NCLEX-PN Online Practice Questions and Answers

The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention.

What should the nurse include in this teaching plan?

A. The client should remove all scatter rugs from the floor and minimize clutter.

B. The client should not get up and move around the house.

C. The client does not need to install a raised toilet and grab bar because she is able to walk on her own.

D. The client should wear a robe and socks while walking in the house.

The LPN is caring for a patient newly diagnosed with HIV.

Which statement made by the patient regarding antiretroviral therapy (ART) would require correction from

the nurse?

A. "I will need to be on ART indefinitely."

B. "I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3."

C. "I can still use ART even though I am Hepatitis C positive."

D. "If I start ART and use condoms, I'm less likely to transmit HIV to my partner."

A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?

A. Note in medication records the drug given

B. The client was not hurt, no need for documentation

C. Note the client's orientation

D. Completely fill out an incident report

In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?

A. blood urea nitrogen

B. serum calcium

C. serum ammonia

D. serum creatinine

The LPN is taking care of a 176-pound patient who has recently been diagnosed with diabetes. The doctor has written an order for Lantus?(insulin glargine injection) 100 Units/mL, using weight-based dosing of 0.2 units/kg per day.

About what dosing should the patient receive each day?

A. 9 units

B. 12 units

C. 35 units

D. 16 units

Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH.

With which of the following statements should the nurse best respond to Melissa's complaints?

A. "The physician will probably want to admit you for observation."

B. "The physician will probably order bed rest at home."

C. "These are really dangerous signs."

D. "The physician will probably prescribe some medicine for you."

Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

A. Kegel

B. resistance

C. passive

D. stretching

While the PN is removing the third of seven sutures in a patient's surgical incision, the PN notices a gap in between the skin where this suture was.

Which of these are the most appropriate next steps?

A. Approximate the edges, apply a butterfly strip, and proceed with removing the most distal suture.

B. Approximate the edges, apply a butterfly strip, and notify the physician.

C. Remove the most proximal suture, and observe for further wound gaping.

D. Approximate the edges, apply a butterfly strip, and proceed with removing the most proximal suture.

What intervention is the best to relieve constipation during pregnancy?

A. Increasing the consumption of fruits and vegetables.

B. Taking a mild over-the-counter laxative.

C. Lying flat on back when sleeping.

D. Reduction of iron intake by half or more.

Select the stage of shock that is accurately paired with its characteristic.

A. The initial stage of shock: Hyperventilation occurs and the blood pH rises.

B. The compensatory stage of shock: Hypoxia occurs and lactic acid rises.

C. The progressive stage of shock: Histamine is released; fluid and proteins leak into surrounding tissues and the blood thickens.

D. The refractory stage of shock: Potassium ions leak out, sodium ions build up and metabolic acidosis increases.