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Practice Test 9 - NCLEX Pn

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

  1. The PHCP discontinues the ibuprofen and prescribes a topical analgesic. Two days later, the serum creatinine is stable and peripheral edema has not worsened. The nurse determines the intervention was successful because:
  2. A 26-year-old client reports a sedentary lifestyle and a body mass index (BMI) of 33. The client works full-time, has limited income, and wants to start exercising to support weight management. Which community resource is most appropriate for the client's health goal?
  3. A 52-year-old client is scheduled for an MRI with IV sedation due to severe claustrophobia. History includes obstructive sleep apnea; medications include zolpidem as needed. Assessment: BP 130/78, HR 76, RR 16, SpO2 95%; the client states they took zolpidem 1 hour ago. Which pre-procedure preparation is MOST important?
  4. Outpatient clinic: A 34-year-old client received an IM penicillin injection for strep throat 10 minutes ago. The client suddenly reports chest tightness and itching; wheezes are heard; vital signs are BP 86/50, HR 128, RR 28, SpO2 90% on room air; hives are present on the chest. History includes no known drug allergies. Using SBAR to alert the provider and team, what assessment finding should the nurse communicate FIRST using SBAR?
  5. When the practical nurse (PN) signs a consent form as a witness, what does the signature legally confirm?
  6. In a community clinic, a 19-year-old client at 9 weeks' gestation (G1P0) reports light spotting and mild lower abdominal cramping for 6 hours; vital signs are temperature 98.6°F (37°C), blood pressure 110/68 mm Hg, pulse 92/min, and she reports no dizziness. She is tearful and states she has limited family support. Which finding should be REPORTED to the RN immediately?
  7. The nurse should identify these findings as indicators of:
  8. A 50-year-old client is 2 days post surgery with a fluid restriction of 1,000 mL/day and reports severe dry mouth. The client's intake is within the limit but is requesting more water; sodium is 146 mEq/L (normal 135–145). What intervention should the nurse implement to address the client's dehydration?
  9. Which statement should the nurse include when reinforcing information about blood pressure monitoring?
  10. The nurse is preparing to withdraw medication from a multi-dose vial for the first time. After cleansing the rubber stopper, what is the next action?
  11. An 82-year-old client in a long-term care facility frequently talks about past accomplishments and experiences. What is the nurse's most therapeutic action?
  12. A 72-year-old long-term care client with advanced dementia is nonambulatory and has contracture risk. Assessment: T 97.9°F (36.6°C), HR 88, RR 18, BP 118/70, pain 2/10; the client resists care and grimaces when the right elbow is moved. What is the nurse's PRIORITY action when assisting with range of motion exercises?
  13. A 64-year-old home health client is recovering after hip surgery with decreased mobility and is using compression stockings. The nurse notes the caregiver applied the stockings, but the client's toes are not visible because the foot portion is pulled over them; the client reports the toes feel cold. Which action is MOST important for ensuring the effectiveness of the compression device?
  14. The nurse is reinforcing health promotion teaching for a group of adolescents. Which topic is the highest priority for this age group?
  15. After a needle-stick injury on a hospital unit, an LPN has washed the site and notified the charge nurse. The source client's infection status is unknown. What is the nurse's PRIORITY next action following the exposure?
  16. How should the nurse interpret this finding when comparing the infant to developmental milestones?
  17. A 64-year-old client has a new colostomy 3 days after abdominal surgery. The client's stoma was red and moist yesterday; today it appears dark purple and cool to touch, with minimal output and increasing abdominal pain. The client is anxious and asks if this is normal. Which action should the nurse take FIRST regarding the ostomy care?
  18. Before initiating a blood product transfusion, which pre-administration step must the LPN/VN perform to ensure client safety?
  19. A client with a gastrostomy tube (G-tube) begins to vomit shortly after the practical nurse (PN) starts a bolus feeding. What is the nurse's immediate action?
  20. What is the priority nursing action during this internal disaster response?

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