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Practice Test 6 - NCLEX Pn

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

  1. The parent of a 2-month-old infant calls the clinic the day after receiving routine immunizations. The parent reports the infant's temperature is 99.9°F (37.7°C), the infant is irritable, and there is redness at the injection site. What instruction should the PN reinforce?
  2. A client with post-traumatic stress disorder (PTSD) is experiencing a flashback. The client appears terrified and is shouting. What is the priority nursing action?
  3. In an outpatient endoscopy center, a 52-year-old client who recently lost his job and is worried about paying bills is scheduled for a colonoscopy. He is pacing and says, "I can't stop thinking something will go wrong when they put me to sleep." The LPN/VN is preparing the client for the procedure. Which statement by the nurse demonstrates therapeutic communication?
  4. A 4-year-old child is hospitalized for a minor procedure. Which nursing action best supports the child's psychosocial development according to Erikson?
  5. A 15-year-old client comes to a clinic seeking treatment for a sexually transmitted infection (STI). The client asks the nurse not to tell their parents. In most states, what is the nurse's best action?
  6. A 33-year-old postpartum client who identifies as Orthodox Jewish requests that male staff not provide perineal care if possible and asks for modesty during assessments. She has a second-degree tear and needs teaching on perineal care. Which statement by the nurse demonstrates cultural competence?
  7. A client with a substance use disorder is admitted for detoxification. The client is becoming increasingly irritable, shaky, and diaphoretic. What is the priority action for the PN?
  8. A 14-year-old client considers multiple possible outcomes of a situation, reasons through hypothetical scenarios, and can evaluate ethical arguments. The LPN/VN recognizes these abilities as characteristic of which cognitive stage?
  9. The nurse is monitoring the client's urine output following the reaction. Which finding would indicate a successful stabilization of the client?
  10. A 16-year-old client comes to the school nurse for frequent cough and admits to vaping nicotine daily and skipping breakfast. Vital signs: temperature 98.4°F (36.9°C), heart rate 92/min, respiratory rate 18/min, blood pressure 110/68 mm Hg. The client says, "Vaping isn't really smoking." The nurse should reinforce which information to promote healthier choices?
  11. Which combination of precautions should the nurse implement for this client?
  12. The LPN/VN is reviewing the catch-up schedule for a child who started the hepatitis B series late. Which principle correctly describes how the catch-up schedule should be applied?
  13. What is the most appropriate action for the LPN to take?
  14. An 80-year-old client with dysphagia is on a pureed diet and nectar-thick liquids. The client has a new low-grade fever, wet-sounding cough after meals, and decreased oral intake; oxygen saturation is 92% on room air. What is the PRIORITY nursing action regarding this client's hydration status?
  15. In a long-term care facility, a 79-year-old client with type 2 diabetes reports poor appetite and has lost 8 lb (3.6 kg) in 1 month; today's vital signs are blood pressure 118/64 mm Hg, heart rate 84/min, temperature 98.4°F (36.9°C), and a fasting blood glucose of 68 mg/dL. The LPN/VN notes the client is eating less than 25% of meals and is receiving a sliding-scale insulin order. Which team member should the nurse collaborate with FIRST to address the client's dietary needs?
  16. A client is experiencing command hallucinations to harm another client. The PN overhears the client muttering, 'I have to do it, I have to hurt him.' Which action should the PN take immediately?
  17. A 75-year-old hospitalized client is on bed rest after a stroke and has SCDs ordered. The nurse finds one sleeve is not inflating; the tubing is kinked under the bed rail, and the client has 1+ bilateral lower-leg edema with equal calf circumferences. Which action is MOST important for ensuring the effectiveness of the compression device?
  18. A 4-month-old infant is admitted for poor weight gain and dehydration. The caregiver reports frequent watery stools and giving only water between feeds; the infant has a sunken fontanel and dry mucous membranes. What intervention should the nurse implement to address the client's dehydration?
  19. In a rehabilitation facility cafeteria, an LPN hears a physical therapy aide discussing a 58-year-old client's recent relapse of alcohol use and missed therapy sessions while other visitors sit nearby. The client is in rehab after a minor fall and has no complex conditions. What action should the nurse take to maintain client confidentiality?
  20. A 5-year-old cries at school drop-off. Which sign indicates a problem?

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