LPN NCLEX-PN Comprehensive Examination
With A+ Graded Solutions.
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal
cholecystectomy. Which finding should the nurse report to the provider immediately?
A) Serosanguineous drainage on the dressing
B) Pain rated as 6 on a scale of 0 to 10
C) Rigid, board-like abdomen
D) Absent bowel sounds in all four quadrants
Correct Answer: C
2. 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) Take a second dose if pain is not relieved in 5 minutes.
C) Store the medication in a clear plastic container.
D) Expect a tingling sensation under the tongue.
Correct Answer: B
3. A nurse is monitoring a client who is receiving a blood transfusion. Which of the following
manifestations indicates a hemolytic reaction?
A) Hypotension and lower back pain
B) Urticaria and itching
C) Distended neck veins and dyspnea
D) Fever and muscle stiffness
Correct Answer: A
4. A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect?
A) Pulmonary edema
B) Peripheral edema
C) Dry, hacking cough
D) Orthopnea
Correct Answer: B
5. A nurse in a long-term care facility is planning care for a client who has Alzheimer’s disease
and wanders at night. Which intervention is the priority?
A) Administer a sedative at bedtime.
B) Place the client in a room near the nurse's station.
C) Apply soft wrist restraints during sleep.
D) Reorient the client to the time and place every hour.
Correct Answer: B
6. A nurse is preparing to administer digoxin to a client. For which of the following findings
should the nurse withhold the medication?
A) Blood pressure 140/90 mmHg
B) Apical pulse 52/min
C) Respiratory rate 20/min
D) Potassium level 4.2 mEq/L
Correct Answer: B
,7. A nurse is reinforcing teaching with a client about a low-purine diet. Which food choice
indicates an understanding of the teaching?
A) Sardines
B) Liver
C) Roasted chicken
D) Lentils
Correct Answer: C
8. A nurse is caring for a client who has a chest tube. The nurse notes continuous bubbling in
the water seal chamber. How should the nurse interpret this finding?
A) The system is functioning normally.
B) There is an air leak in the system.
C) The lung has fully re-expanded.
D) The suction pressure is too high.
Correct Answer: B
9. A nurse is collecting data from a client who has a femur fracture. Which of the following
findings is an early sign of fat embolism syndrome?
A) Petechiae on the chest and neck
B) Confusion and restlessness
C) Shuffling gait
D) Decreased urine output
Correct Answer: B
10. A nurse is assisting with the admission of a client who has active tuberculosis. Which of the
following protective equipment is required?
A) Surgical mask
B) N95 respirator
C) Gown and gloves
D) Face shield
Correct Answer: B
11. A nurse is caring for a client who has a prescription for warfarin. Which of the following
laboratory values should the nurse monitor?
A) aPTT
B) INR
C) Platelet count
D) Hemoglobin
Correct Answer: B
12. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker.
Which statement by the client indicates a need for further teaching?
A) "I will carry my pacemaker identification card at all times."
B) "I can safely use my microwave oven."
C) "I will avoid lifting my left arm above my shoulder for a few weeks."
D) "I can continue to have MRI scans for my back pain."
Correct Answer: D
13. A nurse is collecting data from a child who has epiglottitis. Which of the following is a classic
finding?
, A) Barking cough
B) Drooling and distress
C) Wheezing
D) High-pitched cry
Correct Answer: B
14. A nurse is assisting with the care of a client who is in the first stage of labor. The nurse notes
the presence of early decelerations on the fetal heart rate monitor. What is the appropriate
action?
A) Prepare for an emergency Cesarean section.
B) Turn the client to her left side.
C) Continue to monitor the client.
D) Administer oxygen via non-rebreather mask.
Correct Answer: C
15. A nurse is reinforcing teaching with a client about the use of a cane. Which instruction
should the nurse include?
A) Hold the cane on the weaker side.
B) Move the cane forward with the stronger leg.
C) Keep two points of support on the floor at all times.
D) Advance the cane 12 to 18 inches with each step.
Correct Answer: C
16. A nurse is caring for a client who has a potassium level of 6.2 mEq/L. Which of the following
medications should the nurse expect to administer?
A) Spironolactone
B) Sodium polystyrene sulfonate
C) Furosemide
D) Potassium chloride
Correct Answer: B
17. A nurse is collecting data from a client who has COPD. Which of the following findings should
the nurse expect?
A) Clubbing of the fingers
B) Increased chest expansion
C) Shortened expiratory phase
D) High oxygen saturation levels
Correct Answer: A
18. A nurse is caring for a client who has a new colostomy. Which of the following findings
should the nurse report to the provider?
A) The stoma is moist and reddish-pink.
B) Small amount of bleeding from the stoma during cleaning.
C) The stoma appears dark purple or black.
D) The skin around the stoma is intact.
Correct Answer: C
19. A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD).
Which of the following instructions should the nurse include?
A) Lie down immediately after eating.
With A+ Graded Solutions.
1. A nurse is caring for a client who is 24 hours postoperative following an abdominal
cholecystectomy. Which finding should the nurse report to the provider immediately?
A) Serosanguineous drainage on the dressing
B) Pain rated as 6 on a scale of 0 to 10
C) Rigid, board-like abdomen
D) Absent bowel sounds in all four quadrants
Correct Answer: C
2. 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) Take a second dose if pain is not relieved in 5 minutes.
C) Store the medication in a clear plastic container.
D) Expect a tingling sensation under the tongue.
Correct Answer: B
3. A nurse is monitoring a client who is receiving a blood transfusion. Which of the following
manifestations indicates a hemolytic reaction?
A) Hypotension and lower back pain
B) Urticaria and itching
C) Distended neck veins and dyspnea
D) Fever and muscle stiffness
Correct Answer: A
4. A nurse is collecting data from a client who has right-sided heart failure. Which of the
following findings should the nurse expect?
A) Pulmonary edema
B) Peripheral edema
C) Dry, hacking cough
D) Orthopnea
Correct Answer: B
5. A nurse in a long-term care facility is planning care for a client who has Alzheimer’s disease
and wanders at night. Which intervention is the priority?
A) Administer a sedative at bedtime.
B) Place the client in a room near the nurse's station.
C) Apply soft wrist restraints during sleep.
D) Reorient the client to the time and place every hour.
Correct Answer: B
6. A nurse is preparing to administer digoxin to a client. For which of the following findings
should the nurse withhold the medication?
A) Blood pressure 140/90 mmHg
B) Apical pulse 52/min
C) Respiratory rate 20/min
D) Potassium level 4.2 mEq/L
Correct Answer: B
,7. A nurse is reinforcing teaching with a client about a low-purine diet. Which food choice
indicates an understanding of the teaching?
A) Sardines
B) Liver
C) Roasted chicken
D) Lentils
Correct Answer: C
8. A nurse is caring for a client who has a chest tube. The nurse notes continuous bubbling in
the water seal chamber. How should the nurse interpret this finding?
A) The system is functioning normally.
B) There is an air leak in the system.
C) The lung has fully re-expanded.
D) The suction pressure is too high.
Correct Answer: B
9. A nurse is collecting data from a client who has a femur fracture. Which of the following
findings is an early sign of fat embolism syndrome?
A) Petechiae on the chest and neck
B) Confusion and restlessness
C) Shuffling gait
D) Decreased urine output
Correct Answer: B
10. A nurse is assisting with the admission of a client who has active tuberculosis. Which of the
following protective equipment is required?
A) Surgical mask
B) N95 respirator
C) Gown and gloves
D) Face shield
Correct Answer: B
11. A nurse is caring for a client who has a prescription for warfarin. Which of the following
laboratory values should the nurse monitor?
A) aPTT
B) INR
C) Platelet count
D) Hemoglobin
Correct Answer: B
12. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker.
Which statement by the client indicates a need for further teaching?
A) "I will carry my pacemaker identification card at all times."
B) "I can safely use my microwave oven."
C) "I will avoid lifting my left arm above my shoulder for a few weeks."
D) "I can continue to have MRI scans for my back pain."
Correct Answer: D
13. A nurse is collecting data from a child who has epiglottitis. Which of the following is a classic
finding?
, A) Barking cough
B) Drooling and distress
C) Wheezing
D) High-pitched cry
Correct Answer: B
14. A nurse is assisting with the care of a client who is in the first stage of labor. The nurse notes
the presence of early decelerations on the fetal heart rate monitor. What is the appropriate
action?
A) Prepare for an emergency Cesarean section.
B) Turn the client to her left side.
C) Continue to monitor the client.
D) Administer oxygen via non-rebreather mask.
Correct Answer: C
15. A nurse is reinforcing teaching with a client about the use of a cane. Which instruction
should the nurse include?
A) Hold the cane on the weaker side.
B) Move the cane forward with the stronger leg.
C) Keep two points of support on the floor at all times.
D) Advance the cane 12 to 18 inches with each step.
Correct Answer: C
16. A nurse is caring for a client who has a potassium level of 6.2 mEq/L. Which of the following
medications should the nurse expect to administer?
A) Spironolactone
B) Sodium polystyrene sulfonate
C) Furosemide
D) Potassium chloride
Correct Answer: B
17. A nurse is collecting data from a client who has COPD. Which of the following findings should
the nurse expect?
A) Clubbing of the fingers
B) Increased chest expansion
C) Shortened expiratory phase
D) High oxygen saturation levels
Correct Answer: A
18. A nurse is caring for a client who has a new colostomy. Which of the following findings
should the nurse report to the provider?
A) The stoma is moist and reddish-pink.
B) Small amount of bleeding from the stoma during cleaning.
C) The stoma appears dark purple or black.
D) The skin around the stoma is intact.
Correct Answer: C
19. A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD).
Which of the following instructions should the nurse include?
A) Lie down immediately after eating.
