NGN NCLEX PN ACTUAL EXAM NEWEST 2026/2027 | Next
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Section 1: Safe & Effective Care Environment: Management & Infection Control (Q1–Q45)
Q1: A practical nurse is reviewing the care plan for a client who is on contact
precautions for Clostridioides difficile (C. diff). Which action by the nursing assistant
requires the nurse to intervene immediately?
A. Wearing a gown and gloves when providing perineal care
B. Using alcohol-based hand sanitizer after removing gloves
C. Placing a dedicated blood pressure cuff in the client's room
D. Keeping the client in a private room with the door closed
Correct Answer: B
Rationale: The best answer here is B. C. diff spores are not killed by alcohol-based hand
sanitizers, so soap and water is the required hand hygiene method after caring for these
clients. The nursing assistant using sanitizer instead of washing represents an
,immediate infection control breach that the PN must correct right away. Remember that
for C. diff and norovirus, we always go back to the basics—good old soap and water.
Q2: During shift report, the nurse learns that a client has a new order for droplet
precautions. Which PPE items must the practical nurse ensure are available at the
client's doorway before entering the room?
A. N95 respirator, gown, and face shield
B. Surgical mask, gown, and gloves
C. Surgical mask and gloves only
D. N95 respirator and gloves only
Correct Answer: B
Rationale: The best answer here is B. Droplet precautions require a surgical mask, gown,
and gloves when working within 3 feet of the client. What we're looking for in this
situation is the standard combination for organisms spread by large respiratory
droplets—think influenza, pertussis, or meningococcal disease. An N95 is reserved for
airborne precautions, not droplet.
,Q3: The practical nurse is delegating morning care for four clients. Which task is most
appropriate to assign to the nursing assistant?
A. Assessing a postoperative client's incision for signs of infection
B. Reinforcing teaching about wound care to a client being discharged today
C. Assisting an ambulatory client with a stand-pivot transfer to the chair
D. Evaluating the effectiveness of pain medication given 30 minutes ago
Correct Answer: C
Rationale: The best answer here is C. Assisting with a stand-pivot transfer falls squarely
within the nursing assistant's scope of practice and training. What we're looking at here
is the classic delegation question—remember that assessment, teaching, and
evaluation of medications are all RN/PN responsibilities that cannot be delegated to
unlicensed assistive personnel.
Q4: A client in a long-term care facility has been diagnosed with scabies. Which
instruction should the practical nurse give to the family regarding visitation?
A. "Wear a surgical mask and gown when visiting."
B. "Avoid visiting until 24 hours after treatment is completed."
, C. "You may visit as usual since scabies only spreads through linens."
D. "Wear gloves and a gown, and wash hands thoroughly after the visit."
Correct Answer: D
Rationale: The best answer here is D. Scabies spreads through direct skin-to-skin
contact, so visitors need gloves and a gown plus thorough hand washing after contact.
The family doesn't need to stop visiting entirely, but they do need proper protection. This
is correct because NCLEX testing standards emphasize that contact precautions with
appropriate PPE allow continued interaction while preventing transmission.
Q5: The practical nurse is reviewing laboratory results for a client receiving gentamicin.
Which finding requires the nurse to notify the healthcare provider immediately?
A. Blood urea nitrogen (BUN) 22 mg/dL
B. Serum creatinine 2.8 mg/dL
C. White blood cell count 11,500/mm³
D. Potassium 3.6 mEq/L
Correct Answer: B
Generation NCLEX-PN Complete Preparation | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Safe & Effective Care Environment: Management & Infection Control (Q1–Q45)
Q1: A practical nurse is reviewing the care plan for a client who is on contact
precautions for Clostridioides difficile (C. diff). Which action by the nursing assistant
requires the nurse to intervene immediately?
A. Wearing a gown and gloves when providing perineal care
B. Using alcohol-based hand sanitizer after removing gloves
C. Placing a dedicated blood pressure cuff in the client's room
D. Keeping the client in a private room with the door closed
Correct Answer: B
Rationale: The best answer here is B. C. diff spores are not killed by alcohol-based hand
sanitizers, so soap and water is the required hand hygiene method after caring for these
clients. The nursing assistant using sanitizer instead of washing represents an
,immediate infection control breach that the PN must correct right away. Remember that
for C. diff and norovirus, we always go back to the basics—good old soap and water.
Q2: During shift report, the nurse learns that a client has a new order for droplet
precautions. Which PPE items must the practical nurse ensure are available at the
client's doorway before entering the room?
A. N95 respirator, gown, and face shield
B. Surgical mask, gown, and gloves
C. Surgical mask and gloves only
D. N95 respirator and gloves only
Correct Answer: B
Rationale: The best answer here is B. Droplet precautions require a surgical mask, gown,
and gloves when working within 3 feet of the client. What we're looking for in this
situation is the standard combination for organisms spread by large respiratory
droplets—think influenza, pertussis, or meningococcal disease. An N95 is reserved for
airborne precautions, not droplet.
,Q3: The practical nurse is delegating morning care for four clients. Which task is most
appropriate to assign to the nursing assistant?
A. Assessing a postoperative client's incision for signs of infection
B. Reinforcing teaching about wound care to a client being discharged today
C. Assisting an ambulatory client with a stand-pivot transfer to the chair
D. Evaluating the effectiveness of pain medication given 30 minutes ago
Correct Answer: C
Rationale: The best answer here is C. Assisting with a stand-pivot transfer falls squarely
within the nursing assistant's scope of practice and training. What we're looking at here
is the classic delegation question—remember that assessment, teaching, and
evaluation of medications are all RN/PN responsibilities that cannot be delegated to
unlicensed assistive personnel.
Q4: A client in a long-term care facility has been diagnosed with scabies. Which
instruction should the practical nurse give to the family regarding visitation?
A. "Wear a surgical mask and gown when visiting."
B. "Avoid visiting until 24 hours after treatment is completed."
, C. "You may visit as usual since scabies only spreads through linens."
D. "Wear gloves and a gown, and wash hands thoroughly after the visit."
Correct Answer: D
Rationale: The best answer here is D. Scabies spreads through direct skin-to-skin
contact, so visitors need gloves and a gown plus thorough hand washing after contact.
The family doesn't need to stop visiting entirely, but they do need proper protection. This
is correct because NCLEX testing standards emphasize that contact precautions with
appropriate PPE allow continued interaction while preventing transmission.
Q5: The practical nurse is reviewing laboratory results for a client receiving gentamicin.
Which finding requires the nurse to notify the healthcare provider immediately?
A. Blood urea nitrogen (BUN) 22 mg/dL
B. Serum creatinine 2.8 mg/dL
C. White blood cell count 11,500/mm³
D. Potassium 3.6 mEq/L
Correct Answer: B
