NCLEX-PN 2026 ACTUAL EXAM NEXT GENERATION EXAM (NGN) WITH ACCURATE QUESTIONS AND VERIFIED ANSWERS

NCLEX-PN 2026 ACTUAL EXAM NEXT
GENERATION EXAM (NGN) WITH
ACCURATE QUESTIONS AND VERIFIED
ANSWERS

Question 1
The LPN/LVN is caring for a client recently diagnosed with type 1 diabetes
mellitus. The client says, "I just can't believe that I am going to have to give myself
shots every day." What is the priority statement for the LPN/LVN to make?
1. "I have cared for people who had to learn how to inject insulin. They
adapted well after time."
2. "Do you have any family members who can help you with the daily insulin
injections?"
3. "I have to go see another client, but I want to talk with you about this. I will
be right back."
4. "Tell me more about how you plan to take care of yourself when you
return home."
Answer: 4. "Tell me more about how you plan to take care of yourself when
you return home."
Rationale: This open-ended question encourages the client to express feelings and
concerns about self-care, promoting therapeutic communication and assessing the
client's coping and understanding.


Question 2
The LPN/LVN is working in the hospice unit. The client's partner approaches the
nurse and says, "I won't be able to face life without my partner of over 50 years."
Which of the following would be an appropriate response by the LPN/LVN? Select
all that apply.
1. "Fifty years! That's a wonderful accomplishment!"

, 2. "Make every moment you have together really count."
3. "You seem to be upset, anticipating your partner's death."
4. "We'll make sure quality time is allotted for your goodbyes."
5. "You should focus on the good years you have had."
6. "I sense that you are looking ahead, to being alone."
Answer: 3 and 6
Rationale: These responses validate the partner's feelings and reflect active
listening, acknowledging anticipatory grief. The other options are dismissive or
offer false reassurance.


Question 3
The assistive personnel (AP) tells the LPN/LVN, "I want to change my assignment
for today. I will not take care of a client diagnosed with AIDS." What is the most
appropriate statement for the LPN/LVN to make?
1. "Haven't you taken care of clients diagnosed with AIDS before?"
2. "Don't worry. I have taken care of clients diagnosed with AIDS with no
problem."
3. "This is your assignment for today and you have to go through with it."
4. "What is your understanding about care of clients diagnosed with
AIDS?"
Answer: 4. "What is your understanding about care of clients diagnosed with
AIDS?"
Rationale: This response assesses the AP's knowledge and fears about HIV/AIDS,
allowing the LPN to provide education and address misconceptions rather than
forcing compliance or dismissing concerns.


Question 4
The client in the adolescent psychiatric unit asks the LPN/LVN, "Do you hear
those voices? They sound so frightening." Which of the following responses by the
LPN/LVN would be the most appropriate?

, 1. "The voices around here sound friendly to me."
2. "Are they men's voices or women's voices?"
3. "I don't hear voices, but I can understand why that would scare you."
4. "Let's turn up the volume of the music, and that will distract you."
Answer: 3. "I don't hear voices, but I can understand why that would scare
you."
Rationale: This response validates the client's experience without reinforcing the
hallucination, showing empathy and maintaining reality orientation.


Question 5
A client returns to the clinic 2 weeks after being started on allopurinol 200 mg PO
daily. The LPN/LVN reviews information about this medication with the client.
Which statement by the client indicates that the teaching was effective?
1. "I should take my medication on an empty stomach."
2. "I should take my medication with orange juice."
3. "I should increase my daily intake of protein."
4. "I should drink at least 8 glasses of water everyday."
Answer: 4. "I should drink at least 8 glasses of water everyday."
Rationale: Allopurinol can cause renal stones; adequate hydration (2-3 L/day)
helps prevent crystallization of uric acid in the urine.


Question 6
The LPN/LVN notes that there is no urine in the client's urinary drainage bag 3
hours after the bag was last emptied. Which action should the LPN/LVN take first?
1. Check for kinks in urinary drainage tubing.
2. Insert a new indwelling urinary catheter.
3. Irrigate existing indwelling urinary catheter.
4. Notify client's primary health care provider.

, Answer: 1. Check for kinks in urinary drainage tubing.
Rationale: The most common cause of no urine output in a catheterized client is
obstruction (kinked tubing). Checking for kinks is the least invasive and first
action.


Question 7
The LPN/LVN is approached in the elevator by an employee from another unit.
The employee states that a close friend is a client on the LPN/LVN's unit. The
employee asks about the friend's condition and laboratory test results. How should
the LPN/LVN respond?
1. Answer the employee's questions softly to prevent others from overhearing.
2. Refuse to discuss the friend's medical condition with the employee.
3. Refer the employee to the client's primary health care provider for
information.
4. Tell the employee the client's normal test results.
Answer: 2. Refuse to discuss the friend's medical condition with the employee.
Rationale: Disclosing client information to anyone without authorization violates
HIPAA and client confidentiality, regardless of the relationship.


Question 8
A client with heart failure is prescribed furosemide. Which laboratory value should
the LPN/LVN monitor most closely?
1. Serum sodium
2. Serum potassium
3. Serum calcium
4. Serum magnesium
Answer: 2. Serum potassium
Rationale: Furosemide is a loop diuretic that causes potassium excretion.
Hypokalemia can lead to cardiac dysrhythmias.