NGN NCLEX PN EXAM NEWEST ACTUAL EXAM TEST BANK

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NGN NCLEX PN EXAM 2025/2026 NEWEST

NGN NCLEX PN EXAM 2025/2026 NEWEST TEST

BANK COMPLETE 200 QUESTIONS WITH DETAILED

ANSWERS AND RATIONALES (VERSION A AND B)

A client admitted to the hospital for treatment of active tuberculosis (TB). The LPN/LVN reinforces teaching about TB. Which statement by the client indicates to the LPN/LVN that further teaching is necessary?

• "I will have to take medication for 6 months."
• "I should cover my nose and mouth when coughing or sneezing."
• "I will remain in isolation for at least 6 weeks."
• "I will always have a positive skin test for TB." - ANSWER-3. I will remain in isolation for at

least 6 weeks."

A client admitted to the hospital in premature labor has been treated successfully. The client is to receive a regimen of betamethasone. Which statement by the client indicates to the LPN/LVN that the client understands the teaching about the medication?

• As long as I receive my medication, I won't deliver prematurely."
• "It is important that I count the fetal movements for one hour, twice a day."
• "I have insomnia and a rapid heart beat while on this medication."
• "Bed rest is necessary in order for the medication to work properly." - ANSWER-2 "It is

important that I count the fetal movements for one hour, twice a day."

• "I have insomnia and a rapid heart beat while on this medication."

The LPN/LVN is explaining the procedure for clean-catch urine specimen collection for culture and sensitivity to a male client. Which explanation by the LPN/LVN would be most accurate? 1 / 4

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NGN NCLEX PN EXAM 2025/2026 NEWEST

• "The urinary meatus is cleansed with an iodine solution and then a urinary drainage catheter

is inserted to obtain urine."

• "You will be asked to empty your bladder one-half hour before the test; you will then be

asked to void into a container."

• "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided

into a sterile container; the container must not touch the penis."

• "You must void a few drops of urine, then stop; then void the remaining urine into a clean

container, which should be immediately covered." - ANSWER-3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided into a sterile container; the container must not touch the penis."

The LPN/LVN is checking the morning's serum electrolyte results for a client. The LPN/LVN notes that the client's sodium is 142 mEq/L (142 mmol/L), potassium is 4.4 mEq/L (4.4 mmol/L), and chloride is 102 mEq/L (102 mmol/L). Which should the nurse do first?

• Encourage the client to drink additional fluids.
• Notify the primary health care provider of electrolyte results.
• Record electrolyte results in the client's medical record.
• Withhold the client's potassium supplement - ANSWER-3 Record electrolyte results in the

client's medical record.

A client reporting chest pressure is brought to the emergency department (ED). Vital signs include blood pressure 150/90 mmHg, pulse 88 beats/minute, respirations 20 breaths/minute.The LPN/LVN administers nitroglycerin 0.4 mg sublingually as ordered. After five minutes, the client's vital signs include blood pressure 100/60 Hg, pulse 96 beats/minute, respirations 20 breaths/minute. Which action should the LPN/LVN take next?

• Notify the primary health care provider of hypotension.
• Place the client in semi-Fowler position and administer oxygen at 4 L/ minute. 2 / 4

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• Administer a second dose of nitroglycerin 0.4 mg sublingually, as ordered.
• Document vital signs and continue to monitor the client. - ANSWER-4 Document vital signs

and continue to monitor the client.

A client with type 1 diabetes contacts the home care LPN/LVN to report nausea and abdominal pain. What should the LPN/LVN advise the client to do?

• "Hold your regular dose of insulin."
• "Check your blood glucose level every 3 to 4 hours."
• "Increase consumption of foods containing simple sugars."
• "Increase your activity level." - ANSWER-2 "Check your blood glucose level every 3 to 4

hours."

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?" 3 / 4

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• "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 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- 1 "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."
• "It will be necessary for me to wear a compression bandage for the rest of my life."
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