NCLEX-PN NEXT GENERATION EXAM 2025

NCLEX-PN NEXT GENERATION EXAM 2025

QUESTIONS AND CORRECT ANSWERS

A client is being treated for Addison disease. The primary health care provider orders cortisone 25 mg PO daily. The LPN/LVN should explain to the client that a dosage adjustment may be required in which situation?

• Dosage is increased when the blood glucose level increases.
• Dosage is decreased when dietary intake is increased.
• Dosage is decreased when infection stimulates endogenous steroid

secretion.

• Dosage is increased relative to an increase in the level of stress -

ANSWER-4 Dosage is increased relative to an increase in the level of stress

A client with a history of heart failure visits the clinic. The client states, "I have not been feeling like my old self for about 2 weeks." It would be most important for the LPN/LVN to ask which question?

• "Do your ankles swell at the end of the day?"
• "How do you position yourself for sleep?"
• "How do you feel after you eat dinner?"
• "Do you have chest pain when you inhale?" - ANSWER-2 "How

do you position yourself for sleep?"

The LPN/LVN is caring for a client immediately after a paracentesis. It is 1 / 4

most important for the LPN/LVN to ask which question?

• "Do your clothes feel tight?"
• "Do you need to void?"
• "Are you feeling dizzy?"
• "Do you have any pain?" - ANSWER-3 "Are you feeling

dizzy?"

The LPN/LVN is reinforcing teaching for a client after a right mastectomy and axillary lymph node dissection. Which statement by the client requires further intervention by the LPN/LVN? Select all that apply.

• "I will wear gloves and long sleeves whenever I go out and work

in my garden."

• "The risk for arm swelling will decrease one year after my

treatment is completed."

• "I will sleep with my right arm elevated on a small flat pillow from

now on."

• "If my right arm begins to feel heavy, I should contact my

primary health care provider."

• "It will be necessary for me to wear a compression bandage for

the rest of my life." - ANSWER-The LPN/LVN is reinforcing teaching for a client after a right mastectomy and axillary lymph node dissection. Which statement by the client requires further intervention by the LPN/LVN? Select all that apply.

• "I will wear gloves and long sleeves whenever I go out and work

in my garden." 2 / 4

• "The risk for arm swelling will decrease one year after my

treatment is completed."

• "I will sleep with my right arm elevated on a small flat pillow from

now on."

• "It will be necessary for me to wear a compression bandage for

the rest of my life."

The LPN/LVN is preparing to reinforce instructions for a client about the use of an incentive spirometer. Arrange the following steps in the order the client should perform them. All options must be used.

• Seal lips around the mouthpiece.
• Assume high Fowler's position.
• Exhale slowly and cough.
• Hold your breath for 3 to 5 seconds.
• Inhale slowly and deeply. - ANSWER-1. Seal lips around the

mouthpiece.

• Assume high Fowler's position.
• Exhale slowly and cough.
• Hold your breath for 3 to 5 seconds.
• Inhale slowly and deeply.

The client's AFB smear strongly indicates a diagnosis of TB. The health care team begins treatment while awaiting the finalization of sputum cultures. Which transmission precaution does the LPN/LVN use when caring for the client? 3 / 4

• Contact precautions.
• Droplet precautions.
• Airborne precautions.
• Protective environment precautions - ANSWER-3 Airborne

precautions.

The LPN/LVN and the RN develop the plan of care. Select 3 goals which are appropriate to include in the plan.

• Reduce transmission of TB.
• Educate about radiation therapy.
• Improve pulmonary function.
• Promote therapy adherence.
• Decrease the risk for dysrhythmias.
• Monitor immunotherapy treatment. - ANSWER-1 Reduce

transmission of TB.

• Improve pulmonary function.

• Promote therapy adherence.

The client's condition improves and the client is discharged. The RN provides discharge teaching about reducing transmission of TB in the community.The LPN/LVN recognizes which client statement indicates understanding about the discharge teaching? (Select all that apply.)

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