Practice Tests: NCLEX-PN Practice Exam #15 - 50 questions

All 50 questions are randomized each time you take the test, and do not appear in the same order here.

 

1. The LPN collects this set of vital signs from the patient: Pulse 67, Blood Pressure 167/89, Temperature 96.2 F, Pulse Ox 98%. What would be the most appropriate next action?

• Apply a warm blanket.
• Administer Metoprolol.
• Contact the physician.
• Review the patient's chart.

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2. Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?

• "I can leave my metal jewelry on during the test."
• "I need to wear earplugs during the test."
• "I can have the test even though I have a pacemaker."
• "I can have the test even though I have an artificial hip."

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3. A 27-year-old female patient comes in complaining of calf pain. Which question, if asked by the LPN, would be the least helpful?

• Are you on birth control?
• Have you traveled recently?
• Do you smoke?
• What herbal supplements do you take?

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4. When a client has a chest drainage system in place, where should the system be placed?

• above the client's head
• at the client's shoulders
• at the level of the chest
• below the level of the chest

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5. When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?

• corner of the mouth to tragus of the ear
• corner of the eye to top of the ear
• tip of the chin to the sternum
• tip of the nose to the earlobe

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6. A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?

• Observe the client's response.
• Notify the physician.
• Change the drainage system.
• Observe for leaks.

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7. Which of the following is not a function of parathyroid hormone?

• moving calcium from bones to the bloodstream
• promoting renal tubular reabsorption of phosphorus
• promoting renal tubular reabsorption of calcium
• enhancing renal production of vitamin D metabolites

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8. The LPN is taking care of a female patient with a cesium implant. Which statement made by the nurse would be accurate?

• "Vaginal stenosis may occur as a result of this treatment."
• "As long as you are comfortable, sexual intercourse may continue as normal during your treatment."
• "You will likely feel hungrier than usual as a result of this treatment."
• "Constipation frequently occurs as a result of having a cesium implant."

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9. Which of the following is an indication for electroencephalography?

• paralysis
• neuropathy
• seizure disorder
• myocardial infarction

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10. An Asian family has an elderly member with latestage Alzheimer's disease. The physician has recommended placement in a long-term care facility, but the family refuses. Which of the following is an appropriate response to the family by the nurse?

• "You really need to listen to what the physician says."
• "You will get too tired to take care of him at home."
• "What can I do to assist you to care for him at home?"
• "You are too busy to be taking care of an elderly person."

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11. Which of the following actions should a nurse take first for a client who has just vomited 300cc of bright red blood?

• Document the vomiting.
• Increase the IV fluids.
• Get a complete blood count.
• Check the blood pressure.

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12. Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

• transparent dressing
• colloidal dressing
• petrolatum gauze
• nonadherent dressing

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13. The LPN is taking care of a female patient scheduled to go for an MRI later today. Which of these would require further action from the nurse?

• The patient ate juice and a bagel 5 hours ago.
• The patient has a hemoglobin level of 11.8.
• The patient has a cochlear implant.
• The patient has a broken leg.

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14. The LPN is caring for a patient with ascites related to liver failure. The patient becomes hypotensive and complains of cramps. Which of the following is least likely related to the hypotension and cramps?

• decreased renal blood flow
• recent diuretics
• excessive IV intake
• increased aldosterone

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15. A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?

• Check the blood count.
• Apply pressure to the site.
• Document the bleeding.
• Monitor the bleeding.

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16. Which of the following represents a normal serum potassium level?

• 1.5mEq/L
• 3.0 mEq/L
• 4.0 mEq/L
• 6.0 mEq/L

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17. Which of the following medications should be held 24-48 hours prior to an electroencephalogram (EEG)?

• Lasix (furosemide)
• Cardizem (diltiazem)
• Lanoxin (digoxin)
• Dilantin (phenytoin)

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18. A 22-year-old male patient comes into the ER with suspected ketoacidosis. Which lab value would reflect this finding?

• serum bicarbonate of 27 mmol/L
• PaCO2 of 40
• serum glucose of 90
• blood pH of 7.29

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19. A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now." Which of the following responses by the nurse is most therapeutic?

• "Don't worry. Maybe you'll meet a paraplegic woman."
• "There is someone for everyone in this world."
• "You are still an attractive man, even though you can't walk."
• "Tell me more about your feelings on this issue."

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20. Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?

• Asians
• Caucasians
• Hispanics
• African Americans

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21. Which of the following statements indicates adequate dietary understanding in a client with constipation?

• "I should decrease my intake of fluids."
• "I should decrease my level of activity."
• "I should increase my intake of apples."
• "I should increase my intake of milk."

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22. A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?

• Consider it a normal finding.
• Check the system for leaks.
• Clamp the chest tube.
• Change the drainage system.

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23. The LPN is caring for a patient who is recovering from cataract surgery. Which of these statements, made by the patient, requires clarification from the nurse?

• "I will call the office if I start to see 'light flashes' or 'floaters' in front of my eyes."
• "I know I may need glasses for a while after this surgery."
• "I know it's normal for my eyes to feel irritated or itchy after surgery, so I will use my Visine eyedrops as needed."
• "My eye should be completely healed after about 8 weeks."

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24. Which of these patients would be most likely to have an elevated glucose reading?

• a 43-year-old female who is fasting awaiting a knee arthroscopy
• a 34-year-old male with pancreatitis
• a 56-year-old male with Addison's disease
• a 29-year-old female with Sickle Cell Anemia

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25. A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?

• "It is wiser to start a prescription."
• "That herb won't do your father any good."
• "You can't expect an herb to treat Alzheimer's."
• "I will let the physician know of your wishes."

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26. Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?

• sudden onset of headache
• flushed face
• hypotension
• nasal congestion

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27. What type of WBC typically rises in response to a bacterial infection?

• basophils
• eosinophils
• neutrophils
• lymphocytes

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28. A nurse walks into a client's room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse. What should the nurse do next?

• Open the airway.
• Give defibrillation.
• Check the pulse.
• Call for help.

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29. Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?

• Brown-Sequard syndrome
• posterior cord syndrome
• central cord syndrome
• cauda equina syndrome

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30. For which condition might a client's antidiuretic hormone (ADH) level be increased?

• diabetes mellitus
• diabetes insipidus
• hypothyroidism
• hyperthyroidism

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31. When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

• mental confusion
• muscular weakness
• sensory loss
• emotional liability

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32. Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?

• eggs
• coffee
• fish
• garlic

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33. When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?

• 2 seconds
• 10 seconds
• 20 seconds
• 30 seconds

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34. Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?

• "I cannot eat or drink after midnight."
• "I need to wash my hair before the test."
• "I need to remove metal jewelry."
• "I cannot take aspirin before the test."

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35. Which of the following patients would be least likely to develop hypernatremia?

• a patient with chronic renal insufficiency
• a patient with diabetes insipidus
• a patient with extensive thermal burns
• a patient taking anabolic steroids

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36. Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?

• "I should avoid eating foods that produce gas."
• "I should drink more fluids like coffee and cola."
• "I should set a regular schedule for bowel movements."
• "I should sit in an upright position for bowel movements."

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37. What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

• 5:1
• 1:5
• 15:2
• 2:15

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38. Increased cortisol levels might be found in a client with which condition?

• Cushing's syndrome
• Addison's disease
• renal failure
• congestive heart failure

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39. Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?

• Cardizem (diltiazem)
• Naprosyn (naproxen)
• Elavil (amitryptiline)
• Corgard (nadolol)

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40. A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?

• "You can receive a sedative to help you relax during the test."
• "There is absolutely nothing to worry about."
• "There is no discomfort with this test, so don't be anxious."
• "The test won't last long, so you can handle it."

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41. A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?

• Notify the physician.
• Clamp the chest tube.
• Replace the system.
• Document the finding.

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42. Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?

• Excess Fluid Volume
• Risk for Aspiration
• Disturbed Body Image
• Urinary Retention

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43. The LPN is instructing a patient on post-op care after nasal surgery. Which of these statements would be incorrect?

• Needing to change the gauze under the nose every 15 minutes for the first few hours after surgery is expected.
• Feelings of numbness and facial fullness around the nose should be reported immediately.
• Glasses may be worn with the nasal splint in place.
• Sleep propped up at a 45 degree angle for the first few postoperative days.

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44. The LPN reviews a patient's ABG results: pH 7.41, P02 86 mmHg, PC02 39 mmHg, HC03 32 mEq/L. Which of the results is out of range?

• P02
• HC03
• PC02
• pH

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45. Which of the following statements by an adult child of a client with late-stage Alzheimer's disease indicates a need for further teaching by the nurse?

• "I should provide a regular schedule for toileting.
• "I should talk to my father less because he can't communicate."
• "I should give my father oral care after every meal and bedtime."
• "I should assist my father with eating and drinking."

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46. The presence of which hormone in the urine is specifically indicative of pregnancy?

• estrogen
• progesterone
• testosterone
• human chorionic gonadotropin

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47. An LPN is taking care of an adult male diabetic patient who complains of feeling shaky and sweaty. What is the first thing she should do?

• Offer him 15 grams to 20 grams of simple carbohydrates, such as raisins or crackers.
• Give him his insulin dose.
• Check his blood sugar.
• Notify the RN on duty.

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48. A client with a spinal cord injury is preparing to return home from the rehabilitation unit. Which of the following statements by a family member indicates a need for further teaching regarding autonomic dysreflexia?

• "I should raise him to a sitting position."
• "I should check for a fecal impaction."
• "I should look for a kink in the urinary catheter tubing."
• "I should see whether symptoms worsen."

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49. Which of the following conditions has a severe complication of respiratory failure?

• Bell's palsy
• Guillain-Barre syndrome
• trigeminal neuralgia
• tetanus

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50. When performing a venipuncture, at what angle should the needle be inserted into the skin?

• 15-30 degrees
• 0-15 degrees
• 30-45 degrees
• 45-60 degrees

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NCLEX-PN Practice Exam #15 - 50 questions