NCLEX LVN

Free preview · Original latest version

Sample questions from NCLEX LVN

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, the nurse receives report on four clients. Which client should the practical nurse report to the RN first?

   • A.A client with diabetes whose premeal glucose is 168 mg/dL
   • B.A client with chronic arthritis requesting a warm pack
   • C.A client awaiting discharge who needs a prescription clarification
   • D.A client 2 hours after surgery with new restlessness and SpO2 88% on room air

   Rationale: New restlessness with an oxygen saturation of 88% may indicate impaired oxygenation and requires prompt reporting to the RN. The arthritis request, prescription clarification, and glucose value do not indicate a comparable immediate threat. Prioritize changes in airway, breathing, and circulation.

2. 2.During a home visit, a client with heart failure says, "I gained 2.5 lb since yesterday." What should the practical nurse do first?

   • A.Tell the client to skip today's diuretic
   • B.Report the weight gain promptly to the RN
   • C.Suggest limiting fluids without checking the plan
   • D.Reinforce the prescribed low-sodium diet

   Rationale: A rapid weight gain can signal fluid retention and should be reported promptly for RN follow-up. Reinforcing diet may be appropriate but does not replace reporting this change. The nurse should not advise withholding medication or changing fluid restrictions independently.

3. 3.Refer to the client's chart. Which actions should the practical nurse take in response to the findings? Select all that apply.

   • A.Recheck the oxygen saturation and respiratory status
   • B.Document the findings and actions taken
   • C.Position the client upright while awaiting further direction
   • D.Encourage the client to walk to improve circulation
   • E.Report the declining oxygen saturation and increasing respiratory rate to the RN promptly

   Rationale: The saturation decline from 95% to 89% with rising respiratory rate warrants prompt RN notification; upright positioning and reassessment are appropriate supportive actions. Documentation should include the findings, notification, and interventions. Walking a client with worsening oxygenation is unsafe and does not address the immediate concern.

4. 4.A provider prescribes digoxin for an older adult. Before administering the scheduled dose, which finding should the practical nurse report to the RN?

   • A.Apical pulse 54/min
   • B.Blood pressure 128/74 mm Hg
   • C.Temperature 36.8 C
   • D.Respiratory rate 16/min

   Answer and rationale are in the full material.

5. 5.In a clinic, a client says, "I cannot afford all these medicines." Which response by the practical nurse is most appropriate?

   • A."Stop taking the most expensive one first."
   • B."Take each medication every other day to make it last."
   • C."I will let the RN know so the team can discuss options with you."
   • D."Your provider will not be able to change the prescriptions."

   Answer and rationale are in the full material.