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Practice Test 8 - NCLEX Pn

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

  1. Which action should the nurse take first?
  2. An older adult client in a long-term care facility has a new onset of confusion and has not been sleeping well for the past two nights. Which finding should the practical nurse (PN) report to the registered nurse (RN) immediately?
  3. The nurse is administering a subcutaneous injection of heparin. Which action by the nurse is correct?
  4. The nurse observes a 9-month-old infant crying and reaching for the parent when a stranger approaches. The nurse interprets this behavior as an indication of which developmental achievement?
  5. A medication error analysis shows several errors occurred during shift change on a busy surgical floor. The LPN/VN is invited to a team meeting with the RN, pharmacist, and nurse manager to discuss improvements. In the quality improvement meeting, the LPN/VN should suggest which of the following?
  6. Which clinical finding is the most significant indicator that the urinary catheter system is obstructed?
  7. The PN is preparing to administer the rotavirus (RV) vaccine to an infant. The PN should prepare to administer this vaccine by which route?
  8. In the ED, an LPN sees a coworker cleaning a blood spill without gloves because "it's just a small amount." The client's infection status is unknown. What is the nurse's PRIORITY action?
  9. On a medical-surgical unit, a 67-year-old male admitted for heart failure has a history of depression. Today he is unusually calm, refuses dinner, and states, "You won't have to worry about me much longer." Which behavior indicates the HIGHEST RISK for suicide?
  10. A client is prescribed to receive 1000 mL of 0.9% sodium chloride over 8 hours. The IV tubing has a drop factor of 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many drops per minute?
  11. A 48-year-old client reports no regular exercise and says, "Heart disease runs in my family, so it's inevitable." Diet is high in fried foods. Vital signs: blood pressure 150/94 mm Hg, heart rate 90/min, respiratory rate 18/min, temperature 98.1°F (36.7°C). Which intervention should the nurse prioritize for this client?
  12. A 61-year-old client is transitioning to outpatient care after a myocardial infarction; history includes chronic hypertension. During discharge teaching, the client reports new severe shortness of breath and cough producing pink, frothy sputum. Assessment: heart rate 120/min, respiratory rate 34/min, blood pressure 168/94 mm Hg, oxygen saturation 86% on room air; lung sounds: crackles throughout. Which data indicates an acute change that requires IMMEDIATE action?
  13. A 68-year-old client is admitted to the hospital. When collecting data, the nurse notes the client has decreased skin turgor and dry mucous membranes. The client states, "I don't feel thirsty very often." The nurse recognizes this is a common issue because of what age-related change?
  14. Which instruction should the nurse include when reinforcing the information?
  15. A 79-year-old client with a history of stroke and dysphagia is being fed a mechanical soft diet. The client develops a wet-sounding cough after meals and has coarse crackles in the right lower lung. Vital signs: T 101.2°F (38.4°C), HR 96/min, BP 124/68 mm Hg, RR 22/min, SpO2 91% on room air; white blood cell count 12,900/mm³ (normal 4,500–11,000). What complication is the client MOST at risk for?
  16. What is the most appropriate action for the LPN to take?
  17. Which piece of information is missing from this documentation?
  18. At a community clinic, a 31-year-old client who recently immigrated and prefers simple, concrete language has just been told they have hypertension. The client says, "I feel fine. I don't think I need pills." The LPN/VN is reinforcing teaching. What is the best way for the nurse to address the client's concern?
  19. The practical nurse (PN) is caring for a client with a gastrostomy tube. What is the most reliable method for the PN to use to confirm tube placement before administering medications and a bolus feeding?
  20. On a surgical floor, an LPN notices an overfilled sharps container with needles protruding near the opening. Housekeeping has not yet arrived, and staff are continuing to use the medication room. What is the nurse's PRIORITY action?

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