UTAH NCLEX-PN TEST BANK – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
Core Domains
Coordinated Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
This comprehensive assessment is designed to mirror the rigorous standards of the Utah
NCLEX-PN examination, providing a robust tool for aspiring licensed practical nurses. The
,primary purpose of this exam is to evaluate the clinical judgment, technical skills, and
ethical reasoning required for entry-level nursing practice. Candidates will encounter a
variety of multiple-choice and complex scenario-based questions that simulate real-world
healthcare environments. The exam places a heavy emphasis on patient safety, effective
decision-making, and the application of foundational nursing theories to diverse clinical
situations. By successfully navigating these questions, candidates demonstrate the
competency necessary to provide high-quality, evidence-based care within the legal and
regulatory framework of the nursing profession.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client who is 24 hours postoperative
following abdominal surgery. The client reports sudden chest pain and dyspnea.
What is the priority nursing action?
A. Administer the prescribed PRN analgesic
B. Assist the client to cough and deep breathe
C. Apply supplemental oxygen via nasal cannula
D. Obtain a 12-lead electrocardiogram
🟢 C. Apply supplemental oxygen via nasal cannula
,🔴 Explanation: Sudden chest pain and dyspnea in a postoperative client are classic
signs of a pulmonary embolism. The priority is to maintain oxygenation and stabilize the
client before performing further diagnostics.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding requires the nurse to withhold the medication?
A. Blood pressure 100/60 mmHg
B. Apical pulse 52 beats per minute
C. Respiratory rate 20 breaths per minute
D. Potassium level 4.2 mEq/L
🟢 B. Apical pulse 52 beats per minute
🔴 Explanation: Digoxin is a cardiac glycoside that slows the heart rate. It should be
withheld if the apical pulse is less than 60 bpm in an adult to prevent profound
bradycardia.
3. Which legal document allows a client to designate a specific person to make medical
decisions on their behalf if they become incapacitated?
A. Living Will
B. Durable Power of Attorney for Healthcare
, C. Informed Consent Form
D. Patient's Bill of Rights
🟢 B. Durable Power of Attorney for Healthcare
🔴 Explanation: A Durable Power of Attorney for Healthcare (or Healthcare Proxy)
designates a specific surrogate decision-maker. A living will outlines specific treatment
preferences but does not necessarily appoint a person.
4. A nurse is reinforcing teaching with a client who has a new prescription for
sublingual nitroglycerin. Which instruction should the nurse include?
A. Swallow the tablet with a full glass of water
B. Discard the tablets if they cause a tingling sensation
C. Take one tablet every 5 minutes for up to 3 doses if chest pain persists
D. Store the medication in a clear plastic container for easy access
🟢 C. Take one tablet every 5 minutes for up to 3 doses if chest pain persists
🔴 Explanation: The standard protocol for sublingual nitroglycerin is to take one tablet at
the onset of pain, repeating every 5 minutes for a maximum of 3 doses. If pain continues
after the first dose, emergency services should be contacted.
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE
Core Domains
Coordinated Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
This comprehensive assessment is designed to mirror the rigorous standards of the Utah
NCLEX-PN examination, providing a robust tool for aspiring licensed practical nurses. The
,primary purpose of this exam is to evaluate the clinical judgment, technical skills, and
ethical reasoning required for entry-level nursing practice. Candidates will encounter a
variety of multiple-choice and complex scenario-based questions that simulate real-world
healthcare environments. The exam places a heavy emphasis on patient safety, effective
decision-making, and the application of foundational nursing theories to diverse clinical
situations. By successfully navigating these questions, candidates demonstrate the
competency necessary to provide high-quality, evidence-based care within the legal and
regulatory framework of the nursing profession.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client who is 24 hours postoperative
following abdominal surgery. The client reports sudden chest pain and dyspnea.
What is the priority nursing action?
A. Administer the prescribed PRN analgesic
B. Assist the client to cough and deep breathe
C. Apply supplemental oxygen via nasal cannula
D. Obtain a 12-lead electrocardiogram
🟢 C. Apply supplemental oxygen via nasal cannula
,🔴 Explanation: Sudden chest pain and dyspnea in a postoperative client are classic
signs of a pulmonary embolism. The priority is to maintain oxygenation and stabilize the
client before performing further diagnostics.
2. A nurse is preparing to administer digoxin to a client with heart failure. Which
assessment finding requires the nurse to withhold the medication?
A. Blood pressure 100/60 mmHg
B. Apical pulse 52 beats per minute
C. Respiratory rate 20 breaths per minute
D. Potassium level 4.2 mEq/L
🟢 B. Apical pulse 52 beats per minute
🔴 Explanation: Digoxin is a cardiac glycoside that slows the heart rate. It should be
withheld if the apical pulse is less than 60 bpm in an adult to prevent profound
bradycardia.
3. Which legal document allows a client to designate a specific person to make medical
decisions on their behalf if they become incapacitated?
A. Living Will
B. Durable Power of Attorney for Healthcare
, C. Informed Consent Form
D. Patient's Bill of Rights
🟢 B. Durable Power of Attorney for Healthcare
🔴 Explanation: A Durable Power of Attorney for Healthcare (or Healthcare Proxy)
designates a specific surrogate decision-maker. A living will outlines specific treatment
preferences but does not necessarily appoint a person.
4. A nurse is reinforcing teaching with a client who has a new prescription for
sublingual nitroglycerin. Which instruction should the nurse include?
A. Swallow the tablet with a full glass of water
B. Discard the tablets if they cause a tingling sensation
C. Take one tablet every 5 minutes for up to 3 doses if chest pain persists
D. Store the medication in a clear plastic container for easy access
🟢 C. Take one tablet every 5 minutes for up to 3 doses if chest pain persists
🔴 Explanation: The standard protocol for sublingual nitroglycerin is to take one tablet at
the onset of pain, repeating every 5 minutes for a maximum of 3 doses. If pain continues
after the first dose, emergency services should be contacted.
