PN NCLEX Practice Test

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Question 1 of 5.

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

A. Check the room and bed number the child is in with the room and bed number on the medication order and administer the medication if they agree

B. Ask the child what his name is before administering the medication

C. Ask the child if his name is George (the name on the medication order) and administer the medication if the child says that is his name

D. Ask the adults at the bedside what the child's name is and administer the medication if the adults verify the name of the child

Explanation: Verifying the child's identity with adults at the bedside ensures safety, as children may not reliably confirm their own identity, and room/bed numbers are not sufficient for identification.

Question 2 of 5.

The nurse is caring for an adult who has atrial fibrillation and osteoporosis. Atenolol is prescribed. The nurse should expect that this medication was prescribed to:

A. decrease elevated blood pressure.

B. decrease inflammation.

C. relieve pain.

D. slow the heart rate.

Explanation: Atenolol, a beta-blocker, is used in atrial fibrillation to control heart rate, reducing rapid ventricular response.

Question 3 of 5.

A father brings his 17-year-old son to a walk-in clinic. The client reports a sudden severe headache. He has a temperature of 104Â°F and a purple rash. What is the best action for the nurse at this time?

A. Prepare for a throat culture

B. Schedule him for an appointment later in the day

C. Isolate and alert the physician immediately

D. Obtain a urine specimen

Explanation: Symptoms suggest meningococcal meningitis, a medical emergency requiring isolation and immediate physician notification.

Question 4 of 5.

Which nursing action is essential in the care of an adult following a left side cardiac catheterization?

A. Keep the client NPO for two hours.

B. Ask the client about a shellfish allergy.

C. Check pulses proximal to the insertion site.

D. Check the insertion site for bleeding.

Explanation: Checking the insertion site for bleeding is critical post-catheterization to detect hematoma or hemorrhage, ensuring patient safety.

Question 5 of 5.

A transfusion is ordered for a hospitalized client. The charge nurse asks the LPN to start the transfusion. What should the LPN do?

A. Start the transfusion as ordered

B. Be sure that dextrose is hanging and then hang the blood

C. Tell the RN that LPNs are not allowed to hang blood

D. Hang the blood only if an IV line is already established

Explanation: LPNs typically cannot initiate blood transfusions due to scope of practice limitations, as it requires specialized monitoring, so the LPN should inform the RN.

Question 1 of 5.

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

A. Check the room and bed number the child is in with the room and bed number on the medication order and administer the medication if they agree

B. Ask the child what his name is before administering the medication

C. Ask the child if his name is George (the name on the medication order) and administer the medication if the child says that is his name

D. Ask the adults at the bedside what the child's name is and administer the medication if the adults verify the name of the child

Question 2 of 5.

The nurse is caring for an adult who has atrial fibrillation and osteoporosis. Atenolol is prescribed. The nurse should expect that this medication was prescribed to:

A. decrease elevated blood pressure.

B. decrease inflammation.

C. relieve pain.

D. slow the heart rate.

Question 3 of 5.

A. Prepare for a throat culture

B. Schedule him for an appointment later in the day

C. Isolate and alert the physician immediately

D. Obtain a urine specimen

Question 4 of 5.

Which nursing action is essential in the care of an adult following a left side cardiac catheterization?

A. Keep the client NPO for two hours.

B. Ask the client about a shellfish allergy.

C. Check pulses proximal to the insertion site.

D. Check the insertion site for bleeding.

Question 5 of 5.

A transfusion is ordered for a hospitalized client. The charge nurse asks the LPN to start the transfusion. What should the LPN do?

A. Start the transfusion as ordered

B. Be sure that dextrose is hanging and then hang the blood

C. Tell the RN that LPNs are not allowed to hang blood

D. Hang the blood only if an IV line is already established

Question 1 of 5.

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

A. Check the room and bed number the child is in with the room and bed number on the medication order and administer the medication if they agree

B. Ask the child what his name is before administering the medication

C. Ask the child if his name is George (the name on the medication order) and administer the medication if the child says that is his name

D. Ask the adults at the bedside what the child's name is and administer the medication if the adults verify the name of the child

Question 2 of 5.

The nurse is caring for an adult who has atrial fibrillation and osteoporosis. Atenolol is prescribed. The nurse should expect that this medication was prescribed to:

A. decrease elevated blood pressure.

B. decrease inflammation.

C. relieve pain.

D. slow the heart rate.

Question 3 of 5.

A. Prepare for a throat culture

B. Schedule him for an appointment later in the day

C. Isolate and alert the physician immediately

D. Obtain a urine specimen

Question 4 of 5.

Which nursing action is essential in the care of an adult following a left side cardiac catheterization?

A. Keep the client NPO for two hours.

B. Ask the client about a shellfish allergy.

C. Check pulses proximal to the insertion site.

D. Check the insertion site for bleeding.

Question 5 of 5.

A transfusion is ordered for a hospitalized client. The charge nurse asks the LPN to start the transfusion. What should the LPN do?

A. Start the transfusion as ordered

B. Be sure that dextrose is hanging and then hang the blood

C. Tell the RN that LPNs are not allowed to hang blood

D. Hang the blood only if an IV line is already established

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