NGN NCLEX PN Exam Test Bank
Complete 500 Questions With
Detailed Verified Answers And
Rationales (Version A And B)
2026 Update!!!
The LPN/LVN is planning care for a 4-year-old client who
has been sexually abused by the parent. Play therapy is
scheduled. The LPN/LVN knows that the primary goal of
play therapy for a 4-year-old client is which of these?
1 Provide the opportunity to express anger and hostility by
playing with dolls.
2 Promote communication because the client may lack
capacity to verbally express perceptions.
3 Assess whether the client function at an age-appropriate
developmental level.
4 Reveal the type of abuse experienced through direct
observation of the client at play.
Correct answer
2. Promote communication because the client may lack
capacity to verbally express perceptions.
A client is being treated for heart failure with diuretic
therapy. Which finding best
indicates to the LPN/LVN that the client's condition is
improving?
1 The client's weight has remained stable since admission.
2 The client's systolic blood pressure has decreased.
3 There are fewer crackles heard when auscultating the
client's lungs.
4 The client's urinary output is 1,500 mL per day
1
,Correct answer
3. There are fewer crackles heard when auscultating the
client's lungs.
The LPN/LVN is caring for a client diagnosed with a right-
sided stroke with dysphagia. Which action by the
LPN/LVN reflects appropriate care for the client? (Select
all that apply.)
☐ 1. The LPN/LVN assesses the client's ability to swallow.
☐ 2. The LPN/LVN positions the client with the head of
bed elevated 25 degrees.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the
left side of the mouth.
☐ 5. The LPN/LVN turns off the television.
Correct answer
1. The LPN/LVN assesses the client's ability to swallow.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 5. The LPN/LVN turns off the television.
The LPN/LVN is caring for a client diagnosed with a right-
sided stroke with dysphagia. Which action by the
LPN/LVN reflects appropriate care for the client? (Select
all that apply.)
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☐ 2. The LPN/LVN positions the client with the head of
bed elevated 25 degrees.
☑ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the
left side of the mouth.
☑ 5. The LPN/LVN turns off the client's television.
Correct answer
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☑ 3. The LPN/LVN offers the client scrambled eggs.
2
,☑ 5. The LPN/LVN turns off the client's television.
The LPN/LVN is caring for a client who has a primary
health care provider order for strict intake and output. The
client drinks 12 oz of lemon-lime soda and 1/2 cup of
grape juice between breakfast and lunch, and voids 200
mL of urine. Calculate and record the client's oral intake in
milliliters for this period._____________________mL
Correct answer
One cup of fluid = 8 oz. Then convert ounces into milliliters.
One ounce = 30 mL.
The client's intake is:
12 oz lemon-lime soda = 360 mL 1/2 cup grape juice = 4
oz = 120 mL
The LPN/LVN is caring for a client who has a primary
health care provider order for strict intake and output. The
client drinks 12 oz of lemon-lime soda and 1/2 cup of
grape juice between breakfast and lunch, and voids 200
mL of urine. Calculate and record the client's oral intake in
milliliters for this period.
Correct answer
To calculate the client's oral intake in milliliters (mL):
1. Convert ounces (oz) to milliliters (mL):
• 12 oz of lemon-lime soda → 12 × 30 mL = 360 mL
2. Convert cups to milliliters:
• 1/2 cup of grape juice → 0.5 × 240 mL = 120 mL
3. Total oral intake:
• 360 mL (soda) + 120 mL (grape juice) = 480 mL
So, the Correct answer is:
480 mL
A client admitted to the hospital for treatment of active
tuberculosis (TB). The LPN/LVN reinforces teaching about
3
, TB. Which statement by the client indicates to the
LPN/LVN that further teaching is necessary?
1 "I will have to take medication for 6 months."
2 "I should cover my nose and mouth when coughing or
sneezing."
3 "I will remain in isolation for at least 6 weeks."
4 "I will always have a positive skin test for TB."
Correct 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?
1 As long as I receive my medication, I won't deliver
prematurely."
2 "It is important that I count the fetal movements for one
hour, twice a day."
3 "I have insomnia and a rapid heart beat while on this
medication."
4 "Bed rest is necessary in order for the medication to
work properly."
Correct answer
2 "It is important that I count the fetal movements for one
hour, twice a day."
3 "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?
4
Complete 500 Questions With
Detailed Verified Answers And
Rationales (Version A And B)
2026 Update!!!
The LPN/LVN is planning care for a 4-year-old client who
has been sexually abused by the parent. Play therapy is
scheduled. The LPN/LVN knows that the primary goal of
play therapy for a 4-year-old client is which of these?
1 Provide the opportunity to express anger and hostility by
playing with dolls.
2 Promote communication because the client may lack
capacity to verbally express perceptions.
3 Assess whether the client function at an age-appropriate
developmental level.
4 Reveal the type of abuse experienced through direct
observation of the client at play.
Correct answer
2. Promote communication because the client may lack
capacity to verbally express perceptions.
A client is being treated for heart failure with diuretic
therapy. Which finding best
indicates to the LPN/LVN that the client's condition is
improving?
1 The client's weight has remained stable since admission.
2 The client's systolic blood pressure has decreased.
3 There are fewer crackles heard when auscultating the
client's lungs.
4 The client's urinary output is 1,500 mL per day
1
,Correct answer
3. There are fewer crackles heard when auscultating the
client's lungs.
The LPN/LVN is caring for a client diagnosed with a right-
sided stroke with dysphagia. Which action by the
LPN/LVN reflects appropriate care for the client? (Select
all that apply.)
☐ 1. The LPN/LVN assesses the client's ability to swallow.
☐ 2. The LPN/LVN positions the client with the head of
bed elevated 25 degrees.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the
left side of the mouth.
☐ 5. The LPN/LVN turns off the television.
Correct answer
1. The LPN/LVN assesses the client's ability to swallow.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 5. The LPN/LVN turns off the television.
The LPN/LVN is caring for a client diagnosed with a right-
sided stroke with dysphagia. Which action by the
LPN/LVN reflects appropriate care for the client? (Select
all that apply.)
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☐ 2. The LPN/LVN positions the client with the head of
bed elevated 25 degrees.
☑ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the
left side of the mouth.
☑ 5. The LPN/LVN turns off the client's television.
Correct answer
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☑ 3. The LPN/LVN offers the client scrambled eggs.
2
,☑ 5. The LPN/LVN turns off the client's television.
The LPN/LVN is caring for a client who has a primary
health care provider order for strict intake and output. The
client drinks 12 oz of lemon-lime soda and 1/2 cup of
grape juice between breakfast and lunch, and voids 200
mL of urine. Calculate and record the client's oral intake in
milliliters for this period._____________________mL
Correct answer
One cup of fluid = 8 oz. Then convert ounces into milliliters.
One ounce = 30 mL.
The client's intake is:
12 oz lemon-lime soda = 360 mL 1/2 cup grape juice = 4
oz = 120 mL
The LPN/LVN is caring for a client who has a primary
health care provider order for strict intake and output. The
client drinks 12 oz of lemon-lime soda and 1/2 cup of
grape juice between breakfast and lunch, and voids 200
mL of urine. Calculate and record the client's oral intake in
milliliters for this period.
Correct answer
To calculate the client's oral intake in milliliters (mL):
1. Convert ounces (oz) to milliliters (mL):
• 12 oz of lemon-lime soda → 12 × 30 mL = 360 mL
2. Convert cups to milliliters:
• 1/2 cup of grape juice → 0.5 × 240 mL = 120 mL
3. Total oral intake:
• 360 mL (soda) + 120 mL (grape juice) = 480 mL
So, the Correct answer is:
480 mL
A client admitted to the hospital for treatment of active
tuberculosis (TB). The LPN/LVN reinforces teaching about
3
, TB. Which statement by the client indicates to the
LPN/LVN that further teaching is necessary?
1 "I will have to take medication for 6 months."
2 "I should cover my nose and mouth when coughing or
sneezing."
3 "I will remain in isolation for at least 6 weeks."
4 "I will always have a positive skin test for TB."
Correct 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?
1 As long as I receive my medication, I won't deliver
prematurely."
2 "It is important that I count the fetal movements for one
hour, twice a day."
3 "I have insomnia and a rapid heart beat while on this
medication."
4 "Bed rest is necessary in order for the medication to
work properly."
Correct answer
2 "It is important that I count the fetal movements for one
hour, twice a day."
3 "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?
4
