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Practice Test 7 - NCLEX Pn

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

  1. The PN is collecting a stool specimen for a guaiac test (fecal occult blood test). Which action is a necessary part of the procedure?
  2. A 12-year-old child with cerebral palsy uses a wheelchair and is transported in a family van. The caregiver asks how to secure the child safely during travel. Which instruction is MOST important?
  3. The nurse should anticipate that the primary health care provider will prescribe which emergency medication?
  4. A 60-year-old client in the emergency department is diagnosed with pneumonia and needs instructions for a new oral antibiotic. The client speaks Mandarin and understands very little English; a hospital interpreter is available by video. Which action should the nurse take FIRST to address the client's communication barrier?
  5. How should the nurse determine the correct length of the tube to be inserted?
  6. A 64-year-old client is prescribed potassium chloride 20 mEq PO once daily. The available liquid is potassium chloride 10 mEq/5 mL. What is the correct volume to administer per dose?
  7. Which action is within the LPN/VN's scope of practice regarding "Informed Consent"?
  8. In an outpatient clinic, an LPN reports an adverse reaction after a 35-year-old client received an IM dose of ceftriaxone for gonorrhea. Within 10 minutes the client developed hives, lip swelling, and wheezing; VS now: BP 88/54, HR 126, RR 26, SpO2 90% on room air (was 98%). The client reports a childhood penicillin allergy. Using SBAR, what assessment finding should the nurse communicate FIRST?
  9. A 66-year-old client with a recent stroke is in a rehabilitation unit and has short-term memory problems. The client forgets to use the call light and cannot complete grooming tasks without stopping; the client is alert and follows simple commands. Which approach is MOST effective in managing the client's confusion?
  10. A 77-year-old client with dementia is cared for at home. The caregiver reports the client "turns the stove on and forgets," and the nurse sees pots left on burners and no smoke detector in the kitchen area. Which safety intervention should the nurse implement FIRST?
  11. A client with obsessive-compulsive disorder (OCD) is spending 45 minutes washing their hands. What is the most appropriate action by the PN?
  12. A 60-year-old client is 1 day post surgery with an order for fluid restriction of 1,500 mL/day. The client has nausea and is drinking mostly water; labs show sodium 130 mEq/L (normal 135–145). What is the PRIORITY nursing action regarding this client's hydration status?
  13. Which assessment finding is the most critical indicator that the client is experiencing a life-threatening emergency?
  14. During medication pass, an LPN/VN notes these findings in 3 clients. Client A is a 74-year-old on warfarin for atrial fibrillation with new black, tarry stools and dizziness; vital signs: HR 112/min, BP 94/60. Client B is a 63-year-old with chronic back pain requesting PRN analgesic; vital signs stable. Client C is a 50-year-old with depression who missed breakfast and wants to take morning medications now; vital signs stable. Which client should the LPN/VN attend to FIRST under RN supervision?
  15. A hospital is evacuating due to a small fire and smoke in an adjacent wing. An LPN/VN is assisting with safe transfer of clients from a medical-surgical unit. A 66-year-old client with hypertension is on oxygen via nasal cannula at 2 L/min and is anxious; vital signs are heart rate 96/min, respirations 22/min, blood pressure 158/92 mm Hg, oxygen saturation 94%. Which task can the LPN/VN perform to assist in the emergency response?
  16. A 23-year-old client reports having vaginal sex without condoms because they are using oral contraceptive pills. Vital signs are within expected limits. The client asks if this prevents infections. What education should the nurse provide to address this behavior?
  17. A 24-year-old postpartum client (2 weeks after delivery) reports nipple soreness and says, "I think my baby is not latching right." The client has no family nearby and wants help to continue breastfeeding. Which resource is most appropriate for the client's health goal?
  18. In home care, a 75-year-old client with chronic obstructive pulmonary disease is prescribed oxygen at 2 L/min via nasal cannula. The client states, "I turn the flow up to 6 L/min when I feel short of breath." The nurse should QUESTION which aspect of the client's use of the oxygen equipment?
  19. A 76-year-old client with ESRD on hemodialysis reports difficulty following the renal diet and states, "Nothing tastes good without salt." Labs this month show potassium trending high (5.6 mEq/L; normal 3.5–5.0). Psychosocial: client lives alone and has limited income. Which nursing action is MOST important to support safe self-management?
  20. A 80-year-old female is scheduled to have her indwelling urinary catheter removed today after 3 days following surgery. She has a history of recurrent urinary tract infections. Vital signs: temperature 98.3°F (36.8°C), heart rate 74/min, blood pressure 116/62 mmHg, respirations 16/min. Which action should the nurse take to reduce the risk of infection during catheter removal?

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