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Practice Test 1 - NCLEX Pn

20 questions. Answer them in any order, then submit to see your score and every explanation.

  1. A 40-year-old client newly diagnosed with diabetes is learning glucometer use. The client takes oral contraceptives, which can affect glucose levels. Which instruction should the nurse REINFORCE for a client learning to use a glucometer?
  2. A 60-year-old home health client is recovering after hip surgery and is at increased risk for DVT due to decreased mobility and smoking history. The nurse observes the caregiver applying compression stockings over a damp leg after a shower; mild redness is noted under the stocking top band. Which action is MOST important for ensuring the effectiveness of the compression device?
  3. The PN has collected a urine specimen in a sterile cup. What is the correct procedure for transporting the specimen to the laboratory?
  4. A 71-year-old client is receiving epidural analgesia after surgery. Assessment: epidural dressing is saturated with clear fluid and the client reports a new headache that worsens when sitting up; vital signs: heart rate 88/min, blood pressure 118/70 mmHg, respiratory rate 16/min, oxygen saturation 97% on room air; pain rating 2/10. What should the nurse do FIRST when the epidural catheter alarm sounds and the dressing is saturated?
  5. The PN is administering the first dose of the human papillomavirus (HPV) vaccine to a 13-year-old. The parent asks when the child will need to return for the next dose. Which is the best response by the PN?
  6. A 21-year-old client reports a new sexual partner and states they "usually" use condoms but not during oral sex. Vital signs are within expected limits. The client asks how to prevent sexually transmitted infections (STIs). What education should the nurse provide to address this behavior?
  7. Which instruction should the nurse reinforce with the client?
  8. A 74-year-old postoperative client is taking Tramadol 50 mg by mouth every 6 hours as needed for pain. The client reports constipation and says, "I'm drinking less water so I won't have to get up to urinate." The LPN/VN is reinforcing medication education. What information should the nurse reinforce about this medication?
  9. The practical nurse responds to an IV infusion pump alarm indicating an occlusion. Which action should the nurse take first?
  10. A 45-year-old client in a community clinic reports persistent sadness, poor sleep, and loss of interest in usual activities for the past 6 weeks; the client denies thoughts of self-harm. The LPN/VN notifies the RN and helps coordinate supportive resources. What is the most appropriate referral for this client situation?
  11. The nurse is setting up the infusion to run by gravity. At what rate, in drops per minute (gtt/min), should the nurse regulate the IV? (Round to the nearest whole number).
  12. The nurse needs to reconstitute a powdered medication in a multi-dose vial. After injecting the correct amount of diluent, what is the next action?
  13. To administer this medication, the nurse should set the infusion pump to what rate in mL/hr? (Round to the nearest whole number).
  14. What is the immediate nursing action?
  15. What is the priority action for the nurse?
  16. A 58-year-old client is newly prescribed Losartan 50 mg by mouth daily for hypertension. The client has a history of diabetes and mild kidney disease and reports dizziness when standing, stating, "I've been using a salt substitute to cut sodium." The LPN/VN is reinforcing medication education. What information should the nurse reinforce about this medication?
  17. In a clinic exam room, a 40-year-old client with a history of migraines is accompanied by a partner who asks, "Can you tell me what her test results showed?" The client is in the restroom and no release of information is on file. How should the nurse respond to a request for confidential information?
  18. A client in her third trimester reports frequent heartburn. Which recommendation should the PN reinforce?
  19. A clinic starts a client satisfaction survey after several complaints about long wait times. The LPN/VN works with the receptionist and the nurse manager to distribute surveys to clients, including a 45-year-old client seen for hypertension follow-up. What should the LPN/VN report to the team regarding the quality improvement data?
  20. The PN is reinforcing teaching with the parent of a 4-month-old infant about the immunization schedule. Which statement by the parent indicates a need for further teaching?

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