NCLEX-PN® Examination practice questions
221 free questions with answers and explanations.
- 151.A client is admitted to the emergency department with severe abdominal pain, nausea, and vomiting. Initial lab results show a white blood cell (WBC) count of 18,000/µL. Which action should the LPN anticipate next?Reduction of Risk Potential
- 152.An LPN is monitoring a client receiving a blood transfusion. Which finding would require the nurse to immediately stop the transfusion?Reduction of Risk Potential
- 153.A client is receiving total parenteral nutrition (TPN) through a central venous catheter. The LPN notes that the TPN bag is empty, and the new bag is not yet available from the pharmacy. The client's next TPN bag is expected in 30 minutes. What is the most appropriate action for the LPN to take?Reduction of Risk Potential
- 154.A licensed practical nurse (LPN) is caring for a client with a new prescription for an intravenous (IV) infusion of 0.9% Sodium Chloride at 125 mL/hr. The IV tubing has a drop factor of 15 gtt/mL. The nurse should set the infusion rate to deliver how many drops per minute?Reduction of Risk Potential
- 155.A client with a history of hypertension and diabetes is prescribed a new medication. The LPN notes that the client's blood pressure is 158/92 mmHg and heart rate is 68 beats/min. Which medication would be CONTRAINDICATED for this client?Reduction of Risk Potential
- 156.A client is scheduled for a colonoscopy. Which instruction is most important for the LPN to provide regarding the bowel preparation?Reduction of Risk Potential
- 157.A practical nurse is caring for a client who is diagnosed with obsessive-compulsive disorder (OCD). The client spends several hours each day meticulously organizing personal belongings and washing hands excessively, causing skin breakdown. Which of the following is the most appropriate initial nursing intervention?Psychosocial Integrity
- 158.A practical nurse is assisting with the care of a client with a history of opioid use disorder. The client is currently experiencing symptoms of withdrawal, including nausea, vomiting, muscle cramps, and rhinorrhea. The nurse understands that which of the following is the primary goal of nursing care during acute opioid withdrawal?Psychosocial Integrity
- 159.A practical nurse is providing care for a client who recently experienced a sudden, traumatic loss of a family member. The client is withdrawn, tearful, and unable to perform daily self-care activities. Which phase of crisis intervention, according to Aguilera and Mesnick, is the nurse primarily addressing?Psychosocial Integrity
- 160.A practical nurse is educating a client about stress management techniques. The client states, "I feel overwhelmed by my job and family responsibilities, and I don't have time for myself." Which technique would be most beneficial for this client?Psychosocial Integrity
- 161.A practical nurse is admitting a client who is experiencing homelessness and chronic mental illness. The client reports feeling unsafe and has difficulty trusting healthcare providers. Which action by the nurse would be most effective in establishing a therapeutic environment?Psychosocial Integrity
- 162.A practical nurse is working with a client who is hesitant to discuss their feelings about a recent diagnosis due to cultural beliefs about expressing vulnerability. Which nursing action best demonstrates cultural awareness and promotes therapeutic communication?Psychosocial Integrity
- 163.A client with schizophrenia is admitted to an inpatient psychiatric unit. The practical nurse observes the client frequently talking to themselves, gesturing at empty spaces, and appearing fearful. Which therapeutic communication technique would be most appropriate for the nurse to use initially?Psychosocial Integrity
- 164.A practical nurse is caring for a client who is diagnosed with major depressive disorder and reports feeling hopeless and having thoughts of self-harm. Which of the following is the most important initial assessment question?Psychosocial Integrity
- 165.A practical nurse is caring for a client who is exhibiting signs of escalating agitation, including pacing, clenched fists, and a loud voice. Which of the following is the most appropriate initial nursing intervention?Psychosocial Integrity
- 166.A client with a history of alcohol use disorder is admitted for pancreatitis. The client states, "I only drink socially, it's not a problem." The practical nurse recognizes this statement as an example of which defense mechanism?Psychosocial Integrity
- 167.A client diagnosed with a terminal illness expresses to the practical nurse, "I don't understand why this is happening to me. I've always been a good person." Which stage of grief, according to Kübler-Ross, is the client most likely experiencing?Psychosocial Integrity
- 168.A practical nurse is caring for a client who is diagnosed with anorexia nervosa. During meal times, the client consistently crushes food, hides it in napkins, and frequently requests to use the restroom immediately after eating. Which of the following nursing interventions is the most appropriate?Psychosocial Integrity
- 169.A practical nurse is assisting with the care of a client who has recently experienced a sudden job loss and is expressing feelings of hopelessness and worthlessness. The client states, 'I don't know how I'm going to take care of my family now; I'm a complete failure.' Which of the following is the most appropriate initial response by the nurse?Psychosocial Integrity
- 170.A practical nurse is reviewing the care plan for a client diagnosed with generalized anxiety disorder (GAD). The client frequently reports feeling 'on edge,' has difficulty sleeping, and experiences muscle tension. Which of the following non-pharmacological interventions is most appropriate to include in the care plan?Psychosocial Integrity
- 171.A practical nurse is caring for an older adult client who is exhibiting sudden confusion, disorientation, and fluctuating levels of consciousness. The client has a history of multiple comorbidities. The nurse suspects delirium. Which of the following is the priority nursing intervention?Psychosocial Integrity
- 172.A practical nurse is providing care for an older adult client who is exhibiting sudden onset confusion, disorientation, and fluctuating levels of consciousness. The client's family reports these symptoms appeared rapidly over the past 24 hours. The client is also restless and has difficulty focusing attention. What is the most likely medical condition the client is experiencing?Psychosocial Integrity
- 173.A practical nurse is reviewing the care plan for a client with generalized anxiety disorder (GAD). The client frequently expresses excessive worry about various aspects of life, leading to difficulty concentrating and sleep disturbances. Which of the following interventions would be most appropriate for the practical nurse to implement?Psychosocial Integrity
- 174.A practical nurse is providing care for an older adult client who is experiencing significant social isolation after the death of their spouse. The client frequently states, "I don't have anyone left." Which nursing intervention would best address the client's need for social support?Psychosocial Integrity
- 175.A practical nurse is providing health education to a group of adolescents about the risks of vaping. Which of the following statements by an adolescent indicates a correct understanding of the information presented?Health Promotion and Maintenance
- 176.A practical nurse is assessing a 2-year-old child during a well-child visit. The nurse is observing the child's developmental milestones. Which finding would be considered an expected gross motor skill for a child at this age?Health Promotion and Maintenance
- 177.A practical nurse is assessing a 4-year-old child during a well-child visit. The nurse observes the child can hop on one foot, draw a person with at least three body parts, and use scissors to cut along a line. Based on these observations, which developmental stage is the child demonstrating?Health Promotion and Maintenance
- 178.A practical nurse is conducting a home visit for a 78-year-old client who lives alone and reports feeling socially isolated. The client states, “I don’t see much point in getting out anymore.” Which of the following interventions is most appropriate for the nurse to recommend to address the client’s spiritual and social well-being?Health Promotion and Maintenance
- 179.A practical nurse is conducting a health assessment on a 75-year-old client who lives alone and reports decreased appetite and unintentional weight loss over the past few months. The client states, 'It's just too much trouble to cook for one.' Which nursing diagnosis is most appropriate for this client?Health Promotion and Maintenance
- 180.A practical nurse is conducting a home visit for a client with newly diagnosed type 2 diabetes. The client is of Hispanic descent and states, 'My family always eats a lot of rice and beans. How can I manage my blood sugar with my traditional diet?' Which nursing action best reflects cultural sensitivity in this situation?Health Promotion and Maintenance
- 181.A practical nurse is teaching a pregnant client about proper nutrition during pregnancy. The client, who is a vegetarian, asks for advice on ensuring adequate iron intake. Which food combination should the practical nurse recommend to maximize iron absorption?Health Promotion and Maintenance
- 182.A practical nurse is educating a client who is preparing for international travel to a region with a high prevalence of hepatitis A. The client asks about the most effective way to prevent contracting the virus. Which recommendation should the nurse prioritize?Health Promotion and Maintenance
- 183.A practical nurse is providing education to a group of community members about stress management techniques. A client asks about the most immediate and effective technique to reduce acute stress during a particularly anxious moment. Which technique should the nurse recommend?Health Promotion and Maintenance
- 184.A practical nurse is caring for an older adult client who reports difficulty sleeping, increased irritability, and frequent headaches due to caring for a spouse with advanced dementia. The nurse recognizes these as signs of caregiver burden. Which intervention is most appropriate for the nurse to recommend initially?Health Promotion and Maintenance
- 185.A new mother is expressing concerns about her newborn's feeding patterns and is unsure if the baby is getting enough milk. The practical nurse is providing education on signs of adequate feeding for breastfed infants. Which finding indicates the newborn is likely receiving sufficient nourishment?Health Promotion and Maintenance
- 186.A practical nurse is providing health education to a group of adolescents about high-risk behaviors and their consequences. When discussing substance abuse, which statement by an adolescent indicates a need for further clarification regarding the long-term effects of cannabis use?Health Promotion and Maintenance
- 187.A practical nurse is conducting a health education session for new parents about infant safety. Which of the following statements by a parent indicates a need for further teaching regarding safe sleep practices?Health Promotion and Maintenance
- 188.A practical nurse is educating a 30-year-old client who is planning to become pregnant about recommended preconception health screenings. Which of the following screenings is most crucial to discuss to prevent potential birth defects?Health Promotion and Maintenance
- 189.A practical nurse is providing discharge teaching to a client who recently underwent a minor surgical procedure. The client expresses concern about managing post-operative pain at home. Which instruction is most important for the nurse to include in the teaching regarding pain management?Health Promotion and Maintenance
- 190.A 52-year-old female client, who recently started menopause, reports experiencing hot flashes, mood swings, and difficulty sleeping. She asks the practical nurse about non-pharmacological interventions to manage her symptoms. Which of the following recommendations is most appropriate for the nurse to provide?Health Promotion and Maintenance
- 191.A 68-year-old client with a history of hypertension and hyperlipidemia is discussing lifestyle modifications with the practical nurse. The client expresses a desire to improve their overall health. Which of the following recommendations is most appropriate for the practical nurse to emphasize regarding regular physical activity?Health Promotion and Maintenance
- 192.A practical nurse is conducting a health screening for a 45-year-old male client with no significant medical history. The client is concerned about his risk for prostate cancer. Which recommendation for prostate cancer screening is most appropriate for a client of this age and risk profile according to current guidelines?Health Promotion and Maintenance
- 193.A licensed practical nurse (LPN) is reviewing the laboratory results for a client admitted with dehydration. Which finding would be the most concerning?Reduction of Risk Potential
- 194.An LPN is assisting with the care of a client who is receiving intravenous (IV) fluids. The LPN notes swelling, coolness, and pain at the IV insertion site. Which action should the LPN take FIRST?Safety and Infection Control
- 195.The nurse is caring for a client with ascites due to liver cirrhosis. The client's abdominal girth has increased by 5 cm in 24 hours, and they report increased shortness of breath. Which of the following is the most appropriate nursing intervention?Physiological Adaptation
- 196.An LPN is assisting with the admission of a client who reports being a victim of domestic violence. The client states, 'Please don't tell my family about this; they wouldn't understand.' The LPN's most appropriate action to maintain confidentiality while ensuring client safety is to:Coordinated Care
- 197.A client with a history of heart failure is scheduled for discharge. The LPN is reinforcing teaching about dietary restrictions, specifically sodium intake. Which client statement indicates a need for further teaching?Coordinated Care
- 198.A client is prescribed 500 mg of amoxicillin oral suspension every 8 hours. The medication label states 250 mg/5 mL. How many milliliters should the LPN administer per dose?Reduction of Risk Potential
- 199.A client is scheduled for a cardiac catheterization. Which statement by the client indicates a need for further teaching by the LPN?Reduction of Risk Potential
- 200.A client is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). The LPN notes the client is restless, confused, and has a respiratory rate of 28 breaths/min. The pulse oximetry reading is 88% on 2 L/min of oxygen via nasal cannula. Which action should the LPN take FIRST?Reduction of Risk Potential