NCLEX-PN practice quiz

Question 1

A client signs a living will but later tells the nurse they want full treatment regardless. How should the nurse respond?

Accepted Answer

Document the client's new verbal wishes and clarify them with the healthcare team

Answer

Follow the living will since it is a legal document

Answer

Notify the physician that the will is now invalid

Answer

Ignore the verbal statement because the document is legally binding

Question 2

A nurse is preparing to transfer a client to a rehabilitation facility. Which action should the nurse take first?

Accepted Answer

Ensure the receiving facility has accepted the client

Answer

Arrange transportation for the client

Answer

Complete the transfer documentation

Answer

Notify the client's family of the transfer time

Question 3

A client refuses a blood transfusion on religious grounds. The nurse notes that the physician has ordered the transfusion. What is the nurse's priority action?

Accepted Answer

Document the refusal and report it to the physician immediately

Answer

Administer the transfusion because it is physician-ordered

Answer

Persuade the client to change their mind

Answer

Contact a patient advocate to override the refusal

Question 4

A nurse is reviewing the medical record of a newly admitted client. The nurse sees a do-not-resuscitate order. What should the nurse do first?

Accepted Answer

Verify the order is signed and current, then communicate it to the care team

Answer

Notify the entire nursing staff about the order

Answer

Request that the physician re-evaluate the client's condition

Answer

Place a prominent alert on the client's door and chart

Question 5

A nurse is caring for a client who speaks only Spanish. An interpreter is not available. The nurse should use which approach?

Accepted Answer

Use a translation app and document it in the chart

Answer

Ask a family member to interpret for the client

Answer

Wait until an interpreter becomes available before providing care

Answer

Attempt to communicate with gestures and body language only

Question 6

A nurse is conducting a shift report using bedside handoff. Which element should the nurse include first?

Accepted Answer

Current vital signs and any changes in condition

Answer

A full review of the client's medication history

Answer

The results of all diagnostic tests

Answer

A summary of the client's psychosocial needs only

Question 7

A nurse discovers that a colleague has been taking medication from a client's prescription. What is the nurse's responsibility?

Accepted Answer

Report it to the charge nurse or supervisor immediately

Answer

Confront the colleague privately and ask them to return the medication

Answer

Ignore it because it does not affect the nurse directly

Answer

Document it anonymously without reporting to management

Question 8

A nurse is preparing discharge instructions for a client with heart failure. The teach-back method is used. The client repeats the information incorrectly. What should the nurse do?

Accepted Answer

Re-teach using different methods until the client demonstrates understanding

Answer

Provide the information again using the same teaching method

Answer

Document that teaching was completed and move on

Answer

Ask the family to review the instructions at home

Question 9

A nurse is reviewing advance directives with a client who has designated a healthcare proxy. What does this document mean for the proxy?

Accepted Answer

The proxy may make healthcare decisions only when the client cannot

Answer

The proxy can make all financial decisions for the client

Answer

The proxy must be a licensed attorney in the state

Answer

The proxy takes full control of all medical care immediately upon signing

Question 10

A nurse is caring for a client in droplet precautions. Which actions should the nurse take? (Select all that apply.)

Accepted Answer

Wear a surgical mask when within 3 feet of the client

Answer

Wear an N95 respirator at all times in the room

Answer

Place the client in a negative-pressure room

Answer

Perform hand hygiene before and after client contact

Question 11

A nurse accidentally sticks a finger on a used needle after drawing blood from a client. What should the nurse do first?

Accepted Answer

Wash the area, report to the supervisor, and follow exposure protocol

Answer

File an incident report and continue working without washing the exposed site first

Answer

Notify the client's physician immediately about the stick

Answer

Apply a bandage and return to the task at hand quickly

Question 12

A nurse enters a client's room and notices a fire is smoldering in the oxygen tubing. What is the first action?

Accepted Answer

Remove the oxygen tubing and extinguish the fire

Answer

Pull the fire alarm to evacuate the floor

Answer

Call the fire department

Answer

Close the door to contain the fire

Question 13

A client with active tuberculosis is admitted to a medical-surgical unit. Which isolation precaution should be initiated?

Accepted Answer

Airborne precautions with a negative-pressure room

Answer

Droplet precautions with a surgical mask and private room

Answer

Contact precautions with gown, gloves, and dedicated equipment

Answer

Standard precautions only with routine hand hygiene practices

Question 14

A nurse is caring for a client who requires restraints. Which documentation is essential?

Accepted Answer

The type of restraint, time applied, and the client's response

Answer

Only that restraints were applied

Answer

The physician's order and nothing else

Answer

That the client was verbally notified of the restraint

Question 15

A nurse is teaching a client about safe sharps disposal at home. Which statements should the nurse include? (Select all that apply.)

Accepted Answer

Use a puncture-resistant container for used needles

Answer

Place sharps in a regular plastic bag

Answer

Seal the container when it is three-quarters full

Answer

Break needles before disposing them

Question 16

A parent asks the nurse when their child should receive the first MMR vaccination. What is the correct response?

Accepted Answer

Between 12 and 15 months of age

Answer

At 6 months of age

Answer

At school entry around age 5

Answer

At 2 years of age

Question 17

A nurse is performing a developmental screening on a 9-month-old infant. Which finding would the nurse report to the physician?

Accepted Answer

Not babbling or responding to own name

Answer

Rolling from back to stomach

Answer

Sitting without support

Answer

Reaching for a toy with both hands

Question 18

A pregnant client at 28 weeks asks about exercise. Which response is most appropriate?

Accepted Answer

Walking and swimming are generally safe during pregnancy

Answer

Exercise is not recommended during the third trimester

Answer

Heavy weightlifting is the best exercise option

Answer

The client should only perform bed rest

Question 19

A nurse is teaching an adolescent about skin cancer prevention. Which instruction is most important?

Accepted Answer

Apply sunscreen with SPF 15 or higher and avoid tanning beds

Answer

Wear sunscreen only during the summer months

Answer

Dark-skinned individuals do not need sunscreen

Answer

Sunscreen should be applied once in the morning for all-day protection

Question 20

A nurse is teaching a postmenopausal client about osteoporosis prevention. Which recommendation is most appropriate?

Accepted Answer

Engage in weight-bearing exercise and take calcium supplements

Answer

Increase caffeine intake to strengthen bones

Answer

Avoid dairy products to prevent kidney stones

Answer

Limit physical activity to protect joints