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Practice Test 11 - NCLEX Pn

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

  1. The practical nurse (PN) is reviewing pre-procedure orders for a client undergoing an endoscopy. The orders include an IV sedative to be given on call to the procedure room. The nurse notes the consent form has not yet been signed. What is the priority action?
  2. The PN is reinforcing dietary instructions for a client scheduled to collect three stool specimens at home for guaiac (occult blood) testing. Which statement by the client indicates a need for further teaching?
  3. The LPN/VN understands that the legal and ethical requirement for informed consent is most fundamentally rooted in which bioethical principle?
  4. A practical nurse (PN) is reinforcing teaching about nutrition to a client at 10 weeks gestation. Which statement by the client indicates an understanding of the teaching?
  5. The healthcare provider needs to obtain telephone consent for an emergency procedure for a client who is confused. The client's designated healthcare proxy is on the phone. According to typical hospital policy, which action is required?
  6. A 73-year-old client in a long-term care facility has limited mobility and requires turning. Assessment: T 98.1°F (36.7°C), HR 86, RR 18, BP 130/72, pain 3/10; the client has fragile skin and bruises easily. Which positioning technique is MOST appropriate for preventing skin injury during repositioning?
  7. The PN receives a container from a client for a sputum culture. The specimen is watery, thin, and clear. What is the PN's most appropriate action?
  8. A 74-year-old client with dementia is in a medical-surgical room with an indwelling urinary catheter for strict output monitoring. The client repeatedly attempts to pull out the catheter; the nurse has tried distraction, covering the tubing, and offering fluids and toileting, but the behavior continues. The nurse should QUESTION which restraint order given the client's situation?
  9. The nurse is monitoring a client receiving IV fluids at 125 mL/hr. Which finding suggests fluid volume overload and requires immediate reporting to the RN?
  10. A 38-year-old client at a walk-in clinic asks, "Can my spouse access my online patient portal?" The spouse is not present, and the client has a history of hypertension. The nurse should reinforce which aspect of privacy with the client?
  11. The LPN/VN receives handoff on 3 clients in an outpatient clinic under RN supervision. Client 1: 6-year-old with asthma, audible wheeze, using accessory muscles, SpO2 89% on room air, RR 34/min. Client 2: 30-year-old with a urinary tract infection, dysuria, afebrile, BP 122/78 mm Hg. Client 3: 52-year-old with hypertension here for routine blood pressure check, BP 168/94 mm Hg, no symptoms. Which client should the LPN/VN attend to FIRST under RN supervision?
  12. A 72-year-old client is scheduled for a transurethral resection of the prostate (TURP) this afternoon. History includes benign prostatic hyperplasia and atrial fibrillation; medications include warfarin and tamsulosin. Labs: INR 3.6, Hgb 13.2 g/dL; vital signs stable. Which pre-procedure preparation is MOST important?
  13. The nurse is observing a group of toddlers in a daycare setting. Which type of play is most characteristic of 2-year-olds?
  14. A 72-year-old resident in a long-term care facility has early Parkinson disease and is discussing end-of-life preferences with family. The resident states they have a living will but are unsure what the durable power of attorney for health care (DPOA-HC) allows. The resident's nephew says, "I can make decisions because I'm family." The nurse should clarify which aspect of the advance directives with the client?
  15. An 86-year-old client with a stroke is chairbound and requires a mechanical lift for transfers. Skin assessment reveals blanchable redness over the sacrum and moisture from urinary incontinence. Braden Scale score is 10. Current interventions include repositioning every 3 hours and a disposable brief. Which assessment finding indicates a risk for pressure injury?
  16. The nurse is reinforcing teaching for a client with type 1 diabetes about subcutaneous insulin injection sites. Which statement by the client indicates a need for further teaching?
  17. What is the priority data for the LPN to collect and report before administering the insulin?
  18. A 82-year-old client with chronic heart failure takes furosemide and carvedilol; today the client reports swelling in ankles but denies shortness of breath at rest. Assessment: heart rate 76/min, respiratory rate 18/min, blood pressure 118/70 mm Hg, oxygen saturation 95% on room air; 1+ ankle edema; weight up 1 lb (0.45 kg) since last week; labs: potassium 2.9 mEq/L. Which data indicates an acute change that requires IMMEDIATE action?
  19. Which statement by the client indicates a correct understanding of current health promotion guidelines?
  20. A 58-year-old client with chronic obstructive pulmonary disease is being discharged home with new home oxygen at 2 liters per minute via nasal cannula and a rescue inhaler. The client is stable, has oxygen saturation 92% on 2 liters, and lives with a spouse; the LPN/VN is coordinating with the respiratory therapist, home health agency, and the RN to ensure safe discharge. Which action by the nurse ensures continuity of care?

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