NCLEX-PN Test #5 1

Question 1

A licensed practical nurse (LPN) is working with a registered nurse (RN) and two unlicensed assistive personnel (UAP). Which task is appropriate to delegate to a UAP?

Accepted Answer

Obtaining a fingerstick blood glucose on a stable diabetic client

Answer

Changing a sterile wound dressing on a postoperative client

Answer

Administering a scheduled oral medication to a stable client

Answer

Performing initial admission assessment for a newly admitted client

Question 2

An LPN working the night shift has four clients. Which client should the nurse assess first?

Accepted Answer

A client with type 2 diabetes reporting diaphoresis and shakiness

Answer

A client with COPD requesting a breathing treatment

Answer

A client who had a hip replacement yesterday requesting pain medication

Answer

A client with hypertension whose blood pressure is 148/92 mmHg

Question 3

During medication administration, a nurse realizes she accidentally gave a client the wrong dose of atenolol (gave 100 mg instead of 50 mg). The client's current pulse is 58 bpm. What should the nurse do first?

Accepted Answer

Assess the client's vital signs and notify the provider immediately

Answer

Complete an incident report and notify the charge nurse

Answer

Document the error in the chart and monitor the client closely

Answer

Administer atropine as a precaution per standing orders

Question 4

A charge nurse is delegating morning care tasks. Which assignment should the charge nurse question?

Accepted Answer

Asking a UAP to perform a urinary catheter insertion on a client

Answer

Asking a UAP to bathe a stable, ambulatory postpartum client

Answer

Asking an LPN to administer scheduled oral medications to stable clients

Answer

Asking an LPN to reinforce teaching provided by the RN about a low-sodium diet

Question 5

A nurse is caring for a client who refuses a blood transfusion for religious reasons despite a hemoglobin of 6.2 g/dL. The provider has ordered the transfusion. What is the nurse's most appropriate action?

Accepted Answer

Respect the client's refusal, document it, and notify the provider

Answer

Administer the transfusion because it is medically necessary

Answer

Ask the family to convince the client to accept the transfusion

Answer

Consult hospital security before proceeding

Question 6

A nurse is preparing to give a client a scheduled medication when the client states, 'I don't think that's the right pill — mine is usually white and round.' Which is the most appropriate nursing response?

Accepted Answer

Hold the medication and verify the order before administration

Answer

Reassure the client that medications often look different between manufacturers

Answer

Administer the medication because it was prepared by the pharmacy

Answer

Ask another nurse to confirm it is the correct medication