibility to know Standards for the approval of nursing education programs
the provisions of the act for the state or The requirements for licensure of nurses
province in which they work. Grounds for disciplinary action against a nurse’s license
The Nurse Practice Act is a series of
statutes enacted by the federal
government in order to regulate the
practice of nursing.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Engaging in personal relationships with clients.
Failing to maintain continuing education requirements.
The nurse knows that which of the Rationale:
following scenarios are common reasons Failure to administer medications as prescribed. This is a valid reason for disciplinary
for disciplinary action against practical action against practical nurses. Failing to administer medications as prescribed can
nurses by the State Board of Nursing? harm clients and violate nursing standards and client safety protocols.
Select all that apply.
Violation of client confidentiality. This is a valid reason for disciplinary action against
Failure to administer medications as practical nurses. Violating client confidentiality by sharing client information without
prescribed. proper authorization or justification breaches client privacy and can lead to legal
Violation of client confidentiality. and ethical consequences.
Poor attendance record.
Engaging in personal relationships with Engaging in personal relationships with clients. This is a valid reason for disciplinary
clients. action against practical nurses. Engaging in personal relationships with clients is
Failing to maintain continuing education considered unprofessional and can compromise client care, boundaries, and ethical
requirements. standards.
Failing to maintain continuing education requirements. This is a valid reason for
disciplinary action against practical nurses. Nursing boards often require practical
nurses to participate in continuing education programs to ensure ongoing
competency and keep up-to-date with advancements in the field. Failing to meet
these requirements can result in disciplinary action, which indicates a lack of
commitment to professional growth and acquiring the necessary knowledge and
skills.
, Reasoned thinking
Openness to alternatives
Which of the following are components of Ability to reflect
the definition of critical thinking?
Desire to seek the truth
Select all that apply.
Rationale:
Reasoned thinking Critical thinking is a combination of reasoned thought, openness to alternatives, the
Openness to alternatives ability to reflect, and a desire to seek the truth. There are many definitions of critical
Adherence to established guidelines thinking. It is a complex concept, and people think about it in different ways. Any
Ability to reflect situation that requires critical thinking is likely to have more than one “right” answer.
Loyalty to traditional approaches You do not need critical thinking to add 2 + 2 and come up with the solution.
Desire to seek the truth However, you do need critical thinking for problem-solving essential decisions. A
crucial aspect of critical thinking is the process of identifying and checking your
assumption. This is also a necessary part of the research process. Critical thinking is a
combination of reasoned thought, openness to alternatives, the ability to reflect, and
a desire to seek the truth.
The licensed practical/vocational Authoritative
(LPN/VN) nurse is caring for a client with
cardiac arrest and assisting the registered Rationale:
nurse (RN) in identifying priorities and Authoritative leadership is demonstrated in this situation as the nurse assists with the
delegation. As the LPN/VN assists with delegation and provides directives to accomplish tasks. This is an appropriate
assigning roles to other staff, this is leadership style in an emergency where one individual assigns tasks/roles to
demonstrating which leadership style? decrease confusion and chaos in an emergent situation.
A . Authoritative
B . Situational
C. Democratic
D. Laissez-faire
0.6-1.2 mg/dL
What is the normal level of creatinine in a
healthy adult male?
Rationale:
Creatinine values reflect both the amount of muscle a person has and their amount
A . 0.4 to 0.8 mg/dL
of kidney function. Hence, the levels are slightly lower in women due to lesser
B . 0.1-0.4 mg /d L
muscle mass. Most men with normal kidney function have 0.6 to 1.2
C. 0.6-1.2 mg /d L
milligrams/deciliters (mg/dL) of creatinine. Most women with normal kidney function
D. 1.5-2.0 mg /d L
have between 0.5 to 1.1 mg/dL of creatinine.
, Phosphorus
Calcitonin
Glucocorticoids
The nurse is caring for a client who has a
Rationale:
serum calcium level of 13.2 mg/dL(9-10.5
The normal serum calcium level is 8.4-10.2 mg/dL. This client has a high serum
mg/dL). Which of the following
calcium level (hypercalcemia). Phosphorus is a medication that the nurse would
medications would be expected orders
expect to administer to treat hypercalcemia. Phosphorus and calcium have an
for this condition?
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
Select all that apply.
administering phosphorus. If given IV, calcium phosphate forms and precipitates in
the tissues. This “precipitation phenomenon” reduces serum calcium levels very
Phosphorus
quickly.
Calcitonin
Vitamin D
Calcitonin is a medication that the nurse would expect to administer to treat
IV calcium gluconate
hypercalcemia. Calcitonin is a thyroid hormone that decreases the plasma calcium
Glucocorticoids
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 Implement telemetry monitoring
with a serum potassium level of 3.3
mg/dL(3.5-5 mEq/L). Which action would Rationale:
the nurse recognize as the highest The normal range for serum potassium is between 3.5-5 mg/dL, so this patient’s level
priority? 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
A . Educate the patient on potassium-rich assess the patient’s heart function and monitor for any changes.
foods
B . Implement telemetry monitoring
C. Obtain an order for STAT IM KCl
D. Assess the patient’s neurological status
Serum potassium 6 mEq/L
Rationale:
Acute renal failure can cause a significant imbalance in lab values. Although all of the
The nurse is caring for a client with acute lab results listed are abnormal, the elevated potassium level is a life-threatening
renal failure. Which of the following finding.
laboratory results should be reported to
the primary healthcare provider (PHCP)? Although all of these findings are abnormal, elevated potassium is a life-threatening
finding and must be reported immediately. The normal potassium is 3.5 - 5.0 mEq/l
A . Blood urea nitrogen 20 mg/dL
B . Serum potassium 6 mEq/L The BUN level should be 10 to 20 mg/dL.
C. Venous blood pH 7.30
D. Hemoglobin of 10.3 mg/dL Venous blood pH should be 7.31 to 7.41.
Normal hemoglobin levels differ based on age, sex, and general health. The normal
range for hemoglobin is 14 to 17.5 grams per deciliter for men. For women, 12.0 to 16
grams per deciliter.
Archer Review
Verified Q&As
2025/2026
Latest Update 2025/2026
,The nurse should understand the Some other issues covered by the Nurse Practice Act include grounds for
regulations of nursing practice as put disciplinary action, licensure requirements, and the rights of the nurse licensee if
forth by the Nurse Practice Act. Which of disciplinary action is taken.
the following statements are correct?
The Nurse Practice Act defines the scope of nursing practice.
Select all that apply.
Rationale:
Some other issues covered by the Nurse Nurse practice acts (NPAs) contain a provision that creates and empowers a state
Practice Act include grounds for board of nursing to regulate nursing practice in that state. All 50 states, the District of
disciplinary action, licensure requirements, Columbia, and the four U.S. territories have established nursing boards. Although
and the rights of the nurse licensee if NPAs can vary from state to state, they all have standard components because states
disciplinary action is taken. used ANA guidelines in developing their regulations.
The Nurse Practice Act defines the scope A state’s nurse practice act usually includes the following:
of nursing practice. The authority of the board of nursing, its composition, and powers
A definition of nursing and the boundaries of nursing practice
All nurses have the responsibility to know Standards for the approval of nursing education programs
the provisions of the act for the state or The requirements for licensure of nurses
province in which they work. Grounds for disciplinary action against a nurse’s license
The Nurse Practice Act is a series of
statutes enacted by the federal
government in order to regulate the
practice of nursing.
Failure to administer medications as prescribed.
Violation of client confidentiality.
Engaging in personal relationships with clients.
Failing to maintain continuing education requirements.
The nurse knows that which of the Rationale:
following scenarios are common reasons Failure to administer medications as prescribed. This is a valid reason for disciplinary
for disciplinary action against practical action against practical nurses. Failing to administer medications as prescribed can
nurses by the State Board of Nursing? harm clients and violate nursing standards and client safety protocols.
Select all that apply.
Violation of client confidentiality. This is a valid reason for disciplinary action against
Failure to administer medications as practical nurses. Violating client confidentiality by sharing client information without
prescribed. proper authorization or justification breaches client privacy and can lead to legal
Violation of client confidentiality. and ethical consequences.
Poor attendance record.
Engaging in personal relationships with Engaging in personal relationships with clients. This is a valid reason for disciplinary
clients. action against practical nurses. Engaging in personal relationships with clients is
Failing to maintain continuing education considered unprofessional and can compromise client care, boundaries, and ethical
requirements. standards.
Failing to maintain continuing education requirements. This is a valid reason for
disciplinary action against practical nurses. Nursing boards often require practical
nurses to participate in continuing education programs to ensure ongoing
competency and keep up-to-date with advancements in the field. Failing to meet
these requirements can result in disciplinary action, which indicates a lack of
commitment to professional growth and acquiring the necessary knowledge and
skills.
, Reasoned thinking
Openness to alternatives
Which of the following are components of Ability to reflect
the definition of critical thinking?
Desire to seek the truth
Select all that apply.
Rationale:
Reasoned thinking Critical thinking is a combination of reasoned thought, openness to alternatives, the
Openness to alternatives ability to reflect, and a desire to seek the truth. There are many definitions of critical
Adherence to established guidelines thinking. It is a complex concept, and people think about it in different ways. Any
Ability to reflect situation that requires critical thinking is likely to have more than one “right” answer.
Loyalty to traditional approaches You do not need critical thinking to add 2 + 2 and come up with the solution.
Desire to seek the truth However, you do need critical thinking for problem-solving essential decisions. A
crucial aspect of critical thinking is the process of identifying and checking your
assumption. This is also a necessary part of the research process. Critical thinking is a
combination of reasoned thought, openness to alternatives, the ability to reflect, and
a desire to seek the truth.
The licensed practical/vocational Authoritative
(LPN/VN) nurse is caring for a client with
cardiac arrest and assisting the registered Rationale:
nurse (RN) in identifying priorities and Authoritative leadership is demonstrated in this situation as the nurse assists with the
delegation. As the LPN/VN assists with delegation and provides directives to accomplish tasks. This is an appropriate
assigning roles to other staff, this is leadership style in an emergency where one individual assigns tasks/roles to
demonstrating which leadership style? decrease confusion and chaos in an emergent situation.
A . Authoritative
B . Situational
C. Democratic
D. Laissez-faire
0.6-1.2 mg/dL
What is the normal level of creatinine in a
healthy adult male?
Rationale:
Creatinine values reflect both the amount of muscle a person has and their amount
A . 0.4 to 0.8 mg/dL
of kidney function. Hence, the levels are slightly lower in women due to lesser
B . 0.1-0.4 mg /d L
muscle mass. Most men with normal kidney function have 0.6 to 1.2
C. 0.6-1.2 mg /d L
milligrams/deciliters (mg/dL) of creatinine. Most women with normal kidney function
D. 1.5-2.0 mg /d L
have between 0.5 to 1.1 mg/dL of creatinine.
, Phosphorus
Calcitonin
Glucocorticoids
The nurse is caring for a client who has a
Rationale:
serum calcium level of 13.2 mg/dL(9-10.5
The normal serum calcium level is 8.4-10.2 mg/dL. This client has a high serum
mg/dL). Which of the following
calcium level (hypercalcemia). Phosphorus is a medication that the nurse would
medications would be expected orders
expect to administer to treat hypercalcemia. Phosphorus and calcium have an
for this condition?
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
Select all that apply.
administering phosphorus. If given IV, calcium phosphate forms and precipitates in
the tissues. This “precipitation phenomenon” reduces serum calcium levels very
Phosphorus
quickly.
Calcitonin
Vitamin D
Calcitonin is a medication that the nurse would expect to administer to treat
IV calcium gluconate
hypercalcemia. Calcitonin is a thyroid hormone that decreases the plasma calcium
Glucocorticoids
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 Implement telemetry monitoring
with a serum potassium level of 3.3
mg/dL(3.5-5 mEq/L). Which action would Rationale:
the nurse recognize as the highest The normal range for serum potassium is between 3.5-5 mg/dL, so this patient’s level
priority? 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
A . Educate the patient on potassium-rich assess the patient’s heart function and monitor for any changes.
foods
B . Implement telemetry monitoring
C. Obtain an order for STAT IM KCl
D. Assess the patient’s neurological status
Serum potassium 6 mEq/L
Rationale:
Acute renal failure can cause a significant imbalance in lab values. Although all of the
The nurse is caring for a client with acute lab results listed are abnormal, the elevated potassium level is a life-threatening
renal failure. Which of the following finding.
laboratory results should be reported to
the primary healthcare provider (PHCP)? Although all of these findings are abnormal, elevated potassium is a life-threatening
finding and must be reported immediately. The normal potassium is 3.5 - 5.0 mEq/l
A . Blood urea nitrogen 20 mg/dL
B . Serum potassium 6 mEq/L The BUN level should be 10 to 20 mg/dL.
C. Venous blood pH 7.30
D. Hemoglobin of 10.3 mg/dL Venous blood pH should be 7.31 to 7.41.
Normal hemoglobin levels differ based on age, sex, and general health. The normal
range for hemoglobin is 14 to 17.5 grams per deciliter for men. For women, 12.0 to 16
grams per deciliter.
