NCLEX PN WITH NGN / NGN PN NCLEX
EXAM QUESTION BANK | NEWEST
ACTUAL EXAM COMPREHESIVE
QUESTIONS
1. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that apply.
1. Place the infant in a private room.
2. Place the infant in a room near the nurses' station.
3. Place the infant in a semi-private room with another infant of the same age.
4. Place the infant in an isolation room with negative pressure.
2. A nurse is caring for a client who has just been admitted to the nursing unit after
receiving flame burns to the face and chest. The nurse notes a hoarse cough and
that the client is expectorating sputum with black flecks. The client's eyelashes and
eyebrows are singed, and the eyelids are swollen. The client suddenly becomes
restless, and his color becomes dusky. The nurse interprets this data as indicating
which of the following?
1. The client is developing a pulmonary infection.
2. The burn has probably caused laryngeal edema, which has occluded the
airway.
3. The client is having a panic attack related to the burn injury.
4. The client is experiencing an anaphylactic reaction to a medication.
3. A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki
disease. When obtaining the child's medical history, which clinical manifestation is
likely to be reported?
, 1. Desquamation of the fingers and toes
2. Conjunctival hyperemia
3. Joint pain
4. Thrombocytosis
4. A nurse caring for an infant with congenital heart disease is monitoring the
infant closely for signs of congestive heart failure (CHF). The nurse looks for
which early sign of CHF?
1. Cough
2. Pallor
3. Tachycardia
4. Cyanosis
5. A nurse is assessing a child who may have rheumatic fever. Which question is
most important for the nurse to ask the parents?
1. "Has your child had any recent falls or injuries?"
2. "Has your child complained of stomach pain recently?"
3. "Has your child had a sore throat or unexplained fever within the past 2
months?"
4. "Has your child been exposed to anyone with a rash?"
6. A nurse is caring for a client with a new diagnosis of 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 nurse 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."
7. 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."
8. 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?"
9. 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."
10. 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."
11. 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.
12. 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.
EXAM QUESTION BANK | NEWEST
ACTUAL EXAM COMPREHESIVE
QUESTIONS
1. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that apply.
1. Place the infant in a private room.
2. Place the infant in a room near the nurses' station.
3. Place the infant in a semi-private room with another infant of the same age.
4. Place the infant in an isolation room with negative pressure.
2. A nurse is caring for a client who has just been admitted to the nursing unit after
receiving flame burns to the face and chest. The nurse notes a hoarse cough and
that the client is expectorating sputum with black flecks. The client's eyelashes and
eyebrows are singed, and the eyelids are swollen. The client suddenly becomes
restless, and his color becomes dusky. The nurse interprets this data as indicating
which of the following?
1. The client is developing a pulmonary infection.
2. The burn has probably caused laryngeal edema, which has occluded the
airway.
3. The client is having a panic attack related to the burn injury.
4. The client is experiencing an anaphylactic reaction to a medication.
3. A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki
disease. When obtaining the child's medical history, which clinical manifestation is
likely to be reported?
, 1. Desquamation of the fingers and toes
2. Conjunctival hyperemia
3. Joint pain
4. Thrombocytosis
4. A nurse caring for an infant with congenital heart disease is monitoring the
infant closely for signs of congestive heart failure (CHF). The nurse looks for
which early sign of CHF?
1. Cough
2. Pallor
3. Tachycardia
4. Cyanosis
5. A nurse is assessing a child who may have rheumatic fever. Which question is
most important for the nurse to ask the parents?
1. "Has your child had any recent falls or injuries?"
2. "Has your child complained of stomach pain recently?"
3. "Has your child had a sore throat or unexplained fever within the past 2
months?"
4. "Has your child been exposed to anyone with a rash?"
6. A nurse is caring for a client with a new diagnosis of 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 nurse 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."
7. 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."
8. 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?"
9. 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."
10. 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."
11. 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.
12. 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.
