New York NCLEX-PN Practice Exam 2025: Free LPN Practice
Questions, Correct Answers & Detailed Rationales | Complete New
York Practical Nurse Licensure Test Prep Guide
Prepare for the New York Practical Nurse Licensure Examination with this comprehensive
NCLEX-PN practice exam. Access free LPN practice questions, correct answers, and
detailed rationales to help you pass the New York NCLEX-PN on your first attempt.
• New York NCLEX-PN practice exam
• NY NCLEX-PN practice questions
• New York LPN licensure exam
• NCLEX-PN test prep New York
•
A client receiving morphine reports a respiratory rate of 8
breaths per minute and somnolence. The nurse should: A.
Continue monitoring.
B. Call the prescriber for a lower dose.
,C. Administer naloxone as ordered.
D. Stimulate the client and reassess in 15 minutes.
Rationale: Respiratory depression from opioids is life-threatening;
naloxone reverses it.
The nurse is teaching a client about warfarin therapy. Which
statement indicates the client understands dietary precautions?
A. "I will avoid citrus fruits."
B. "I will maintain a consistent intake of leafy green vegetables."
C. "I will avoid dairy products."
D. "I can double my dose if I miss one."
Rationale: Vitamin K in leafy greens affects warfarin; consistent
intake prevents INR fluctuations.
A client with heart failure has 3+ pitting edema of the ankles.
The nurse knows this finding indicates: A. Dehydration.
E. Hypoalbuminemia only.
F. Fluid volume excess and needs further assessment.
G. Normal finding in heart failure.
Rationale: 3+ pitting edema suggests significant fluid retention;
assess for worsening heart failure.
,1. A client with chronic obstructive pulmonary disease (COPD) becomes
short of breath while walking to the bathroom. The nurse should first:
A. Encourage the client to cough.
B. Place the client in high-Fowler’s position.
C. Assist the client to sit and lean forward.
D. Administer a bronchodilator immediately.
Rationale: Sitting and leaning forward (tripod position) enhances
accessory muscle use and eases breathing.
2. When a newly admitted client has a history of alcohol withdrawal,
which order should the nurse implement first?
A. Obtain blood alcohol level.
B. Place the client on seizure precautions.
C. Begin thiamine supplementation.
D. Start an IV for fluids.
Rationale: Alcohol withdrawal can precipitate seizures, so seizure
precautions are priority.
4. The best site for intramuscular injection for a 3-year-old child is:
A. Deltoid.
B. Vastus lateralis.
C. Ventrogluteal.
D. Dorsogluteal.
, Rationale: Vastus lateralis is preferred in young children due to
muscle development and safety.
5. The nurse caring for a postoperative client notes clear drainage
on the dressing immediately after surgery. The nurse should: A.
Reinforce the dressing and document.
B. Remove the dressing to inspect the wound.
C. Mark the drainage circle and monitor for increase.
D. Notify the surgeon immediately.
Rationale: Immediate clear drainage can be normal; marking and
monitoring detects changes.
6. A client is prescribed metformin. Which instruction should the
nurse provide?
A. Avoid grapefruit juice.
B. Take with meals to reduce gastrointestinal upset.
C. Expect a metallic taste.
D. Stop the medication if nausea occurs.
Rationale: Taking metformin with food reduces GI side effects;
grapefruit interaction is not primary concern.
7. For a client with suspected hypoglycemia who is conscious and
able to swallow, the nurse should first provide: A. Glucagon
injection.
B. 4 oz fruit juice or glucose gel.
Questions, Correct Answers & Detailed Rationales | Complete New
York Practical Nurse Licensure Test Prep Guide
Prepare for the New York Practical Nurse Licensure Examination with this comprehensive
NCLEX-PN practice exam. Access free LPN practice questions, correct answers, and
detailed rationales to help you pass the New York NCLEX-PN on your first attempt.
• New York NCLEX-PN practice exam
• NY NCLEX-PN practice questions
• New York LPN licensure exam
• NCLEX-PN test prep New York
•
A client receiving morphine reports a respiratory rate of 8
breaths per minute and somnolence. The nurse should: A.
Continue monitoring.
B. Call the prescriber for a lower dose.
,C. Administer naloxone as ordered.
D. Stimulate the client and reassess in 15 minutes.
Rationale: Respiratory depression from opioids is life-threatening;
naloxone reverses it.
The nurse is teaching a client about warfarin therapy. Which
statement indicates the client understands dietary precautions?
A. "I will avoid citrus fruits."
B. "I will maintain a consistent intake of leafy green vegetables."
C. "I will avoid dairy products."
D. "I can double my dose if I miss one."
Rationale: Vitamin K in leafy greens affects warfarin; consistent
intake prevents INR fluctuations.
A client with heart failure has 3+ pitting edema of the ankles.
The nurse knows this finding indicates: A. Dehydration.
E. Hypoalbuminemia only.
F. Fluid volume excess and needs further assessment.
G. Normal finding in heart failure.
Rationale: 3+ pitting edema suggests significant fluid retention;
assess for worsening heart failure.
,1. A client with chronic obstructive pulmonary disease (COPD) becomes
short of breath while walking to the bathroom. The nurse should first:
A. Encourage the client to cough.
B. Place the client in high-Fowler’s position.
C. Assist the client to sit and lean forward.
D. Administer a bronchodilator immediately.
Rationale: Sitting and leaning forward (tripod position) enhances
accessory muscle use and eases breathing.
2. When a newly admitted client has a history of alcohol withdrawal,
which order should the nurse implement first?
A. Obtain blood alcohol level.
B. Place the client on seizure precautions.
C. Begin thiamine supplementation.
D. Start an IV for fluids.
Rationale: Alcohol withdrawal can precipitate seizures, so seizure
precautions are priority.
4. The best site for intramuscular injection for a 3-year-old child is:
A. Deltoid.
B. Vastus lateralis.
C. Ventrogluteal.
D. Dorsogluteal.
, Rationale: Vastus lateralis is preferred in young children due to
muscle development and safety.
5. The nurse caring for a postoperative client notes clear drainage
on the dressing immediately after surgery. The nurse should: A.
Reinforce the dressing and document.
B. Remove the dressing to inspect the wound.
C. Mark the drainage circle and monitor for increase.
D. Notify the surgeon immediately.
Rationale: Immediate clear drainage can be normal; marking and
monitoring detects changes.
6. A client is prescribed metformin. Which instruction should the
nurse provide?
A. Avoid grapefruit juice.
B. Take with meals to reduce gastrointestinal upset.
C. Expect a metallic taste.
D. Stop the medication if nausea occurs.
Rationale: Taking metformin with food reduces GI side effects;
grapefruit interaction is not primary concern.
7. For a client with suspected hypoglycemia who is conscious and
able to swallow, the nurse should first provide: A. Glucagon
injection.
B. 4 oz fruit juice or glucose gel.
