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NCLEX-PN® Examination practice questions

221 free questions with answers and explanations.

Practice test
  1. 201.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
  2. 202.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
  3. 203.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
  4. 204.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
  5. 205.An LPN is assigned to care for a client who is non-English speaking. The client requires education on newly prescribed medications. Which action is most appropriate for the LPN to ensure effective communication and informed consent?Coordinated Care
  6. 206.A client with a history of heart failure is prescribed furosemide 40 mg PO daily. The nurse should instruct the client to monitor for which of the following electrolyte imbalances as a potential adverse effect?Physiological Adaptation
  7. 207.A client with a new peripherally inserted central catheter (PICC) line develops sudden shortness of breath, chest pain, and tachycardia. The nurse notes decreased breath sounds on the affected side. The nurse should immediately prepare for interventions to address which complication?Physiological Adaptation
  8. 208.An LPN is assisting a registered nurse (RN) to care for a client who is diagnosed with a newly acquired brain injury. The client's family is requesting to make all medical decisions, stating the client is 'not in their right mind.' The LPN notes that the client appears alert and oriented to person, place, and time. Which action by the LPN is most appropriate?Coordinated Care
  9. 209.A practical nurse is assessing a 75-year-old client who reports difficulty sleeping, loss of appetite, and decreased interest in hobbies. The client's spouse recently passed away six months ago. Which of the following spiritual or cultural influences should the nurse consider when planning care?Health Promotion and Maintenance
  10. 210.An LPN is preparing to transfer a client from a medical-surgical unit to a long-term care facility. Which action is the most appropriate for the LPN to ensure continuity of care?Coordinated Care
  11. 211.A client is admitted with a severe gastrointestinal bleed, and the nurse suspects hypovolemic shock. Which of the following assessment findings would be the PRIORITY to report to the healthcare provider?Physiological Adaptation
  12. 212.An LPN is reinforcing teaching with a client who is prescribed a new medication for hypertension. Which statement by the client indicates a need for further teaching regarding medication safety?Safety and Infection Control
  13. 213.A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with increased dyspnea and wheezing. Arterial blood gas (ABG) results are pH 7.32, PaCO2 58 mmHg, PaO2 65 mmHg, HCO3 30 mEq/L. The nurse interprets these results as indicating which acid-base imbalance?Physiological Adaptation
  14. 214.An LPN is assisting with the admission of a client who has a history of opioid use disorder and is requesting pain medication for a chronic back condition. The LPN's most appropriate action regarding the client's request is to:Coordinated Care
  15. 215.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
  16. 216.An LPN is caring for a client who is NPO and scheduled for surgery. The client reports a dry mouth and expresses discomfort. Which intervention is appropriate for the LPN to provide?Basic Care and Comfort
  17. 217.A licensed practical nurse (LPN) is assisting a client with advanced Parkinson's disease with feeding. The client exhibits severe tremors and difficulty coordinating movements. Which intervention should the LPN prioritize to promote safe and independent nutrition?Basic Care and Comfort
  18. 218.A client with a new colostomy is being taught how to empty their ostomy pouch. The LPN observes the client emptying the pouch into the toilet. Which action by the LPN is most appropriate next?Basic Care and Comfort
  19. 219.An LPN is reinforcing teaching with a client about the importance of regular exercise for bone health. The client asks which type of exercise is most beneficial for preventing osteoporosis. Which activity should the LPN recommend?Basic Care and Comfort
  20. 220.An LPN is assisting a client with left-sided weakness to ambulate using a cane. The client is right-handed. Which instruction should the LPN provide regarding cane use?Basic Care and Comfort
  21. 221.An LPN is caring for a client with a new prescription for bed rest following a spinal injury. Which intervention is most important to prevent complications related to immobility?Basic Care and Comfort