NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN /PN NCLEX
ACTUAL EXAM (NEXT GENERATION) 2025-2026 COMPLETE 480
QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is caring for a client who was admitted 12 hours ago and is experiencing
acute alcohol withdrawal. Which of the following is an expected finding for the
client?
a) Bradycardia
b) Irritability
c) Hypothermia
d) Constricted pupils
Correct answer: b) Irritability
A nurse is caring for a client who is in active labor and is accompanied by her
partner. The client and her partner report they were unable to attend childbirth
preparation classes. Which of the following responses by the nurse supports the
partner’s involvement during labor?
a) “You should allow the nurse to coach the breathing.”
b) “Remain seated during contractions.”
c) “Breathing with your partner will help her relax during contractions.”
d) “Focus on timing contractions only.”
Correct answer: c) “Breathing with your partner will help her relax during
contractions.”
A nurse is planning tracheostomy care for a client in a long-term care facility.
Which of the following actions should the nurse plan to take first?
a) Apply a clean dressing
b) Suction the airway
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, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
c) Remove the tracheostomy inner cannula
d) Assess oxygen saturation
Correct answer: c) Remove the tracheostomy inner cannula
A nurse in a provider’s office is reinforcing teaching with the parents of a school-
age child who has an active case of pediculosis capitis. Which of the following
should be included in the teaching?
a) Wash the bed linens in hot water
b) Vacuum carpets daily
c) Seal toys in plastic bags for 2 weeks
d) Discard all clothing
Correct answer: a) Wash the bed linens in hot water
A nurse caring for the mother of a newborn finds the client crying in her room.
The client states, “I don’t think I can handle caring for a baby.” Which of the
following nursing interventions is appropriate?
a) Provide reassurance that this is normal
b) Notify the provider immediately
c) Encourage the client to share her feelings
d) Offer to care for the baby
Correct answer: c) Encourage the client to share her feelings
A nurse is assisting with the care of a 36-year-old client at 16 weeks of gestation
who is scheduled for an amniocentesis. The nurse recognizes that the client
understands the procedure is performed to identify which of the following?
a) Neural tube defects
b) Placental insufficiency
c) Chromosomal abnormalities
d) Fetal lung maturity
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, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
Correct answer: c) Chromosomal abnormalities
A nurse is caring for a client who is requesting assistance with smoking cessation.
For which of the following medications should the nurse anticipate reinforcing
teaching?
a) Bupropion
b) Varenicline
c) Nicotinic acid (niacin)
d) Clonidine
Correct answer: c) Nicotinic acid (niacin)
A nurse is caring for a client who is 12 hr postpartum and observes an increase in
vaginal bleeding. Which of the following actions should the nurse plan to take
first?
a) Obtain the client’s vital signs
b) Massage the fundus
c) Administer oxytocin
d) Notify the provider
Correct answer: b) Massage the fundus
A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-
old infant. Available is ibuprofen 50 mg/1.25 mL. How many mL should the nurse
administer?
a) 1.0 mL
b) 1.25 mL
c) 1.5 mL
d) 2.0 mL
Correct answer: c) 1.5 mL
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, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
A nurse is caring for a child who has terminal cancer. Which of the following
responses by the child’s school-age brother should the nurse expect?
a) Expresses anger toward parents
b) Withdraws from family
c) Believes his bad behavior is causing his brother’s death
d) Demonstrates complete understanding of death
Correct answer: c) Believes his bad behavior is causing his brother’s death
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse anticipate administering to prevent
complications?
a) Haloperidol
b) Lorazepam
c) Propranolol
d) Phenytoin
Correct answer: b) Lorazepam
A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was
30.5. The nurse should recognize understanding when the client states she should
expect to gain how many pounds during pregnancy?
a) 25 lb
b) 20 lb
c) 16 lb
d) 30 lb
Correct answer: c) 16 lb
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NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN /PN NCLEX
ACTUAL EXAM (NEXT GENERATION) 2025-2026 COMPLETE 480
QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is caring for a client who was admitted 12 hours ago and is experiencing
acute alcohol withdrawal. Which of the following is an expected finding for the
client?
a) Bradycardia
b) Irritability
c) Hypothermia
d) Constricted pupils
Correct answer: b) Irritability
A nurse is caring for a client who is in active labor and is accompanied by her
partner. The client and her partner report they were unable to attend childbirth
preparation classes. Which of the following responses by the nurse supports the
partner’s involvement during labor?
a) “You should allow the nurse to coach the breathing.”
b) “Remain seated during contractions.”
c) “Breathing with your partner will help her relax during contractions.”
d) “Focus on timing contractions only.”
Correct answer: c) “Breathing with your partner will help her relax during
contractions.”
A nurse is planning tracheostomy care for a client in a long-term care facility.
Which of the following actions should the nurse plan to take first?
a) Apply a clean dressing
b) Suction the airway
1|Page
, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
c) Remove the tracheostomy inner cannula
d) Assess oxygen saturation
Correct answer: c) Remove the tracheostomy inner cannula
A nurse in a provider’s office is reinforcing teaching with the parents of a school-
age child who has an active case of pediculosis capitis. Which of the following
should be included in the teaching?
a) Wash the bed linens in hot water
b) Vacuum carpets daily
c) Seal toys in plastic bags for 2 weeks
d) Discard all clothing
Correct answer: a) Wash the bed linens in hot water
A nurse caring for the mother of a newborn finds the client crying in her room.
The client states, “I don’t think I can handle caring for a baby.” Which of the
following nursing interventions is appropriate?
a) Provide reassurance that this is normal
b) Notify the provider immediately
c) Encourage the client to share her feelings
d) Offer to care for the baby
Correct answer: c) Encourage the client to share her feelings
A nurse is assisting with the care of a 36-year-old client at 16 weeks of gestation
who is scheduled for an amniocentesis. The nurse recognizes that the client
understands the procedure is performed to identify which of the following?
a) Neural tube defects
b) Placental insufficiency
c) Chromosomal abnormalities
d) Fetal lung maturity
2|Page
, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
Correct answer: c) Chromosomal abnormalities
A nurse is caring for a client who is requesting assistance with smoking cessation.
For which of the following medications should the nurse anticipate reinforcing
teaching?
a) Bupropion
b) Varenicline
c) Nicotinic acid (niacin)
d) Clonidine
Correct answer: c) Nicotinic acid (niacin)
A nurse is caring for a client who is 12 hr postpartum and observes an increase in
vaginal bleeding. Which of the following actions should the nurse plan to take
first?
a) Obtain the client’s vital signs
b) Massage the fundus
c) Administer oxytocin
d) Notify the provider
Correct answer: b) Massage the fundus
A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7-month-
old infant. Available is ibuprofen 50 mg/1.25 mL. How many mL should the nurse
administer?
a) 1.0 mL
b) 1.25 mL
c) 1.5 mL
d) 2.0 mL
Correct answer: c) 1.5 mL
3|Page
, NGN NCLEX PN ACTUAL EXAM 2025-2026 WITH NGN
A nurse is caring for a child who has terminal cancer. Which of the following
responses by the child’s school-age brother should the nurse expect?
a) Expresses anger toward parents
b) Withdraws from family
c) Believes his bad behavior is causing his brother’s death
d) Demonstrates complete understanding of death
Correct answer: c) Believes his bad behavior is causing his brother’s death
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse anticipate administering to prevent
complications?
a) Haloperidol
b) Lorazepam
c) Propranolol
d) Phenytoin
Correct answer: b) Lorazepam
A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was
30.5. The nurse should recognize understanding when the client states she should
expect to gain how many pounds during pregnancy?
a) 25 lb
b) 20 lb
c) 16 lb
d) 30 lb
Correct answer: c) 16 lb
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