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NCLEX-PN® Examination practice questions

221 free questions with answers and explanations.

Practice test
  1. 51.An LPN is reviewing a client's chart and notes a 'Do Not Resuscitate' (DNR) order. The client suddenly experiences cardiac arrest. What is the LPN's most appropriate action?Safety and Infection Control
  2. 52.A client with a new colostomy is verbalizing anxiety about managing the stoma and pouching system at home. Which statement by the LPN best addresses the client's psychosocial and educational needs?Basic Care and Comfort
  3. 53.A client with a history of chronic obstructive pulmonary disease (COPD) is receiving oxygen at 6 L/min via nasal cannula. The nurse observes the client is becoming increasingly lethargic and confused, with shallow respirations. What is the nurse's most appropriate initial action?Physiological Adaptation
  4. 54.An LPN is caring for a client who has a history of falls and is exhibiting increased agitation. The LPN has implemented all less restrictive interventions, but the client continues to attempt to get out of bed unsupervised. The LPN obtains an order for bilateral wrist restraints. What is the priority nursing action after applying the restraints?Safety and Infection Control
  5. 55.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
  6. 56.A client is experiencing an exacerbation of asthma. The nurse notes expiratory wheezing, productive cough, and uses of accessory muscles. The peak expiratory flow rate (PEFR) is 60% of the client's personal best. Which medication should the nurse anticipate administering FIRST?Physiological Adaptation
  7. 57.A licensed practical nurse (LPN) is assisting a client with ambulation who has a history of falls and generalized weakness. Which assistive device is most appropriate for promoting the client's safety and independence?Basic Care and Comfort
  8. 58.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
  9. 59.A client with a history of asthma is prescribed propranolol, a non-selective beta-blocker, for hypertension. The LPN reviews the client's medical history. Which finding should the LPN prioritize when questioning the appropriateness of this medication?Pharmacological Therapies
  10. 60.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
  11. 61.A client with Parkinson's disease is experiencing difficulty with fine motor movements, making self-feeding challenging. Which modification to the client's mealtime environment or utensils would be most beneficial for promoting independence?Basic Care and Comfort
  12. 62.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
  13. 63.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
  14. 64.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
  15. 65.A client with chronic kidney disease is receiving a blood transfusion. Thirty minutes into the transfusion, the client reports chills, back pain, and shortness of breath. The nurse observes dark urine and facial flushing. What is the nurse's immediate priority action?Physiological Adaptation
  16. 66.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
  17. 67.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
  18. 68.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
  19. 69.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
  20. 70.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
  21. 71.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
  22. 72.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
  23. 73.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
  24. 74.An LPN is assisting a client with a full bed bath. The client reports feeling chilly. Which action should the LPN prioritize to maintain the client's comfort and dignity?Basic Care and Comfort
  25. 75.An LPN is preparing to transfer a client from the bed to a wheelchair. The client is able to bear partial weight and follow instructions. Which lifting technique should the LPN prioritize to ensure safety for both the client and themselves?Safety and Infection Control
  26. 76.A client with a new colostomy is being taught how to empty their ostomy pouch. The LPN observes the client performing the procedure. Which action by the client indicates correct understanding?Basic Care and Comfort
  27. 77.A client with a history of heart failure is prescribed furosemide 40 mg PO daily. The LPN reviews the client's laboratory results prior to administration. Which laboratory value is most important for the LPN to monitor in this client?Pharmacological Therapies
  28. 78.An LPN is caring for a client who has been placed on airborne precautions. Which personal protective equipment (PPE) is essential for the LPN to wear when entering the client's room?Safety and Infection Control
  29. 79.A client is receiving total parenteral nutrition (TPN) via a central venous catheter. The LPN notes that the TPN solution bag is almost empty, and the new bag from the pharmacy is not yet available. The client's next scheduled TPN infusion is due in 15 minutes. What is the most appropriate action by the LPN?Pharmacological Therapies
  30. 80.A client is prescribed intravenous vancomycin. The LPN initiates the infusion and observes the client developing a sudden rash on the face and upper body, flushing, and mild hypotension. Which of the following is the most appropriate initial action by the LPN?Pharmacological Therapies
  31. 81.An LPN is reinforcing teaching with a client about preventing the spread of influenza at home. Which statement by the client indicates a need for further instruction?Safety and Infection Control
  32. 82.An LPN is assisting a client who has a prescription for oxygen therapy via nasal cannula at 2 L/min. The LPN notes that the oxygen humidifier reservoir is empty. What is the most appropriate action for the LPN to take?Safety and Infection Control
  33. 83.An LPN is preparing to administer an intramuscular (IM) injection of an opioid analgesic to an adult client. The client is of average build. Which site and needle gauge/length combination is most appropriate for this injection?Pharmacological Therapies
  34. 84.An LPN is preparing to insert an indwelling urinary catheter for a female client. Which action is most important for the LPN to take to maintain surgical asepsis during the procedure?Safety and Infection Control
  35. 85.A 68-year-old client with a history of heart failure is admitted with increased shortness of breath and peripheral edema. The nurse notes crackles in bilateral lung bases and a weight gain of 3 kg (6.6 lbs) over 2 days. Which of the following physician orders should the nurse question?Physiological Adaptation
  36. 86.A client with a new tracheostomy is experiencing difficulty breathing, and the nurse notes frothy, pink secretions in the tracheostomy tube. Auscultation reveals crackles and rhonchi bilaterally. The client's oxygen saturation is 88% on 4L nasal cannula. Which action should the nurse take FIRST?Physiological Adaptation
  37. 87.An LPN is caring for a client who is diagnosed with Clostridium difficile (C. diff) infection. Which type of precaution should the LPN implement when providing care for this client?Safety and Infection Control
  38. 88.A client is prescribed intravenous phenytoin. The LPN notes the order for a loading dose of 1,000 mg IV to be infused over 30 minutes. The pharmacy provides phenytoin at a concentration of 50 mg/mL. The LPN should question which aspect of this order?Pharmacological Therapies
  39. 89.An LPN is reinforcing teaching about fire safety with a client who uses supplemental oxygen at home. Which statement by the client indicates an understanding of the teaching?Safety and Infection Control
  40. 90.An LPN is reinforcing teaching with a client who is prescribed warfarin. The client states, 'I always take St. John's wort for my depression.' Which instruction should the LPN provide?Safety and Infection Control
  41. 91.An LPN is preparing to use an automated external defibrillator (AED) on a client experiencing sudden cardiac arrest. After attaching the pads, the AED advises 'SHOCK ADVISED'. What is the next immediate action the LPN should take?Safety and Infection Control
  42. 92.A client is admitted with diabetic ketoacidosis (DKA). The nurse anticipates which of the following arterial blood gas (ABG) results?Physiological Adaptation
  43. 93.An LPN is reinforcing teaching with a client about safe food handling practices to prevent foodborne illness. Which statement by the client indicates a need for further teaching?Safety and Infection Control
  44. 94.A client is prescribed intravenous dopamine at 5 mcg/kg/min. The client weighs 150 lbs. The pharmacy supplies dopamine at a concentration of 400 mg in 250 mL D5W. The LPN should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number. Do not use trailing zeros.)Pharmacological Therapies
  45. 95.An LPN is preparing to administer medication to a client via a nasogastric (NG) tube. After checking the tube placement, the LPN notes resistance when attempting to flush the tube with water. What is the most appropriate initial action?Safety and Infection Control
  46. 96.The nurse is caring for a client with a new diagnosis of diabetes insipidus (DI). Which of the following findings would the nurse anticipate?Physiological Adaptation
  47. 97.A client is receiving total parenteral nutrition (TPN) via a central venous catheter. The LPN observes that the TPN solution bag is almost empty, and the new bag is not yet available from the pharmacy. What is the most appropriate immediate action for the LPN to take?Pharmacological Therapies
  48. 98.An LPN is preparing to don personal protective equipment (PPE) before entering the room of a client on contact precautions. In what order should the LPN don the PPE?Safety and Infection Control
  49. 99.An LPN is preparing to insert an indwelling urinary catheter for a male client. Which action is most important for the LPN to take to ensure client comfort and prevent injury during insertion?Basic Care and Comfort
  50. 100.A client is prescribed intravenous potassium chloride (KCl) 20 mEq to be infused over 2 hours. The pharmacy supplies 20 mEq of KCl in 100 mL of 0.9% Sodium Chloride. The LPN needs to set the infusion pump rate in mL/hour. What is the correct infusion rate?Pharmacological Therapies