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Practice Test 10 - NCLEX Pn

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

  1. A client signed a general consent for treatment upon admission to the hospital. A surgeon now informs the client that they need an invasive surgical procedure. Which statement is true regarding consent for this surgery?
  2. An 80-year-old client with advanced dementia needs to have a gastrostomy tube placed. The client is unable to provide consent. The practical nurse should check the client's medical record for which document to identify the legal decision-maker?
  3. A 26-year-old client is 1 hour postpartum after a vaginal birth at 39 weeks. Vital signs: blood pressure 114/72 mm Hg, heart rate 100/min, temperature 98.4°F (36.9°C); fundus firm and midline; lochia is heavy with multiple clots larger than a plum. What is the nurse's PRIORITY intervention (under RN supervision)?
  4. The LPN/VN is administering a blood transfusion to a client. After the first 15 minutes pass without signs of a reaction, how frequently should the nurse obtain vital signs for the remainder of the transfusion?
  5. An LPN/VN is caring for a 47-year-old client with pancreatitis who reports severe abdominal pain and nausea. Current findings: pain 9/10, heart rate 118/min, blood pressure 88/56 mm Hg, cool clammy skin; history includes heavy alcohol use. What is the PRIORITY action under RN supervision?
  6. The practical nurse (PN) is reinforcing instructions for a female client on how to collect a clean-catch midstream urine specimen. Which statement by the client indicates that the teaching has been effective?
  7. A 6-month-old infant is seen in clinic for poor weight gain. Birth weight was 3.2 kg; current weight is 5.6 kg (below expected), and the caregiver reports the infant takes 2–3 oz of formula every 4–5 hours and often falls asleep during feeds. The infant has sparse subcutaneous fat and fewer than 4 wet diapers/day. Which dietary modification is MOST appropriate for this client?
  8. A 66-year-old client is taking warfarin for atrial fibrillation. The client reports dark, tarry stools and bleeding gums when brushing teeth. Vital signs: T 98.7°F (37.1°C), HR 106/min, BP 102/64 mm Hg, RR 18/min, SpO2 98% on room air; international normalized ratio (INR) 5.2 (therapeutic 2.0–3.0). Which finding indicates a potential complication?
  9. When reporting a fire to the emergency dispatcher or operator, what is the most critical piece of information the nurse must provide?
  10. An 18-year-old client is preparing to live in a college dormitory. The PN is reviewing the client's immunization record. The record shows a primary dose of meningococcal conjugate (MenACWY) vaccine was given at age 12. Which action should the PN anticipate?
  11. An LPN in the emergency department is cleaning a treatment room and is accidentally stuck by an uncapped needle left on the bedside table after a procedure; the source client is not immediately identifiable. What is the nurse's PRIORITY action following the exposure?
  12. What is the nurse's immediate priority?
  13. A client receiving palliative care reports persistent nausea. After administering a prescribed antiemetic, which additional action should the practical nurse (PN) take to promote comfort?
  14. A 31-year-old client who delivered vaginally 2 hours ago at 40 weeks is in a postpartum recovery room. Vital signs: blood pressure 104/66 mm Hg, heart rate 112/min, temperature 99.1°F (37.3°C); fundus is boggy and 2 cm above the umbilicus; lochia is heavy with clots and saturating a pad in 10 minutes. What is the nurse's PRIORITY intervention (under RN supervision)?
  15. A 31-year-old client with type 1 diabetes took rapid-acting insulin but vomited and did not eat. The client is diaphoretic, shaky, and has slurred speech; capillary blood glucose is 40 mg/dL. What is the nurse's PRIORITY action after obtaining this blood glucose reading?
  16. The nurse should program the infusion pump to deliver the fluid at what rate in mL/hr?
  17. A 16-year-old client is recovering from an appendectomy. To support the client's psychosocial needs, what is the nurse's most appropriate action?
  18. A client asks the practical nurse (PN) to explain the potential complications of an upcoming cardiac catheterization. Which response by the nurse is most appropriate?
  19. A 74-year-old client with type 2 diabetes is admitted with generalized weakness and stays in bed most of the day. The nurse notes dry, cracked skin on the heels and elbows; no open areas are present. Braden Scale score is 14. Current interventions include turning every 2 hours and a standard mattress. Which assessment finding indicates a risk for pressure injury?
  20. A client is scheduled to receive several units of packed red blood cells following significant blood loss from trauma. Which complications associated specifically with receiving large volumes of stored blood should the LPN/VN monitor for and report?

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