Practice Test 2 - NCLEX Pn

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

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1. A 15-year-old client at an adolescent health clinic requests treatment for a sexually transmitted infection and asks that their parents not be informed. Which statement most accurately reflects the legal status of this situation in most U.S. states?
2. The PN is collecting a stool specimen from a client who is on contact precautions for Clostridioides difficile. Which infection control measure is a priority?
3. A female client is collecting a clean-catch urine specimen. The PN observes the client performing the procedure. Which action would require the client to discard the specimen and start over?
4. A UAP is assigned to assist the client with a bed bath. Which action by the nurse is appropriate when supervising the UAP's infection control practices?
5. On a telemetry unit, a 58-year-old client who lives alone has just been diagnosed with atrial fibrillation. The client looks confused and says, "I don't really get what this means—am I having a heart attack?" The LPN/VN is reinforcing teaching and assessing understanding. Which statement by the nurse demonstrates therapeutic communication?
6. A 34-year-old female in an emergency department is treated for pneumonia and has a documented allergy to azithromycin (hives). The medication administration record shows an order for azithromycin 500 mg by mouth now. Which action is the PRIORITY for the nurse?
7. A 3-year-old child is evaluated for failure to thrive. Weight is 11.0 kg, and the caregiver reports the child fills up on milk and refuses solid foods; diet record shows 40 oz whole milk/day and minimal iron-rich foods. The child is pale and irritable. Which dietary modification is MOST appropriate for this client?
8. An LPN in a hospital clinic experiences a blood splash to the mouth while removing a saturated dressing; the nurse was not wearing a mask. The client's infection status is unknown, and the nurse has no oral sores. What is the nurse's PRIORITY action following the exposure?
9. In a long-term care facility, an LPN gives SBAR report to the oncoming nurse about a 90-year-old client with a stage 2 sacral pressure injury. Over the last 24 hours, drainage increased and the surrounding skin is warm and red; VS now: T 100.9°F (38.3°C) (was 98.6°F), HR 102 (was 84). History includes limited mobility and urinary incontinence; the dressing was changed twice today and the client is on a high-protein diet. Which detail is MOST important to include in the Situation part of SBAR?
10. A 47-year-old client in a hospital is scheduled for an MRI with contrast and states, "I am claustrophobic and I might panic." The provider has already ordered the test, but the client is unsure about proceeding. Facility policy requires the client to agree voluntarily and the nurse to notify the provider of concerns; the LPN/VN may reinforce teaching and offer coping strategies. How should the nurse proceed with client teaching on informed consent?
11. The nurse is monitoring a client's peripheral IV site. Which finding would indicate the development of phlebitis?
12. An LPN in an urgent care clinic is stuck by a used lancet while assisting with a finger-stick glucose check on a client whose infection status is unknown; the LPN has a documented complete hepatitis B vaccine series. Which action is the nurse's PRIORITY after providing immediate wound care?
13. In an acute care hospital, a 74-year-old client with diabetic neuropathy is on a treatment plan for ambulation with a walker and one-person assist. The nurse notes the rubber tips on the back legs of the walker are worn smooth. Which finding indicates a potential safety hazard with the use of the walker?
14. In a hospital medical-surgical unit, a 72-year-old client with a draining wound culture positive for methicillin-resistant Staphylococcus aureus (MRSA) has a temperature of 37.9°C (100.2°F) and WBC 13,200/mm³. The dressing is saturated with serosanguinous drainage. What is the priority action to prevent infection spread?
15. A 32-year-old postpartum client with a history of anxiety becomes overwhelmed on a mother-baby unit, crying and stating, "I'm a terrible mom," while breathing rapidly. Mood is anxious, affect is tearful, communication is self-critical, and the client is pacing. Which strategy should the nurse use to address the client's anxiety?
16. In a long-term care facility, an 80-year-old resident with mild hearing loss is receiving end-of-life care for advanced heart failure. The resident's adult daughter says quietly, "I feel guilty leaving at night—what if he dies when I'm not here?" The LPN/VN is present during visiting hours. How should the nurse respond to express empathy?
17. A client diagnosed with schizophrenia tells the PN, "The voices are telling me I am a bad person." Which response by the PN is most therapeutic?
18. A 52-year-old client with chronic gastritis identifies as Vietnamese American and says he uses coin rubbing (cao gio) at home when he feels unwell. On assessment, the LPN notes linear red marks on the client's back. The client states the marks are from coin rubbing and are not painful. Which action respects the client's cultural beliefs?
19. A 68-year-old client asks the PN if they need the shingles vaccine. The client has a history of chickenpox as a child. What is the most appropriate information for the PN to reinforce?
20. A 24-year-old client who is 10 weeks pregnant reports smoking marijuana several times a week and says it helps with anxiety. Vital signs are within expected limits. The client has missed the last prenatal appointment due to transportation problems. Which intervention should the nurse prioritize for this client?

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