1|Page
# NCLEX-PN 3000 COMPREHENSIVE TEST BANK
(9TH EDITION)## COMPLETE EXAM PREP
BANK (300+ REPRESENTATIVE QUESTIONS)###
HIGH-YIELD CONTENT | GRADED A+ | FIRST
TIME PASS
## Table of Contents
1. **Safe & Effective Care Environment** (40 questions)
- Management of Care (20)
- Safety & Infection Control (20)
2. **Health Promotion & Maintenance** (40 questions)
3. **Psychosocial Integrity** (40 questions)
4. **Physiological Integrity** (180 questions)
- Basic Care & Comfort (30)
- Pharmacological & Parenteral Therapies (40)
- Reduction of Risk Potential (50)
- Physiological Adaptation (60)
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## Section 1: Safe & Effective Care Environment – Management of Care
(20 Questions)
**1.** A licensed practical nurse (LPN) is working under the
supervision of a registered nurse (RN). Which task can the LPN legally
perform?
A. Perform the initial admission assessment
B. Create the nursing care plan
C. Administer oral medications to a stable patient
D. Provide discharge teaching
**Correct Answer: C**
*Rationale:* LPNs can administer oral medications to stable patients
with predictable outcomes. Initial assessment, care plan creation, and
discharge teaching are responsibilities of the RN.
---
**2.** A charge nurse is making assignments on a medical-surgical unit.
Which patient should be assigned to the LPN rather than the RN?
A. A patient with unstable angina requiring telemetry monitoring
B. A patient with diabetes who needs insulin administration and is stable
C. A patient newly admitted with pneumonia and respiratory distress
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D. A patient post-cardiac arrest requiring titration of vasopressors
**Correct Answer: B**
*Rationale:* LPNs care for stable patients with predictable outcomes.
Unstable angina, new admissions with distress, and patients requiring
titration of vasopressors require RN assessment and intervention.
---
**3.** An LPN observes an RN administering the wrong medication to
a patient. What is the LPN's legal responsibility?
A. Ignore the error because the RN is the licensed professional
B. Report the error to the charge nurse or nurse manager immediately
C. Confront the RN in front of the patient
D. Document the error in the LPN's personal notes only
**Correct Answer: B**
*Rationale:* All healthcare workers have a duty to report medication
errors to promote patient safety. The witnessing nurse should report
according to facility policy.
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---
**4.** A patient refuses a prescribed medication. The LPN's best
response is:
A. "You must take this medication because the doctor ordered it."
B. "Tell me more about why you don't want to take the medication."
C. "I will get an order to restrain you."
D. "You cannot refuse medication in the hospital."
**Correct Answer: B**
*Rationale:* Competent patients have the right to refuse treatment. The
nurse should explore the patient's concerns and notify the provider.
---
**5.** A patient is being transferred from the emergency department to
the medical unit. Which information must the LPN provide during
handoff?
A. Only the patient's name and room number
B. SBAR (Situation, Background, Assessment, Recommendation) report
C. A verbal summary without documentation
D. Only the diagnosis
# NCLEX-PN 3000 COMPREHENSIVE TEST BANK
(9TH EDITION)## COMPLETE EXAM PREP
BANK (300+ REPRESENTATIVE QUESTIONS)###
HIGH-YIELD CONTENT | GRADED A+ | FIRST
TIME PASS
## Table of Contents
1. **Safe & Effective Care Environment** (40 questions)
- Management of Care (20)
- Safety & Infection Control (20)
2. **Health Promotion & Maintenance** (40 questions)
3. **Psychosocial Integrity** (40 questions)
4. **Physiological Integrity** (180 questions)
- Basic Care & Comfort (30)
- Pharmacological & Parenteral Therapies (40)
- Reduction of Risk Potential (50)
- Physiological Adaptation (60)
,2|Page
## Section 1: Safe & Effective Care Environment – Management of Care
(20 Questions)
**1.** A licensed practical nurse (LPN) is working under the
supervision of a registered nurse (RN). Which task can the LPN legally
perform?
A. Perform the initial admission assessment
B. Create the nursing care plan
C. Administer oral medications to a stable patient
D. Provide discharge teaching
**Correct Answer: C**
*Rationale:* LPNs can administer oral medications to stable patients
with predictable outcomes. Initial assessment, care plan creation, and
discharge teaching are responsibilities of the RN.
---
**2.** A charge nurse is making assignments on a medical-surgical unit.
Which patient should be assigned to the LPN rather than the RN?
A. A patient with unstable angina requiring telemetry monitoring
B. A patient with diabetes who needs insulin administration and is stable
C. A patient newly admitted with pneumonia and respiratory distress
,3|Page
D. A patient post-cardiac arrest requiring titration of vasopressors
**Correct Answer: B**
*Rationale:* LPNs care for stable patients with predictable outcomes.
Unstable angina, new admissions with distress, and patients requiring
titration of vasopressors require RN assessment and intervention.
---
**3.** An LPN observes an RN administering the wrong medication to
a patient. What is the LPN's legal responsibility?
A. Ignore the error because the RN is the licensed professional
B. Report the error to the charge nurse or nurse manager immediately
C. Confront the RN in front of the patient
D. Document the error in the LPN's personal notes only
**Correct Answer: B**
*Rationale:* All healthcare workers have a duty to report medication
errors to promote patient safety. The witnessing nurse should report
according to facility policy.
, 4|Page
---
**4.** A patient refuses a prescribed medication. The LPN's best
response is:
A. "You must take this medication because the doctor ordered it."
B. "Tell me more about why you don't want to take the medication."
C. "I will get an order to restrain you."
D. "You cannot refuse medication in the hospital."
**Correct Answer: B**
*Rationale:* Competent patients have the right to refuse treatment. The
nurse should explore the patient's concerns and notify the provider.
---
**5.** A patient is being transferred from the emergency department to
the medical unit. Which information must the LPN provide during
handoff?
A. Only the patient's name and room number
B. SBAR (Situation, Background, Assessment, Recommendation) report
C. A verbal summary without documentation
D. Only the diagnosis
