NGN NCLEX-PN practice test

An LPN is preparing to administer digoxin to a client whose apical heart rate is 52 beats per minute. Which action is appropriate?

An LPN is caring for a client with active pulmonary tuberculosis. Which type of personal protective equipment is required when entering the client's room?

An LPN is to administer insulin lispro, a rapid-acting insulin, to a client before breakfast. When should this insulin be given relative to the meal?

A client with chronic obstructive pulmonary disease has a prescription for oxygen. The LPN notes the oxygen is running at 6 liters per minute by nasal cannula and the client is becoming drowsy. What should the LPN do first?

An 80-year-old client who is confused and unsteady on the feet is admitted to the unit. Which intervention best promotes safety for this client?

An LPN observes that a client's surgical wound has a small amount of clear, pale yellow drainage. How should the LPN document this drainage?

A client with diabetes reports shakiness, sweating, and confusion. A fingerstick blood glucose reads 54 milligrams per deciliter. The client is alert and able to swallow. What should the LPN do first?

A client who was recently diagnosed with cancer says, I just do not know how I will get through this. Which response by the LPN is most therapeutic?

A client is started on furosemide, a loop diuretic. The LPN should monitor the client for which electrolyte imbalance?

Four hours after abdominal surgery, a client has not voided and reports lower abdominal discomfort and a feeling of fullness. The bladder is palpable. What should the LPN do first?

When should an LPN perform hand hygiene according to standard precautions?

An LPN is caring for a client with a nasogastric tube for decompression. The client suddenly reports nausea and the tube has stopped draining. What should the LPN do first?

A client rates incisional pain as 8 on a 0 to 10 scale one day after surgery and has an as-needed prescription for an oral opioid. What should the LPN do first?

An LPN is monitoring a 2-year-old child with a fever. Which finding should be reported to the registered nurse immediately?

Which task is appropriate for an LPN to delegate to unlicensed assistive personnel?

An LPN is caring for a client with heart failure who has gained 4 pounds since yesterday and reports increased shortness of breath. Which action is most appropriate?

Before administering a medication, the LPN notices the prescription is unclear and could be interpreted two different ways. What should the LPN do?

An LPN observes that a client's peripheral intravenous site is red, swollen, warm, and tender along the vein. What should the LPN do first?

Fifteen minutes into a blood transfusion, a client develops chills, fever, low back pain, and reports feeling anxious. What is the LPN's priority action?