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100 HESI/NCLEX-PN PRACTICE QUESTIONS With answers.

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 34 pages. Originally published on StudyMerit.

Pages
34
Academic year
2025/2026
Language
English

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100 HESI/NCLEX-PN PRACTICE QUESTIONS WITH ANSWERS INSTRUCTIONS • Answer each question before looking at the rationale • Review ALL rationales, even for questions you answer correctly • Focus on understanding WHY answers are correct/incorrect • Track your score to identify weak areas SAFE AND EFFECTIVE CARE ENVIRONMENT Question 1 The LPN is caring for four clients. Which client should the nurse assess FIRST? A) A client with diabetes who has a blood glucose of 250 mg/dL B) A client with pneumonia who has an oxygen saturation of 89% C) A client post-operative day 2 who reports pain of 6/10 D) A client with heart failure who gained 2 pounds overnight Answer: B Rationale: Using the ABC priority framework, airway and breathing issues take precedence. An oxygen saturation of 89% indicates hypoxemia requiring immediate intervention. Option A (hyperglycemia) is concerning but not immediately life-threatening. Options C and D are important but not urgent. Question 2 The LPN can safely delegate which task to unlicensed assistive personnel (UAP)? A) Teaching a diabetic client how to use a glucometer B) Assessing a client's surgical incision for signs of infection C) Measuring and recording intake and output for a stable client D) Administering oral medications to a client with dysphagia Answer: C Rationale: UAP can measure and record I&O for stable clients. Teaching (A), assessment (B), and medication administration (D) require nursing judgment and cannot be delegated to UAP. Question 3 messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|14174986

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A client is prescribed contact precautions for methicillin-resistant Staphylococcus aureus (MRSA). Which personal protective equipment (PPE) should the nurse wear when entering the room? A) Gloves only B) N95 respirator and gloves C) Gown and gloves D) Surgical mask and gloves Answer: C Rationale: Contact precautions require gown and gloves to prevent transmission through direct contact. N95 respirators (B) are for airborne precautions. Surgical masks (D) are for droplet precautions. Question 4 The nurse is preparing to administer digoxin 0.25 mg PO. Before administering the medication, what should the nurse do FIRST? A) Check the client's blood pressure B) Assess the apical pulse for one full minute C) Review the client's potassium level D) Ask the client about vision changes Answer: B Rationale: Always assess apical pulse for one full minute before administering digoxin. Hold the medication if pulse is less than 60 bpm in adults. While checking potassium (C) and assessing for toxicity signs (D) are important, pulse assessment is the priority before administration. Question 5 A client asks the nurse to witness an advance directive. What is the nurse's BEST action? A) Witness the document immediately B) Explain that the nurse cannot witness advance directives C) Ask the physician to witness the document D) Verify the client's understanding before witnessing Answer: D Rationale: Before witnessing any legal document, the nurse should verify that the client understands what they are signing and is doing so voluntarily. The nurse can serve as a witness but must ensure informed consent. Question 6 The nurse observes a UAP preparing to use a dirty mop to clean up a blood spill. What should the nurse do FIRST? messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|14174986

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A) Report the UAP to the supervisor B) Stop the UAP and provide proper cleaning supplies C) Document the incident in the client's chart D) Complete an incident report Answer: B Rationale: Patient safety is the priority. The nurse should immediately intervene to prevent improper handling of biohazardous material. Blood spills require appropriate cleaning agents and should be treated as potentially infectious. Documentation and reporting can occur after the immediate safety issue is addressed. Question 7 Which task is within the LPN's scope of practice? A) Developing the initial nursing care plan for a newly admitted client B) Administering IV push medications through a central line C) Reinforcing discharge teaching about wound care D) Performing the initial admission assessment Answer: C Rationale: LPNs can reinforce teaching that has been initiated by the RN. Initial care planning (A), certain IV medications (B), and initial assessments (D) are typically within the RN's scope of practice, though this varies by state. Question 8 A client is placed on suicide precautions. Which intervention has the HIGHEST priority? A) Encouraging the client to attend group therapy B) Removing all potentially harmful objects from the room C) Administering prescribed antidepressant medications D) Documenting the client's mood and affect Answer: B Rationale: Immediate safety is the priority. Removing harmful objects (belts, shoelaces, sharps, cords) prevents the client from acting on suicidal ideation. While options A, C, and D are important, physical safety takes precedence. Question 9 The nurse receives morning report on four clients. Which client should be seen FIRST? messages.downloaded_by messages.pdf_cover_qr_code_label lOMoARcPSD|14174986

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