NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN /PN NCLEX
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN
1. An assistive personnel tells the charge nurse that her assignment is too
demanding. She angrily tells the nurse to reassign one of her tasks to another AP.
Which of the following actions should the nurse take to resolve the conflict?: Ask the
AP to discuss the issue in a private area
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a client
who is on seizure precautions. Which of the following materials should the AP place
in the client's room?: Oral Suction Equipment
3. A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene?: Tells a client he will lose his phone privileges if he does
not take his medication
4. A nurse is caring for a client who follows a kosher diet. Which of the following
menu items should the nurse include in the meal tray?: Roasted
Salmon
5. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information?: "Advance directives include a living will"
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's
disease. The caregiver reports the client has difficulty sleeping at night and wanders
throughout the house. Which of the following interventions should the nurse
recommend?: Encourage the client to take frequent walks during the day
7. A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions should the
nurse take? (Select all that apply): Assist the client to empty her bladder
8. A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse include
regarding effleurage?: "Gently stroke her abdomen during contractions"
9. 9. A nurse is caring for an older adult client who is postoperative following a
total hip arthroplasty. The client is incontinent of stool and urine. Which of the
following actions should the nurse take to prevent skin breakdown?: Use a moisture
barrier on the client's skin
10. A nurse is caring for a client who has terminal cancer. Which of the following
actions should the nurse take to promote the client's autonomy?: Allow the client to
choose treatment times
, NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN /PN NCLEX
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
.
11. A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication?: Appears greenish-brown in color
12. A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the nurse take?:
Inform the adolescent that he might experience a headache
13. A nurse is reinforcing teaching about advance directives with a client who has
end-stage heart failure. Which of the following statements by the client indicates an
understanding of the teaching?: "I should discuss this document with my family after I
sign it"
14. A nurse is caring for a client who has continuous bladder irrigation following
a transurethral resection of the prostate. The nurse notices clots and dark red blood
in the catheter collection bag. Which of the following actions should the nurse take?:
Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
15. 15. A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse plan to
take?: Instruct the client to remain as still as possible during the recording
16. A nurse is reinforcing teaching with a client who has genital herpes. Which of
the following information should the nurse include in the teaching?: "You should
increase fluid intake to relieve dysuria"
17. A nurse is preparing to empty a postoperative client's closed-wound drainage
system. Which of the following actions should the nurse plan to take?: Compress the
container before replacing the drainage plug
18. A nurse is reinforcing teaching with the parents of a toddler who has a new
diagnosis of asthma and a prescription for montelukast. Which of the following
instructions should the nurse include in the teaching?: Administer the medication to
the toddler each evening
19. A nurse in an acute mental health facility is caring for a newly admitted client.
Which of the following should occur during the orientation phase of the nurse-client
relationship?: Defining responsibilities
20. A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in
the right occiput anterior position. The nurse should place the fetal heart monitor
on which of the following sites to auscultate the fetal heart rate?: Lower left
, NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN /PN NCLEX
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
21. A charge nurse is observing a newly licensed nurse perform suctioning for a
client who has a tracheostomy. For which of the following actions by the newly
licensed nurse should the charge nurse intervene?: Suction for 30 seconds
22. A nurse is reviewing the medication administration record of a client who
takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of
the following interactions should the nurse monitor with this client?: Hypotension
23. A nurse in an acute care setting is preparing to administer medications to a
client. Which of the following actions should the nurse verify the client's identity?:
Verify the client's identity using a photograph
24. A nurse in a provider's office is collecting data from a client who has psoriasis.
Which of the following statements made by the client should she report to the
provider?: "I try not to look at the scales on my body"
25. A nurse is completing chart reviews in a long-term care facility in response to
an increase in falls. Which of the following responses in the chart should the nurse
use to determine the potential causes of falls?: Medication record
26. 26. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?: Complete post
mortem care for a client who has died
27. A nurse is reinforcing teaching with a client who is taking allopurinol about
the risk for developing Stevens-Johnsons syndrome. For which of the following
manifestations should the nurse instruct the client to monitor and report?: Skin rash
with fever
28. A charge nurse in a long-term care facility is reinforcing teaching with a
group of nurses about fall precautions. Which of the following statements made by
the nurse indicates an understanding of the teaching?: "I will instruct the client to sit
when putting on a pair of pants"
29. A nurse is recommending clients for discharge to allow for admission of
clients following a tornado disaster. Which of the following clients should the nurse
recommend for discharge?: A client who has a sodium level of 140 mEq/L after one
episode of diarrhea
30. A nurse is assisting with the plan of care for a newly admitted client who has
anorexia nervosa. Which of the following interventions should the nurse include in
the plan?: Administer liquid supplements
31. A charge nurse is reinforcing teaching with a newly licensed nurse about
floating to a different unit. Which of the following statements by the newly licensed
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN
1. An assistive personnel tells the charge nurse that her assignment is too
demanding. She angrily tells the nurse to reassign one of her tasks to another AP.
Which of the following actions should the nurse take to resolve the conflict?: Ask the
AP to discuss the issue in a private area
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a client
who is on seizure precautions. Which of the following materials should the AP place
in the client's room?: Oral Suction Equipment
3. A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene?: Tells a client he will lose his phone privileges if he does
not take his medication
4. A nurse is caring for a client who follows a kosher diet. Which of the following
menu items should the nurse include in the meal tray?: Roasted
Salmon
5. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information?: "Advance directives include a living will"
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's
disease. The caregiver reports the client has difficulty sleeping at night and wanders
throughout the house. Which of the following interventions should the nurse
recommend?: Encourage the client to take frequent walks during the day
7. A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions should the
nurse take? (Select all that apply): Assist the client to empty her bladder
8. A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse include
regarding effleurage?: "Gently stroke her abdomen during contractions"
9. 9. A nurse is caring for an older adult client who is postoperative following a
total hip arthroplasty. The client is incontinent of stool and urine. Which of the
following actions should the nurse take to prevent skin breakdown?: Use a moisture
barrier on the client's skin
10. A nurse is caring for a client who has terminal cancer. Which of the following
actions should the nurse take to promote the client's autonomy?: Allow the client to
choose treatment times
, NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN /PN NCLEX
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
.
11. A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication?: Appears greenish-brown in color
12. A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the nurse take?:
Inform the adolescent that he might experience a headache
13. A nurse is reinforcing teaching about advance directives with a client who has
end-stage heart failure. Which of the following statements by the client indicates an
understanding of the teaching?: "I should discuss this document with my family after I
sign it"
14. A nurse is caring for a client who has continuous bladder irrigation following
a transurethral resection of the prostate. The nurse notices clots and dark red blood
in the catheter collection bag. Which of the following actions should the nurse take?:
Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
15. 15. A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse plan to
take?: Instruct the client to remain as still as possible during the recording
16. A nurse is reinforcing teaching with a client who has genital herpes. Which of
the following information should the nurse include in the teaching?: "You should
increase fluid intake to relieve dysuria"
17. A nurse is preparing to empty a postoperative client's closed-wound drainage
system. Which of the following actions should the nurse plan to take?: Compress the
container before replacing the drainage plug
18. A nurse is reinforcing teaching with the parents of a toddler who has a new
diagnosis of asthma and a prescription for montelukast. Which of the following
instructions should the nurse include in the teaching?: Administer the medication to
the toddler each evening
19. A nurse in an acute mental health facility is caring for a newly admitted client.
Which of the following should occur during the orientation phase of the nurse-client
relationship?: Defining responsibilities
20. A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in
the right occiput anterior position. The nurse should place the fetal heart monitor
on which of the following sites to auscultate the fetal heart rate?: Lower left
, NGN NCLEX PN ACTUAL EXAM 2024-2025 WITH NGN /PN NCLEX
ACTUA
EXAM (NEXT GENERATION) 2024-2025 COMPLETE 180 QUESTIONS
AND
CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_flvfb9
21. A charge nurse is observing a newly licensed nurse perform suctioning for a
client who has a tracheostomy. For which of the following actions by the newly
licensed nurse should the charge nurse intervene?: Suction for 30 seconds
22. A nurse is reviewing the medication administration record of a client who
takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of
the following interactions should the nurse monitor with this client?: Hypotension
23. A nurse in an acute care setting is preparing to administer medications to a
client. Which of the following actions should the nurse verify the client's identity?:
Verify the client's identity using a photograph
24. A nurse in a provider's office is collecting data from a client who has psoriasis.
Which of the following statements made by the client should she report to the
provider?: "I try not to look at the scales on my body"
25. A nurse is completing chart reviews in a long-term care facility in response to
an increase in falls. Which of the following responses in the chart should the nurse
use to determine the potential causes of falls?: Medication record
26. 26. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?: Complete post
mortem care for a client who has died
27. A nurse is reinforcing teaching with a client who is taking allopurinol about
the risk for developing Stevens-Johnsons syndrome. For which of the following
manifestations should the nurse instruct the client to monitor and report?: Skin rash
with fever
28. A charge nurse in a long-term care facility is reinforcing teaching with a
group of nurses about fall precautions. Which of the following statements made by
the nurse indicates an understanding of the teaching?: "I will instruct the client to sit
when putting on a pair of pants"
29. A nurse is recommending clients for discharge to allow for admission of
clients following a tornado disaster. Which of the following clients should the nurse
recommend for discharge?: A client who has a sodium level of 140 mEq/L after one
episode of diarrhea
30. A nurse is assisting with the plan of care for a newly admitted client who has
anorexia nervosa. Which of the following interventions should the nurse include in
the plan?: Administer liquid supplements
31. A charge nurse is reinforcing teaching with a newly licensed nurse about
floating to a different unit. Which of the following statements by the newly licensed
