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NCLEX-PN® Examination practice questions

221 free questions with answers and explanations.

Practice test
  1. 1.An LPN is preparing to administer medications to a client. The LPN notes that the client's medical record is open on an unattended computer in the hallway. Which of the following actions should the LPN take immediately?Coordinated Care
  2. 2.A licensed practical nurse (LPN) is reviewing a client's medical record and notes a 'Do Not Resuscitate' (DNR) order. The client's family approaches the LPN requesting aggressive life-sustaining measures if the client's condition deteriorates. What is the LPN's initial ethical responsibility in this situation?Coordinated Care
  3. 3.An LPN is assisting with the care of a client who is scheduled for surgery. The client expresses concern about the financial cost of the procedure and potential loss of income during recovery. Which member of the interdisciplinary team is the most appropriate for the LPN to consult regarding these concerns?Coordinated Care
  4. 4.An LPN is assigned to provide care for a client who is non-English speaking. The client requires education on a new colostomy care regimen. The client's family member offers to interpret. What is the most appropriate action for the LPN to take?Coordinated Care
  5. 5.An LPN is caring for a client with a new colostomy. The client expresses anxiety about learning to care for it independently at home. Which of the following actions best demonstrates client advocacy by the LPN?Coordinated Care
  6. 6.A newly licensed LPN is assisting with the admission of a client who reports being a victim of domestic violence. The client is hesitant to talk about the situation with the healthcare team. Which of the following is the most appropriate initial action for the LPN to take?Coordinated Care
  7. 7.An LPN is assisting with the admission of a client who has expressed a desire to donate their organs upon death. The client's family is strongly opposed to organ donation due to religious beliefs. What is the LPN's primary responsibility in this situation?Coordinated Care
  8. 8.An LPN is assigned to care for a client who is a Jehovah's Witness and has refused a blood transfusion due to religious beliefs, documented in their advance directives. The client's condition deteriorates, and the physician orders an emergency blood transfusion. What is the LPN's ethical responsibility in this situation?Coordinated Care
  9. 9.An LPN is caring for a client who is scheduled for a surgical procedure. The client expresses concern about the cost of the procedure and potential financial burden. What is the most appropriate action for the LPN?Coordinated Care
  10. 10.An LPN is assisting with the admission of a client who requires a blood transfusion. The client states, 'I don't know much about blood transfusions, but the doctor said I need one.' The LPN understands that the client needs further information to provide informed consent. Which of the following is the LPN's most appropriate action?Coordinated Care
  11. 11.An LPN is caring for a client who is experiencing postoperative pain. The client rates their pain as an 8 on a 0-10 scale. The LPN reviews the client's medication administration record (MAR) and notes that the client is due for an opioid analgesic. Before administering the medication, which of the following actions is most important for the LPN to take?Coordinated Care
  12. 12.A licensed practical nurse (LPN) is assisting with the discharge planning for an older adult client who requires ongoing wound care and assistance with activities of daily living (ADLs) after hospitalization. The client lives alone and has no immediate family nearby. Which of the following actions is the most appropriate for the LPN to take?Coordinated Care
  13. 13.A client on a medical-surgical unit is experiencing sudden onset shortness of breath. The LPN immediately assesses the client and calls for assistance. Which member of the interdisciplinary team should the LPN collaborate with first to address the client's acute respiratory distress?Coordinated Care
  14. 14.An LPN is reviewing the plan of care for a client requiring skilled nursing services at home after discharge. The client lives alone and has limited family support. Which of the following is the most important element for the LPN to ensure is in place for effective continuity of care?Coordinated Care
  15. 15.An LPN is supervising a nursing assistant (NA) who is providing care to a client with a history of falls. The LPN observes the NA leaving the client's bed in a high position after providing hygiene. What is the most appropriate initial action for the LPN to take?Coordinated Care
  16. 16.An LPN is assisting with the care of a client who has been diagnosed with a terminal illness and wishes to receive palliative care at home. The client's family is struggling to accept this decision and wants aggressive treatment. Which of the following actions is the most appropriate for the LPN to take?Coordinated Care
  17. 17.An LPN is preparing to administer medications to a client. The LPN notes that the client's medication administration record (MAR) includes a new order for an antibiotic, but there is no corresponding entry in the client's electronic health record (EHR). What is the LPN's most appropriate action?Coordinated Care
  18. 18.A client with a history of heart failure is scheduled for discharge. The LPN is reinforcing teaching about medication adherence and symptom management. The client states, 'I understand the importance of my medications, but sometimes I forget to take them.' Which of the following strategies should the LPN recommend to improve medication adherence?Coordinated Care
  19. 19.An LPN is assisting with the care of a client who requires a sterile dressing change. The LPN notes that the sterile dressing kit has expired. What is the most appropriate action for the LPN?Coordinated Care
  20. 20.An LPN is assisting with the care of a client who is being discharged home with a new colostomy. The client is anxious about managing the colostomy and asks the LPN, 'What if I can't do this?' What is the most appropriate initial response by the LPN?Coordinated Care
  21. 21.An LPN is supervising a nursing assistant (NA) who is providing hygiene care for a client with a history of falls. The LPN observes the NA leaving the client unattended in the shower. What is the LPN's most appropriate immediate action?Coordinated Care
  22. 22.An LPN is assisting with the admission of a client who reports experiencing domestic violence. The client states, 'Please don't tell anyone, especially my partner, that I'm here.' The LPN understands the importance of confidentiality. What is the LPN's most appropriate action to protect the client's safety and confidentiality?Coordinated Care
  23. 23.An LPN is administering medications and realizes that a client received the wrong medication an hour ago, administered by another LPN during the previous shift. The client is currently asymptomatic. What is the LPN's immediate priority action?Coordinated Care
  24. 24.A newly licensed LPN is documenting in a client's electronic health record (EHR). The LPN needs to access a client's past medical history but notices that the computer system is slow and occasionally freezes. To save time, the LPN considers using a colleague's login credentials, which are openly displayed on a sticky note near the workstation. What is the most appropriate action for the LPN to take?Coordinated Care
  25. 25.An LPN is assisting with the care of a client who has been receiving physical therapy for a fractured hip. The client is making slow progress and expresses frustration, stating, 'I don't think this therapy is helping. I want to stop.' What is the LPN's most appropriate initial response?Coordinated Care
  26. 26.A client is experiencing severe hypokalemia with a serum potassium level of 2.8 mEq/L. The nurse knows that rapid intravenous (IV) administration of potassium is dangerous. What is the maximum recommended infusion rate for peripheral IV potassium chloride (KCl) in a non-emergent situation?Physiological Adaptation
  27. 27.An LPN is teaching a client about proper body mechanics for lifting heavy objects at home. Which instruction is most crucial for preventing musculoskeletal injury?Basic Care and Comfort
  28. 28.An LPN is providing oral hygiene for an unconscious client. Which action is most important to prevent aspiration during this procedure?Basic Care and Comfort
  29. 29.A client is prescribed a loading dose of digoxin. The LPN understands that the primary expected therapeutic effect of digoxin is to achieve which of the following?Pharmacological Therapies
  30. 30.A client with a history of liver cirrhosis is admitted with ascites and confusion. The nurse suspects hepatic encephalopathy. Which dietary modification is most appropriate for this client?Physiological Adaptation
  31. 31.A client is experiencing a severe allergic reaction after receiving a new medication. The nurse notes widespread urticaria, angioedema, wheezing, and a blood pressure of 80/40 mmHg. Which medication is the priority for the nurse to administer?Physiological Adaptation
  32. 32.A licensed practical nurse (LPN) is caring for an older adult client who reports difficulty sleeping. Which of the following non-pharmacological interventions should the LPN recommend first?Basic Care and Comfort
  33. 33.A client is prescribed morphine sulfate for severe postoperative pain. The LPN assesses the client 30 minutes after administration. Which finding is the most critical to report immediately to the registered nurse (RN) or healthcare provider?Pharmacological Therapies
  34. 34.A client presents to the emergency department with sudden onset of severe, crushing chest pain radiating to the left arm, diaphoresis, and nausea. The electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF. Which of the following is the priority nursing action?Physiological Adaptation
  35. 35.An LPN is preparing to administer an oral opioid analgesic to a client reporting moderate pain. The client's respiratory rate is 10 breaths/min. What is the most appropriate action for the LPN to take?Pharmacological Therapies
  36. 36.A client with a new hip replacement is being discharged home. The LPN is reinforcing discharge instructions regarding assistive devices for mobility. Which statement by the client indicates a need for further teaching?Basic Care and Comfort
  37. 37.An LPN is caring for a client who is NPO (nil per os) and has dry, cracked lips. Which intervention is most appropriate for the LPN to implement?Basic Care and Comfort
  38. 38.A client is admitted with a suspected ruptured abdominal aortic aneurysm (AAA). The nurse should monitor for which of the following classic signs of a ruptured AAA?Physiological Adaptation
  39. 39.An LPN is assisting with the discharge planning for an older adult client with impaired mobility who lives alone. Which home safety recommendation is most important to include in the teaching plan?Safety and Infection Control
  40. 40.A client is receiving an intravenous infusion of heparin sodium at 1,200 units/hour. The pharmacy supplies heparin in a concentration of 25,000 units in 500 mL of 0.9% sodium chloride. The LPN needs to calculate the infusion pump rate in mL/hour. What is the correct infusion rate?Pharmacological Therapies
  41. 41.A licensed practical nurse (LPN) is preparing to administer an oral medication to an 8-year-old child. The child is crying and refuses to take the medication, stating it tastes 'yucky.' What is the most appropriate initial action for the LPN to take?Pharmacological Therapies
  42. 42.An LPN is assisting with the care of a client who has a seizure disorder and is currently having a generalized tonic-clonic seizure. Which action should the LPN prioritize?Safety and Infection Control
  43. 43.A client is experiencing severe nausea and vomiting post-chemotherapy. The LPN is preparing to provide oral care. Which solution is most appropriate for rinsing the client's mouth?Basic Care and Comfort
  44. 44.A licensed practical nurse (LPN) is preparing to administer 10 units of NPH insulin subcutaneously to a client with type 2 diabetes. The client's blood glucose level is 250 mg/dL. Which action should the LPN take immediately before administering the insulin?Pharmacological Therapies
  45. 45.A client with chronic kidney disease on hemodialysis reports persistent itching (pruritus). Which non-pharmacological intervention should the LPN recommend to help alleviate the client's discomfort?Basic Care and Comfort
  46. 46.A client on a medical-surgical unit suddenly becomes confused and attempts to climb out of bed. The LPN's initial action should be to:Safety and Infection Control
  47. 47.A client is recovering from a hip fracture repair and is prescribed partial weight-bearing. The LPN is instructing the client on using a walker. Which statement by the client indicates a need for further teaching?Basic Care and Comfort
  48. 48.A client with a new Tracheostomy is being taught about tracheostomy care. The LPN observes the client attempting to clean the inner cannula with hydrogen peroxide. Which immediate action should the LPN take?Basic Care and Comfort
  49. 49.An LPN is caring for a client receiving chemotherapy for cancer. The client reports severe nausea and vomiting despite receiving prophylactic antiemetics. Which nursing intervention is most appropriate for the LPN to implement?Pharmacological Therapies
  50. 50.A client receiving IV vancomycin reports ringing in their ears and dizziness. The LPN notes the client's blood pressure is 98/60 mmHg and heart rate is 110 bpm. Which adverse effect is the client most likely experiencing?Pharmacological Therapies