NEWEST 2025 NCLEX-PN NEXT GENERATION EXAM (NGN) WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS COVERING
CLINICAL JUDGMENT, PATIENT CARE, AND FOUNDATIONAL
NURSING CONCEPTS.
A nurse enters client's room and sees smoke coming from a wastebasket next to the bed. Which
of the following actions should the nurse first? - ANSWER-Assist the client to a nearby waiting
room
A nurse is interviewing clients as part of a skin cancer screening program. Which of the
following statement made by a client indicates that he may have a premalignant lesion? -
ANSWER-I have this flat, scaly area with red edge on neck
A nurse is caring for a client who reports 12 liquid stools in the past 8hr. Which of the following
findings indicates that the client is experience dehydration? - ANSWER-Potassium level 2.5 mg/L
A nurse is reinforcing teaching for a client undergoing radiation therapy to the neck. Which of
the following should the nurse include? - ANSWER-Avoid exposing the neck to the cold
A nurse is providing anticipatory guidance to the parent of a 6-year old child. Which of the
following statements by the parent indicated an understanding of appropriate safety
precautions for the child? - ANSWER-"I will encourage my child to wear a bicycle helmet
whenever bike riding"
A nurse is collecting data from a client who presents to the clinic reporting vomiting. Which of
the following findings indicate that the client is experiencing a fluid volume deficit? - ANSWER-
Orthostatic hypotension
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A nurse is caring for a client who is recieving warfarin (coumadin) for deep vein thrombosis. The
nurse observed that the client's INR is 3.8.Which of the following actions should the nurse take?
- ANSWER-Withhold the ordered dose of the medication
A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit.
Which of the following findings in the infant's room indicates a need for further teaching? -
ANSWER-The infant is lying in the crib with a stuffed animal
A nurse is caring for a client who has hepatitis B. When caring for the client, which of the
following actions places the nurse at highest risk for acquiring hepatitis B? - ANSWER-
Performing oral hygiene
A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The
nurse evaluates that the client understands the teaching when she states she will gain -
ANSWER-A..?
A nurse is reinforcing teaching with school staff about streptococcal infection of the pharynx.
The nurse should instruct the staff that the period of contagion for children who have this
infection is which of the following? - ANSWER-From onset of symptoms until 24 hours of
antibiotic therapy
A nurse is caring for a client who is 2 days postoperative following a partial bowel resection. The
client reports that the "felt something pop" when he sneezed. The nurse observes an
evisceration. After calling for assistance, which of the following actions should the nurse take
first? - ANSWER-Cover the wound with sterile saline-soaked gauze
A nurse is caring for a client who is in balanced skeletal traction for a leg fracture. Which of the
following should the nurse expect to be included in the care plan? - ANSWER-Increase counter
traction every 24 hours.
Inspect the ropes, knots, and pulleys every 8 hours.
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A nurse is using contact precautions while caring for a toddler. Which of the following actions
should the nurse take? - ANSWER-Use a designated stethoscope for the toddler
A client's daughter calls the nurse requesting information about her mother's condition. The
client's chart does not specify that information can be released to the daughter. Which of the
following is an appropriate response by the nurse? - ANSWER-"You will need to contact your
mother directly about her condition"
A nurse is reviewing the immunization records of a 9 year old child during a routine physical
exam. Which of the following should indicate to the nurse the child is not current with the
minimum required immunization? - ANSWER-One MMR vaccine
A nurse is reinforcing teaching with a new mother on facility security measure. Which of the
following statements by the mother indicates that the teaching was effective? - ANSWER-"I will
have an identification band that matches the one my baby wears"
A nurse is reinforcing teaching with a client who is at 10 weeks gestation and has a medical
history of mild hypertension. The nurse should remind the client to call the clinic if she -
ANSWER-Develops edema of the ankles
A nurse is caring for a client who has been placed in restraints. Which of the following is
appropriate? - ANSWER-Monitor the client's skin integrity on a regular schedule
A nurse is working on a mental health unit is reviewing policies for client seclusion. For which
of the following is seclusion appropriate? - ANSWER-Aggressive behavior
A nurse in a long-term care facility has received a change-of-shift report on four clients. Which
of the following clients should the nurse attend to first? - ANSWER-A client who has COPD and
dementia and was agitated during the night shift
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A nurse is applying a condom catheter to a male client who is incontinent. Which of the
following is an appropriate technique to use? - ANSWER-Leave space between the tip of the
penis and the end of the condom catheter
A nurse is assisting a client to move up in bed. Which of the following actions should the nurse
take? - ANSWER-Ask the client to flex the hips and knees
A nurse is supervising an assitive personnel (AP). During the morning meal, the nurse observes
the AP accidentally spill a cup of coffee on a client. Which of the following actions should the
nurse take? - ANSWER-Reinforce safe meal setup techniques
A nurse is reinforcing teaching to a first-time mother about toddler safety. The nurse should
recognize the client's understanding of the teaching when the client states, "I will - ANSWER-
Install gates at the top and bottom of the stairs
A nurse is preparing a sterile field to peform a dressing change. Which of the following actions
should the nurse take? - ANSWER-Place sterile objects at least 2.5 cm (1 inch) from the edge of
the sterile field
A nurse is collecting data from an adolescent client who is a victim of sexual abuse. The nurse
recognizes the use of the defense mechanism of suppression when the client states, - ANSWER-
"I guess I have to take some of the blame because of the way my friends and I dress"
A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500 mg
tablets. Which of the following should the nurse give the client? - ANSWER-4 tablets
A nurse is providing home care to a client and is reinforcing teaching regarding home safety.
Which of the following by the client indicates a need for further teaching? - ANSWER-"I will walk
barefoot to prevent slipping"
"I will check my smoke alarms once a month"