NCLEX-PN (NATIONAL COUNCIL LICENSURE EXAMINATION FOR PRACTICAL NURSES) EXAM BANK – COMPREHENSIVE EXAM WITH ANSWERS AND RATIONALES

NCLEX-PN (NATIONAL COUNCIL
LICENSURE EXAMINATION FOR
PRACTICAL NURSES) EXAM BANK –
COMPREHENSIVE EXAM WITH ANSWERS
AND RATIONALES



Section 1: Safe and Effective Care Environment


1. A licensed practical nurse (LPN) is assisting a
registered nurse (RN) with the care of a client who
has a new tracheostomy. Which of the following tasks
is within the scope of practice for the LPN?
A) Perform the initial tracheostomy tube change
B) Assess the client's respiratory status and notify
the RN of changes
C) Independently suction the tracheostomy using
sterile technique
D) Determine the appropriate suction pressure
setting
Correct answer: C
Rationale: Suctioning a tracheostomy using sterile
technique is within the LPN scope of practice after

,demonstrated competency. The initial tube change
and assessment are typically performed by the RN.


2. A nurse is preparing to administer a medication to
a client. Which of the following client identifiers
should the nurse use to verify the correct client?
A) The client's room number
B) The client's bed number
C) The client's full name and date of birth
D) The client's admitting diagnosis
Correct answer: C
Rationale: Two client identifiers, such as full name
and date of birth, are required to verify the correct
client before medication administration. Room and
bed numbers are not reliable identifiers.


3. A nurse is caring for a client who has a new
prescription for wrist restraints. Which of the
following actions should the nurse take?
A) Apply the restraints to the movable part of the bed
frame
B) Tie the restraint straps using a square knot
C) Remove the restraints every 2 hours to check skin
integrity

,D) Secure the restraints tightly so the client cannot
move
Correct answer: C
Rationale: Restraints should be removed every 2
hours to assess skin integrity, provide range of
motion, and meet the client's basic needs. Restraints
should be tied to the bed frame using a quick-release
knot.


4. A nurse is assisting with the admission of a client
who is being transferred from a long-term care
facility. Which of the following information should the
nurse obtain first?
A) The client's insurance information
B) The name of the client's primary care provider
C) The client's code status (advance directives)
D) The client's medication list
Correct answer: C
Rationale: Determining the client's code status (do-
not-resuscitate order) is the priority to ensure
appropriate resuscitation measures are taken in an
emergency.

, 5. A nurse is caring for a client who has a stage 3
pressure ulcer. The nurse is preparing to apply a
wound dressing. Which of the following actions
should the nurse take to maintain aseptic technique?
A) Open the sterile dressing package before applying
sterile gloves
B) Use sterile gloves to apply the dressing to the
wound
C) Clean the wound from the outer edges toward the
center
D) Apply the dressing using clean gloves
Correct answer: B
Rationale: Sterile gloves should be used when
applying a dressing to a wound to prevent infection.
Clean gloves are used for removing the old dressing.


6. A nurse is assisting with the discharge of a client
who has a new prescription for home oxygen therapy.
Which of the following instructions should the nurse
include?
A) Store oxygen tanks in a closet to keep them out of
the way
B) Use wool blankets to stay warm while using
oxygen