NCLEX-PN Daily Question

Past questions

Try each one first, then tap to see the answer and the explanation.

Question 1 · Coordinated Care

The practical nurse (PN) is assigned to several residents on a long-term care unit during the afternoon. One resident rings the call light and asks for help finding eyeglasses left in the dining room. Another resident reports a new sharp pain in the right calf that started after returning from physical therapy. A third resident requests a fresh water pitcher. A fourth resident asks when the next bingo session will start.

Which resident request should the PN address first?

A. The resident who needs help locating eyeglasses in the dining room
B. The resident who wants to know the time of the next bingo session
C. The resident who requests a fresh water pitcher for the bedside table
D. The resident who reports new sharp pain in the right calf

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D. The resident who reports new sharp pain in the right calf

New sharp calf pain after activity is an unexpected finding that may indicate a vascular complication such as deep-vein thrombosis. Under the acute-over-chronic and unexpected-over-expected framework, the PN collects data and reports this finding to the RN before attending to routine requests.

Question 2 · Coordinated Care

A practical nurse (PN) has collected data on a client during the shift and is preparing to contribute to the plan of care.

Which information is most appropriate for the PN to contribute to the plan of care?

A. The client's complete medical history from previous hospitalizations.
B. A new nursing diagnosis that the PN has identified independently.
C. Orders for diagnostic tests that the PN believes should be added.
D. The client needed help walking and rated pain 4 after activity.

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D. The client needed help walking and rated pain 4 after activity.

Observations about the client's response to activity and pain level are appropriate data for the PN to contribute to the plan of care.

Question 3 · Coordinated Care

The practical nurse (PN) is reviewing a list of tasks that need to be completed for clients on a medical-surgical unit.

Which task must the PN refer to the RN?

A. Performing the initial assessment on a client just back from surgery.
B. Reinforcing previously taught deep-breathing exercises with a stable postoperative client.
C. Collecting a routine capillary blood glucose on a client with diabetes.
D. Assisting a stable client with ambulation to the bathroom.

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A. Performing the initial assessment on a client just back from surgery.

The initial postoperative assessment is outside practical nurse scope and must be performed by the RN.

Question 4 · Coordinated Care

A practical nurse (PN) needs to assign the task of measuring vital signs on several stable residents to an assistive personnel (AP) who recently transferred to the unit.

Which action should the PN take before making the assignment?

A. Assign the task immediately because vital signs are within the AP role.
B. Have the AP observe another staff member once and then perform the task alone.
C. Review the AP's personnel file for past performance evaluations.
D. Ask the AP to describe the steps for measuring blood pressure and pulse accurately.

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D. Ask the AP to describe the steps for measuring blood pressure and pulse accurately.

Asking the AP to describe the correct steps verifies current knowledge before the PN assigns the task.

Question 5 · Coordinated Care

The practical nurse (PN) is preparing to give a shift report to the oncoming nurse about a client who experienced a fall earlier in the shift.

Which information should the PN include in the concise shift report?

A. A complete history of every previous fall the client has had during the past year.
B. The time of the fall, the client's condition afterward, and actions taken.
C. The client’s favorite television programs and preferred meal choices.
D. The names of all visitors who came to see the client during the shift.

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B. The time of the fall, the client's condition afterward, and actions taken.

A concise shift report includes the timing of the event, the client’s immediate condition, and the interventions performed so the oncoming nurse can maintain continuity of care.

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