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Challenging NCLEX-PN practice questions focused on care coordination and data collection for LPNs/LVNs. These questions emphasize prioritization and delegation, interdisciplinary collaboration, documentation, and ethical/legal considerations. Each questi$46.04
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Challenging NCLEX-PN practice questions focused on care coordination and data collection for LPNs/LVNs. These questions emphasize prioritization and delegation, interdisciplinary collaboration, documentation, and ethical/legal considerations. Each questi
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Nclex pn
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Nclex Pn
Challenging NCLEX-PN practice questions focused on care coordination and data collection for LPNs/LVNs. These questions emphasize prioritization and delegation, interdisciplinary collaboration, documentation, and ethical/legal considerations. Each question includes a rationale.
These questions pro...
Challenging NCLEX-PN practice questions focused on care coordination and
data collection for LPNs/LVNs. These questions emphasize prioritization and
delegation, interdisciplinary collaboration, documentation, and ethical/legal
considerations. Each question includes a rationale.
These questions provide comprehensive coverage of key NCLEX-PN topics related to care coordination,
data collection, communication, prioritization, and delegation. Each question is designed to challenge
critical thinking and apply practical nursing skills in a healthcare setting.
Question 1: Prioritization of Care
A patient with a history of hypertension and chronic kidney disease reports feeling dizzy. Their
blood pressure is 160/95 mm Hg. What should the LPN/LVN do first?
A) Reassess blood pressure in 30 minutes
B) Administer the patient’s antihypertensive medication
C) Report the findings to the RN immediately
D) Document the blood pressure and continue monitoring
Correct Answer: C)
Rationale: Dizziness and high blood pressure in a patient with kidney disease require immediate
RN notification for further assessment.
Question 2: Delegation in Patient Care
Which task is appropriate for the LPN/LVN to delegate to a certified nursing assistant (CNA)?
A) Administering a subcutaneous insulin injection
B) Assessing a patient’s pain level
C) Performing range-of-motion exercises
D) Administering an oral medication
Correct Answer: C)
Rationale: CNAs can perform non-invasive tasks like range-of-motion exercises but cannot
administer medications or perform assessments.
Question 3: Escalating Findings to the RN
A patient post-appendectomy has a heart rate of 120 bpm and reports feeling lightheaded. The
LPN/LVN collects the following data: blood pressure 88/50 mm Hg and urine output of 10
mL/hr. What should the LPN/LVN do first?
A) Encourage the patient to drink more fluids
B) Reassess the blood pressure in 15 minutes
C) Report the findings to the RN immediately
D) Administer the patient's ordered pain medication
,Correct Answer: C)
Rationale: Hypotension and low urine output are signs of potential hypovolemia, requiring
immediate RN intervention.
Question 4: Interdisciplinary Collaboration
A patient with heart failure is receiving care from a multidisciplinary team. The LPN/LVN
notices increased shortness of breath and reports the change to the RN. Which member of the
healthcare team should the LPN/LVN expect to consult regarding this new symptom?
A) The dietitian
B) The respiratory therapist
C) The physical therapist
D) The social worker
Correct Answer: B)
Rationale: A respiratory therapist is responsible for managing symptoms related to respiratory
distress.
Question 5: Ethical Considerations in Care Coordination
A patient is refusing a blood transfusion due to religious beliefs, but the physician insists that it is
necessary for the patient’s survival. What should the LPN/LVN do first?
A) Administer the blood transfusion
B) Notify the physician of the patient’s refusal
C) Notify the RN and document the patient’s refusal
D) Reassure the patient that the transfusion is necessary
Correct Answer: C)
Rationale: The patient’s autonomy and ethical decision-making must be respected. The
LPN/LVN should report the refusal to the RN and document it.
Question 6: Documentation in Medical Records
An LPN/LVN is documenting the care provided to a patient in an electronic health record
(EHR). Which of the following entries is appropriate?
A) "Patient seems anxious."
B) "Patient ate well at lunch."
C) "Patient reports 8/10 pain in the right leg."
D) "Patient was very uncooperative during the exam."
Correct Answer: C)
Rationale: Documentation should be objective and specific. Reporting the patient’s exact pain
level is appropriate.
, Question 7: Delegation and Reporting
A patient with diabetes has a blood glucose reading of 250 mg/dL. The LPN/LVN delegated the
task of checking blood glucose levels to a CNA. What should the LPN/LVN do after receiving
this reading from the CNA?
A) Administer insulin to the patient
B) Recheck the blood glucose level themselves
C) Report the elevated blood glucose to the RN
D) Instruct the CNA to give the patient some water
Correct Answer: C)
Rationale: Elevated blood glucose levels require immediate reporting to the RN for further
intervention.
Question 8: Understanding the Care Plan
An LPN/LVN is assisting with the care of a patient who recently had surgery. The patient has a
postoperative care plan that includes ambulation four times a day. The patient refuses to get out
of bed. What should the LPN/LVN do first?
A) Document the patient’s refusal
B) Encourage the patient to ambulate
C) Report the refusal to the RN
D) Reassess the patient’s condition
Correct Answer: C)
Rationale: Ambulation is important for recovery, and the refusal should be reported to the RN
for further action.
Question 9: Prioritization in Emergency Situations
An LPN/LVN is collecting data on a patient with chest pain and shortness of breath. The
patient’s oxygen saturation is 84% on room air. What is the LPN/LVN’s priority action?
A) Call the physician immediately
B) Administer supplemental oxygen and notify the RN
C) Reassess the oxygen saturation in 15 minutes
D) Help the patient to lie down
Correct Answer: B)
Rationale: The oxygen saturation is critically low. Administering oxygen and notifying the RN
is the priority.
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