Today’s NCLEX-PN® question of the day focuses on hyporeflexia. Do you know the answer? Let’s find out!

The newly graduated nurse is reviewing the laboratory results of a patient with new onset hyporeflexia and muscle weakness. Which result should the nurse recognize as the potential cause of these symptoms?

A. Calcium level of 14 mg/dL

B. Calcium level of 9.9 mg/dL

C. Calcium level of 5 mg/dL

D. Calcium level of 10.4 mg/dL

Scroll down for the correct answer!

The correct answer to today’s NCLEX-PN® Question is…

A. Calcium level of 14 mg/dL

Rationale: The acceptable range of calcium is 9 to 10.5 mg/dL. This patient has hypercalcemia, which is likely causing their symptoms of hyporeflexia and weakness.

Main Takeaway

The serum calcium normally ranges from 9 to 10.5 mg/dL. Patients with hypercalcemia (high calcium levels) can have neuromuscular symptoms like muscle weakness and hyporeflexia due to the decreased excitability of the cell membranes.

Illustration showing part of a medical test reference. The text reads:
“Complete Metabolic Panel (CMP)” with an indented note underneath: “Basic Metabolic Panel (BMP).”
Next to it is a gray circular icon labeled “Ca²⁺” representing calcium.
To the right, the text says “Adult Normal Range ~ 9 – 10.5 mg/dL.”

Incorrect Answer Explanations

B. Calcium level of 9.9 mg/dL

Rationale: The acceptable range of calcium is 9 to 10.5 mg/dL, therefore, is not associated with these symptoms.

C. Calcium level of 5 mg/dL

Rationale: The acceptable range of calcium is 9 to 10.5 mg/dL; therefore, this would be considered hypocalcemia. Hyporeflexia and muscle weakness are related to hypercalcemia rather than hypocalcemia.

D. Calcium level of 10.4 mg/dL

Rationale: The acceptable range of calcium is 9 to 10.5 mg/dL, therefore, is not associated with these symptoms.

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