UTAH NCLEX-PN – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Nursing Ethics and Legal Regulations
This comprehensive examination is designed to evaluate the entry-level competence,
critical thinking skills, and clinical judgment of candidates seeking licensure as practical
nurses. The assessment rigorously tests foundational theory, applied professional
knowledge, regulatory compliance, and ethical standards across diverse healthcare
settings. Featuring a robust combination of multiple-choice and complex scenario-based
items, the exam emphasizes real-world application and prioritized decision-making to
ensure safe patient care. Candidates must demonstrate the ability to analyze clinical data,
manage client care safely, and execute appropriate nursing interventions aligned with
current healthcare standards.
,Section One: Questions 1–100
A licensed practical nurse (LPN) is caring for a client newly diagnosed with type 1
diabetes mellitus. Which statement by the client indicates a need for further
instruction regarding insulin administration?
A. "I should store my unopened insulin bottles in the refrigerator."
B. "I will rotate my injection sites within the same anatomical area to prevent
lipodystrophy."
C. "I can reuse my disposable syringe and needle for a week if I keep it clean."
D. "I will check my blood glucose before each injection of rapid-acting insulin."
🟢 C. "I can reuse my disposable syringe and needle for a week if I keep it clean."
🔴 Explanation: Disposable syringes and needles are intended for single-use only to
prevent contamination, infection, and dulling of the needle tip, which can increase tissue
trauma. Unopened insulin is properly stored in the refrigerator, site rotation prevents
lipodystrophy, and pre-injection blood glucose monitoring is standard practice for rapid-
acting insulin.
An older adult client admitted with dehydration and confusion attempts to climb out of
bed unassisted. Which nursing action should the LPN take first?
A. Apply soft wrist restraints to prevent falls.
B. Place the client in a room near the nurses' station for frequent observation.
C. Administer a prescribed PRN sedative to calm the client.
D. Raise all four side rails on the client's bed.
,🟢 B. Place the client in a room near the nurses' station for frequent observation.
🔴 Explanation: Placing the client near the nurses' station allows for frequent observation
as a less restrictive intervention. Restraints, sedatives, and raising all four side rails are
considered restrictive measures or physical restraints that require thorough justification,
provider orders, and monitoring, and should only be used as a last resort.
The LPN is reinforcing discharge instructions for a client prescribed warfarin. Which
food item should the nurse advise the client to consume in consistent, moderate
amounts rather than eliminating entirely?
A. Spinach and kale
B. Oranges and bananas
C. Whole wheat bread
D. Low-fat yogurt
🟢 A. Spinach and kale
🔴 Explanation: Spinach and kale are rich in vitamin K, which antagonizes the effects of
warfarin. Clients do not need to eliminate vitamin K completely, but they must maintain
consistent daily intake to prevent fluctuations in the international normalized ratio (INR).
A client is receiving a continuous intravenous infusion of regular insulin. Which
electrolyte imbalance must the LPN monitor for closely during this therapy?
A. Hypernatremia
B. Hypokalemia
, C. Hypercalcemia
D. Hyponatremia
🟢 B. Hypokalemia
🔴 Explanation: Insulin drives glucose into cells along with potassium, which can lead to a
significant drop in serum potassium levels. The LPN must monitor potassium levels closely
to prevent dangerous cardiac dysrhythmias during continuous insulin infusion.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen via
nasal cannula at 4 L/min. The client reports shortness of breath, and the oxygen
saturation is 92%. What is the most appropriate action for the LPN?
A. Increase the oxygen flow rate to 6 L/min to improve saturation.
B. Notify the registered nurse (RN) or healthcare provider and evaluate the prescribed flow
rate.
C. Remove the nasal cannula and encourage pursed-lip breathing.
D. Place the client in a flat supine position to ease chest expansion.
🟢 B. Notify the registered nurse (RN) or healthcare provider and evaluate the prescribed
flow rate.
🔴 Explanation: Clients with COPD rely on hypoxic drive for respiration, and high-flow
oxygen can suppress their respiratory drive. The LPN should maintain the prescribed
oxygen, notify the RN or provider, and monitor respiratory status closely.
A client admitted with acute pancreatitis is prescribed nothing by mouth (NPO) status
and nasogastric tube suctioning. What is the primary rationale for this intervention?
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Nursing Ethics and Legal Regulations
This comprehensive examination is designed to evaluate the entry-level competence,
critical thinking skills, and clinical judgment of candidates seeking licensure as practical
nurses. The assessment rigorously tests foundational theory, applied professional
knowledge, regulatory compliance, and ethical standards across diverse healthcare
settings. Featuring a robust combination of multiple-choice and complex scenario-based
items, the exam emphasizes real-world application and prioritized decision-making to
ensure safe patient care. Candidates must demonstrate the ability to analyze clinical data,
manage client care safely, and execute appropriate nursing interventions aligned with
current healthcare standards.
,Section One: Questions 1–100
A licensed practical nurse (LPN) is caring for a client newly diagnosed with type 1
diabetes mellitus. Which statement by the client indicates a need for further
instruction regarding insulin administration?
A. "I should store my unopened insulin bottles in the refrigerator."
B. "I will rotate my injection sites within the same anatomical area to prevent
lipodystrophy."
C. "I can reuse my disposable syringe and needle for a week if I keep it clean."
D. "I will check my blood glucose before each injection of rapid-acting insulin."
🟢 C. "I can reuse my disposable syringe and needle for a week if I keep it clean."
🔴 Explanation: Disposable syringes and needles are intended for single-use only to
prevent contamination, infection, and dulling of the needle tip, which can increase tissue
trauma. Unopened insulin is properly stored in the refrigerator, site rotation prevents
lipodystrophy, and pre-injection blood glucose monitoring is standard practice for rapid-
acting insulin.
An older adult client admitted with dehydration and confusion attempts to climb out of
bed unassisted. Which nursing action should the LPN take first?
A. Apply soft wrist restraints to prevent falls.
B. Place the client in a room near the nurses' station for frequent observation.
C. Administer a prescribed PRN sedative to calm the client.
D. Raise all four side rails on the client's bed.
,🟢 B. Place the client in a room near the nurses' station for frequent observation.
🔴 Explanation: Placing the client near the nurses' station allows for frequent observation
as a less restrictive intervention. Restraints, sedatives, and raising all four side rails are
considered restrictive measures or physical restraints that require thorough justification,
provider orders, and monitoring, and should only be used as a last resort.
The LPN is reinforcing discharge instructions for a client prescribed warfarin. Which
food item should the nurse advise the client to consume in consistent, moderate
amounts rather than eliminating entirely?
A. Spinach and kale
B. Oranges and bananas
C. Whole wheat bread
D. Low-fat yogurt
🟢 A. Spinach and kale
🔴 Explanation: Spinach and kale are rich in vitamin K, which antagonizes the effects of
warfarin. Clients do not need to eliminate vitamin K completely, but they must maintain
consistent daily intake to prevent fluctuations in the international normalized ratio (INR).
A client is receiving a continuous intravenous infusion of regular insulin. Which
electrolyte imbalance must the LPN monitor for closely during this therapy?
A. Hypernatremia
B. Hypokalemia
, C. Hypercalcemia
D. Hyponatremia
🟢 B. Hypokalemia
🔴 Explanation: Insulin drives glucose into cells along with potassium, which can lead to a
significant drop in serum potassium levels. The LPN must monitor potassium levels closely
to prevent dangerous cardiac dysrhythmias during continuous insulin infusion.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen via
nasal cannula at 4 L/min. The client reports shortness of breath, and the oxygen
saturation is 92%. What is the most appropriate action for the LPN?
A. Increase the oxygen flow rate to 6 L/min to improve saturation.
B. Notify the registered nurse (RN) or healthcare provider and evaluate the prescribed flow
rate.
C. Remove the nasal cannula and encourage pursed-lip breathing.
D. Place the client in a flat supine position to ease chest expansion.
🟢 B. Notify the registered nurse (RN) or healthcare provider and evaluate the prescribed
flow rate.
🔴 Explanation: Clients with COPD rely on hypoxic drive for respiration, and high-flow
oxygen can suppress their respiratory drive. The LPN should maintain the prescribed
oxygen, notify the RN or provider, and monitor respiratory status closely.
A client admitted with acute pancreatitis is prescribed nothing by mouth (NPO) status
and nasogastric tube suctioning. What is the primary rationale for this intervention?
