Nclex PN Questions and Answers

Question 1 of 5

The LPN needs to delegate a task to the nurse aide who is new to the unit. Which of these is the best option for the nurse to choose in proceeding?

A. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely and correctly done. B. Delegate the task to the nurse aide, watch them perform the task without them seeing you, and follow up to ensure the task was done safely and accurately. C. Delegate the task to the nurse aide, supervise if needed, and check in after the task to see if help is needed. D. Delegate the task to the nurse aide, ensure understanding of the task, and supervise the task being performed.

Correct Answer: B

Rationale: Delegation is transferring responsibility for a task but sharing its accountability. It is the delegator's responsibility to ensure that the delegatee understands the task before it is performed and to follow up afterward to ensure it was completed correctly and safely. Option B is the best choice because it allows the nurse to observe the nurse aide performing the task without pressure, which can provide insights into the aide's abilities and understanding. This method also allows for immediate feedback and correction if needed.

Choice A is incorrect because confirming understanding alone may not provide a complete picture of the aide's competence in performing the task.
Choice C is incorrect as it suggests supervising only if needed, which may not provide adequate oversight for a new nurse aide.
Choice D is incorrect because supervising the task being performed does not allow for an objective assessment of the aide's abilities and understanding.

Question 2 of 5

During shift change, a nurse is giving report to the oncoming LPN. Which of these is an inappropriate way to give shift report?

A. The nurse gives report to the oncoming LPN, checking a wound vac and dressing together. B. The nurse reports in SBAR format, noting that the client was noncompliant with their diet during the shift. C. The nurse reports in the hallway, in SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift. D. The nurse reports at bedside with the oncoming LPN and discusses the client's concerns after the chart has been reviewed.

Correct Answer: C

Rationale: The correct answer is 'The nurse reports in the hallway, in SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift.' This choice is inappropriate because shift report should be given at the bedside, in SBAR format, and in an objective way. It is important to maintain professionalism and focus on the client's condition and care needs, rather than personal opinions or subjective comments. Reporting in the hallway may compromise patient privacy and confidentiality.

Choices A, B, and D demonstrate appropriate ways of giving shift report by focusing on relevant information, using SBAR format, and discussing client concerns after reviewing the chart, which promotes effective communication and continuity of care.

Question 3 of 5

Nurse Ann tells nurse Christine that one of her client's status is declining but that she will do her best to juggle her other two clients. Which action is most appropriate?

A. Nurse Christine should offer to give medications to Nurse Ann's other two clients. B. Nurse Christine should inform their supervisor that assignments may need to be changed. C. Nurse Christine should ask other nurses who might be able to help Nurse Ann. D. Nurse Ann should try not to burden other nurses and continue caring for her assigned clients.

Correct Answer: B

Rationale: In this situation, when Nurse Ann informs Nurse Christine that a client's status is declining and she needs to attend to them, the most appropriate action for Nurse Christine is to inform their supervisor that assignments may need to be changed. By informing the supervisor, necessary adjustments can be made to ensure proper care for all clients. Offering to give medications to Nurse Ann's other two clients (choice
A) may not address the underlying issue of a declining client and could lead to a delay in care. Asking other nurses for help (choice
C) might not be the most efficient solution, as the supervisor is responsible for reassigning tasks. Nurse Ann continuing to care for all her assigned clients (choice
D) may compromise the quality of care provided to the declining client and may spread her too thin, impacting all clients negatively.

Question 4 of 5

An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate?

A. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. B. The client will maintain a blood glucose level within normal range limits today. C. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. D. The client will maintain a blood glucose level within normal limits throughout my shift.

Correct Answer: C

Rationale: The correct answer is 'The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.' This outcome is specific, measurable, and aligns with the goal of managing diabetes mellitus.
Choice A is correct because it provides a clear target range (70-110) and includes adherence to facility policy, making it precise and goal-oriented.
Choice B lacks specificity on the timeframe, and
Choice D is vague in defining the target blood glucose range. In nursing care plans, outcomes should be well-defined, achievable, and measurable to effectively monitor the client's progress in managing their condition.

Question 5 of 5

A nurse enters a client's room to administer a medication that has been prescribed by the health care provider. The client asks the nurse about the medication. Which response by the nurse is appropriate?

A. 'I know that it's for fluid buildup, and I think you've taken it before.'' B. 'It's called furosemide (Lasix), and it will promote urination and rid your body of the excess fluid. It can cause an alteration in electrolyte levels, so we'll need to increase the potassium in your diet.'' C. 'It's to help get rid of the swelling in your feet.'' D. ''You need to discuss this medication with your health care provider.''

Correct Answer: B

Rationale: A client has the right to be informed of the medication name, purpose, action, and potential undesirable effects of a prescribed medication. The nurse should provide adequate information to the client.
Choice B is the correct answer as it includes the medication name, its purpose (promoting urination and eliminating excess fluid), and a potential side effect (alteration in electrolyte levels) with a plan for managing it (increasing potassium in the diet). This response demonstrates thorough and complete information.
Choice A provides some information but lacks details on potential side effects and dietary adjustments.
Choice C is vague and does not provide specific details about the medication.
Choice D deflects the client's question and does not fulfill the client's right to information.

Nclex PN Questions and Answers - Nurselytic

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NCLEX-PN

NCLEX-PN