NCLEX-PN Nursing Practice Test

Preguntas de práctica de ejemplo

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1. 1. Coordinated Care

   A charge nurse is assigning tasks on a medical unit. Which task is appropriate to delegate to the LPN/LVN?

   • a.Providing discharge teaching about a new diagnosis
   • b.Administering an oral antibiotic to a stable client
   • c.Performing the admission assessment on an unstable client
   • d.Developing the initial nursing care plan for a new admission

   Respuesta: b

   Explicación: Administering routine oral medications to stable clients is within the LPN/LVN scope. Initial assessments, care-plan development, and client teaching about new content are RN responsibilities. The LPN/LVN reinforces teaching but does not perform the initial teaching.

2. 2. Health Promotion

   During a health screening, which blood pressure reading in an adult should prompt reinforcement of lifestyle and follow-up?

   • a.115/72 mmHg
   • b.148/94 mmHg
   • c.108/68 mmHg
   • d.118/76 mmHg

   Respuesta: b

   Explicación: A reading of 148/94 mmHg is elevated and warrants lifestyle counseling and follow-up. The other readings fall within a normal range. Early identification supports blood pressure control.

3. 3. Physiological Integrity

   The LPN/LVN is reinforcing teaching to a client with a new diagnosis of gastroesophageal reflux disease. Which instruction is appropriate?

   • a.Avoid lying down for 2 to 3 hours after eating
   • b.Increase caffeine and fatty foods
   • c.Eat large meals late in the evening
   • d.Lie flat immediately after meals

   Respuesta: a

   Explicación: Remaining upright for several hours after meals reduces reflux. Large late meals, lying flat after eating, and caffeine and fatty foods worsen symptoms. Lifestyle changes are first-line management.

4. 4. Coordinated Care

   A charge nurse is assigning care. Which task is most appropriate to delegate to unlicensed assistive personnel (UAP)?

   • a.Deciding whether a client's low urine output should be reported
   • b.Reinforcing wound-care teaching for a client going home
   • c.Recording the intake and output of a stable client
   • d.Collecting data on a newly admitted client's pain

   Respuesta: c

   Explicación: UAP may perform routine, standardized tasks on stable clients, such as recording intake and output. Reinforcing teaching and collecting admission data belong to licensed staff, and *deciding* whether a finding should be reported is nursing judgment that cannot be delegated.

5. 5. Pharmacological Therapies

   A nurse is reinforcing teaching about iron supplements. Which effect should the nurse explain is harmless?

   • a.A widespread itchy rash
   • b.New difficulty breathing
   • c.Dark or black stools
   • d.Severe muscle weakness

   Respuesta: c

   Explicación: Dark or black stools are a harmless expected effect of iron. New difficulty breathing, a widespread itchy rash, and severe muscle weakness are not expected and warrant evaluation.

6. 6. Coordinated Care

   A client who had a hip replacement reports pain rated 7 of 10 thirty minutes before a scheduled physical therapy session. What should the LPN/VN do?

   • a.Reschedule the therapy session until the client is comfortable
   • b.Ask therapy to shorten the session so the client tolerates it
   • c.Give the prescribed analgesic before the session
   • d.Suggest that the client use distraction during the therapy session

   Respuesta: c

   Explicación: Timing an ordered analgesic so its effect covers the session lets the client participate as planned. Shortening, rescheduling, or substituting distraction all reduce the therapy the client is supposed to receive.

7. 7. Safety & Infection Control

   A client's chart lists an allergy to shellfish. The provider orders a contrast study for the afternoon. What should the LPN/VN do?

   • a.Report the documented allergy before the study is scheduled
   • b.Record the allergy again on the front of the paper chart
   • c.Ask the client whether an antihistamine has ever been taken
   • d.Confirm that the allergy band is on the client's wrist

   Respuesta: a

   Explicación: An allergy that may bear on an ordered test is reported so the provider can evaluate the order before the client is sent. Checking the band, taking a medication history, and re-recording the allergy do not inform the prescriber.

8. 8. Psychosocial Integrity

   A client says, 'I have saved up my pills and I am going to take them all tonight.' What should the LPN/VN do?

   • a.Search the client's belongings for the medication supply
   • b.Stay with the client and tell the supervisor
   • c.Ask the client to promise not to act on the plan tonight
   • d.Encourage the client to discuss this at the group session

   Respuesta: b

   Explicación: A stated plan with available means requires that the client not be left alone and that the chain of command be notified so the client can be evaluated. A safety promise has no protective value, searching alone leaves the client unobserved, and deferring to group delays urgent care.

9. 9. Physiological Integrity

   An LPN/VN is caring for a client who is receiving continuous enteral feeding. Which finding suggests intolerance?

   • a.Two soft formed stools during the day shift
   • b.Abdominal distention with new nausea
   • c.A residual volume of 60 mL after four hours
   • d.Bowel sounds present in all four quadrants

   Respuesta: b

   Explicación: Distention with nausea suggests delayed gastric emptying and possible aspiration risk. A modest residual, normal stools, and present bowel sounds are all expected during tolerated feeding.

10. 10. Physiological Integrity

    An LPN/VN is preparing to insert an indwelling urinary catheter in a female client. Which action maintains sterile technique?

    • a.Hold the labia apart until the catheter is inserted
    • b.Release the labia to reach for the lubricated catheter
    • c.Use the dominant hand to hold the labia apart
    • d.Reposition the client after the field has been opened

    Respuesta: a

    Explicación: The hand separating the labia becomes contaminated and must not move until the catheter is in place. Releasing the labia recontaminates the meatus, holding with the dominant hand contaminates the insertion hand, and repositioning disturbs the field.