Skip to main content
Sign in Create a free account
Varsity Tutors
Sign in Sign up

Practice Test 12 - NCLEX Pn

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

  1. Which intervention should the nurse immediately implement as part of the facility's emergency response?
  2. The nurse should recognize these findings as potential indicators of:
  3. A 45-year-old client is hospitalized after a motor vehicle crash and is receiving pain medication. A local reporter calls the unit and asks if the client is admitted and what injuries the client has. The facility has a strict privacy policy and does not release any information without authorization. Which action should the nurse take to maintain client confidentiality?
  4. A 66-year-old client on a medical unit has an advance directive requesting comfort-focused care only if the condition worsens. The client is now alert and tells the nurse, "I changed my mind; I want all treatments," but the written document has not been updated. Facility policy requires the nurse to report changes in wishes to the provider and document the client's statements. Which action aligns with respecting the client's advance directives?
  5. The practical nurse (PN) is observing the skin around a client's mature gastrostomy tube (G-tube) stoma. Which finding requires the PN to intervene and notify the RN?
  6. A 59-year-old client is prescribed warfarin 7.5 mg PO daily. The available tablets are 5 mg. How many tablets should the client receive per dose?
  7. An LPN/VN is caring for a 64-year-old 2 hours after a total hip arthroplasty under RN supervision. The client reports sudden shortness of breath and chest pain; assessment shows SpO2 84% on room air, HR 132/min, respirations 32/min, BP 104/66 mm Hg, and the client is anxious. What is the PRIORITY intervention for this client?
  8. The practical nurse (PN) is collecting data on a client with a nasogastric tube for enteral feeding. Which finding should be reported to the registered nurse (RN) immediately?
  9. A 50-year-old client with fibromyalgia is seen in a pain clinic and reports feeling overwhelmed caring for an elderly parent. The client states, "I can't do everything, and the pain gets worse when I'm stressed." Assessment data: appears exhausted, reports poor sleep, and says they stopped seeing friends. What is the PRIORITY intervention to assist the client in coping?
  10. The nurse is collecting data on a 2-month-old infant. The nurse notes that when a loud noise occurs, the infant abducts and extends the arms, and the fingers fan out. Which action should the nurse take?
  11. A 2-week-old infant (born at 40 weeks by vaginal delivery, no complications) is at a well-baby visit; current weight is 3.9 kg (birth weight 3.6 kg). The parent asks how to reduce the risk of sudden infant death syndrome (SIDS); the infant is formula-fed 60–90 mL every 3 hours and vital signs are temperature 36.7°C, heart rate 140/min, respiratory rate 34/min. How should the nurse educate parents about this infant care practice?
  12. After administering the new dose, the nurse monitors the client for a therapeutic response. Which finding indicates the medication and dosage are effective?
  13. The practical nurse (PN) is caring for a client with a jejunostomy tube (J-tube). The PN understands that which procedural step common for gastric tubes is contraindicated for this client?
  14. Which laboratory value is most concerning and should be reported to the RN?
  15. A 74-year-old client with chronic obstructive pulmonary disease is in an acute care unit and becomes short of breath when lying flat. Assessment: T 98.2°F (36.8°C), HR 90, RR 24, BP 138/80, pain 0/10; oxygen saturation is 92% on 2 L/min nasal cannula. Which positioning technique is MOST appropriate for promoting comfort and mobility in bed while reducing work of breathing?
  16. A 72-year-old client with a history of ischemic stroke and dysphagia has a gastrostomy tube (G-tube) for medications and feedings. The order is for levothyroxine 75 mcg via G-tube daily at 0800; continuous tube feeding is running at 60 mL/hr, and the tube placement was verified at the start of the shift. Which action should the nurse take PRIOR to administering the medication?
  17. An 81-year-old client with chronic kidney disease and hypertension is receiving furosemide for edema. Current assessment: heart rate 52/min, blood pressure 110/64 mm Hg, reports muscle weakness; telemetry shows irregular rhythm. Recent labs: potassium 2.9 mEq/L (low; normal 3.5–5.0 mEq/L). What change in the client's condition requires prompt reporting?
  18. When the practical nurse (PN) signs a consent form as a witness, what does the signature legally confirm?
  19. A 40-year-old client with alcohol use disorder is 24 hours since last drink and is increasingly confused and agitated, attempting to pull out the IV and climb out of bed. Vital signs: HR 136/min, RR 24/min, BP 176/104 mm Hg, T 38.3°C (100.9°F), SpO2 97% on room air; labs: potassium 3.2 mEq/L (low). The client's partner states the client "has had seizures during detox before." Which finding requires IMMEDIATE intervention by the nurse?
  20. Based on the suspected C. diff infection, which nursing hypothesis is the priority for maintaining a safe care environment?

Practice tests