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

UAPs can perform routine, non-invasive tasks for stable clients after appropriate training, such as fingerstick blood glucose checks. Sterile dressing changes, medication administration, and initial assessments require nursing judgment and are within the LPN or RN scope of practice.

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

Diaphoresis and shakiness in a diabetic client are classic signs of hypoglycemia, which can progress rapidly to seizures, loss of consciousness, and death if untreated. This is the most time-sensitive emergency and must be assessed first. The other clients have less immediately life-threatening presentations.

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

After a medication error, client safety is the top priority. The nurse must first fully assess the client and notify the provider immediately so interventions can be ordered if needed. An incident report is also required but comes after ensuring client safety. Atropine is not given prophylactically.

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

Urinary catheter insertion is a sterile procedure that requires nursing skills and is within the LPN scope of practice — it should not be delegated to a UAP. UAPs can provide basic care (bathing, feeding) for stable clients. LPNs can administer medications and reinforce (not initiate) patient teaching.

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

A competent adult client has the legal and ethical right to refuse any treatment, including blood transfusions, for any reason including religious beliefs. The nurse must document the refusal, notify the provider, and ensure the client understands the risks. Administering treatment against the client's will is battery.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-PN Test #5 1