Think you are ready for the NCLEX-PN (National Council Licensure Examination for Practical Nurses) exam? Our deck rates 508 of its 1019 flashcards as hard. Try the free samples below; if they feel comfortable, you are in good shape.
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An LPN is supervising a UAP. Which task is INAPPROPRIATE to delegate? A) Documenting intake and output. B) Applying a cold pack to a sprained ankle. C) Reinforcing teaching on insulin injection. D) Assisting a stable patient with a shower.
Show answer →C is correct. While LPNs can reinforce teaching initiated by an RN, UAPs cannot perform any level of teaching or reinforcement. UAPs perform routine ADLs and simple, non-invasive procedures (like cold packs if per policy). Strategy: Remember TAPE (Teaching, Assessment, Planning, Evaluation) cannot be delegated to UAPs.
Which IV-related task is typically within the LPN scope of practice for a patient with a peripheral IV? A) Initial IV push of a high-alert medication. B) Monitoring the site for infiltration. C) Titrating a Heparin drip based on PTT. D) Inserting a PICC line.
Show answer →B is correct. LPNs are responsible for data collection and monitoring. Monitoring an IV site for signs of infiltration or phlebitis is a core LPN competency. High-alert IV pushes, titration of critical drips, and central line (PICC) insertion are RN or advanced roles. Note: State boards vary, but NCLEX-PN focuses on this distinction.
The LPN is assigned four patients. Which patient should be seen FIRST? A) Post-op patient 4 hours out with 50mL serosanguinous drainage. B) Patient with DM whose morning glucose is 160 mg/dL. C) Patient with asthma who just received a PRN albuterol treatment for wheezing.
Show answer →C is correct. Using the ABC (Airway, Breathing, Circulation) priority framework, the patient with active wheezing and respiratory distress requiring PRN intervention is the least stable. Options A and B represent expected post-op findings and mild hyperglycemia, which are lower priority than active respiratory issues.
An LPN is considering delegating vitals to a UAP. In which scenario is this INAPPROPRIATE? A) Routine vitals on a stable geriatric patient. B) Vitals every 15 minutes for a patient receiving a blood transfusion. C) Vitals for a patient being discharged.
Show answer →B is correct. This violates the Right Circumstance. Patients receiving blood products are unstable and at high risk for acute reactions. The nurse must perform these assessments to identify subtle changes. Routine or discharge vitals for stable patients are appropriate for UAPs.
A UAP reports a blood pressure of 88/50 mmHg for a patient who just returned from surgery. What is the LPN's first action? A) Tell the UAP to re-check it in 30 minutes. B) Document the finding. C) Immediately assess the patient's clinical status. D) Call the surgeon.
Show answer →C is correct. When a UAP reports an abnormal or critical finding, the nurse's priority is to validate the data by personally assessing the patient. The nurse must check for signs of shock (tachycardia, pallor, altered LOC) before calling the provider or delegating further. Never ignore a critical value reported by a UAP.
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Try 30 free NCLEX-PN cards first508 of the 1019 flashcards in the NCLEX-PN deck carry a "hard" difficulty rating. 5 free samples are on this page.
Difficulty ratings describe our deck, not the official exam. Practicing above test level builds a margin of safety — check the official NCSBN materials for representative difficulty.
Assessment
50 cards
Basics
90 cards
Diagnostics
40 cards
Management
170 cards
Pathology
420 cards
Pharmacology
109 cards
Procedures
110 cards
Safety
10 cards
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