NCLEX-PN 2025 ACTUAL EXAM WITH ACCURATE QUESTIONS AND VERIFIED ANSWERS COVERING CLINICAL JUDGMENT, PATIENT CARE, AND FOUNDATIONAL NURSING CONCEPTS.

NCLEX-PN 2025 ACTUAL EXAM
WITH ACCURATE QUESTIONS
AND VERIFIED ANSWERS
COVERING CLINICAL
JUDGMENT, PATIENT CARE, AND
FOUNDATIONAL NURSING
CONCEPTS.




A client had a permanent pacemaker implanted one year ago. The cli
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ent returns to the outpatient clinic for suspected pacemaker battery
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failure. It is most important for the LPN to assess which of the follow
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ing? B




a) abdominal pain, nausea and vomiting
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b) wheezing on exertion, cyanosis, and orthopnea
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c) palpitations, shortness of breath, and dizziness
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,d) chest pain, headache, and diaphoresis -
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answerc) palpitations, shortness of breath and dizziness
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Explanation: Palpitations, SOB, dizziness, lightheadedness, syncope
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, irregular heart rate, and tachycardia or bradycardia may occur with
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pacemaker battery failure. B B




A client with type 1 diabetes returns to the recovery room one hour af
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ter an uneventful delivery of a 9 lb. 8 oz. (4,309 g) newborn. The nurs
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e would expect which of these changes in the client's blood glucose l
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evel?


a) From 220 to 180 mg/dL (12.21 to 10 mmol/L)
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b) From 110 to 80 mg/dL (6.1 to 4.4 mmol/L)
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c) From 90-120 mg/dL (5 to 6.7 mmol/L)
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d) From 100-140 mg/dL (5.6 to 7.8 mmol/L) - answerb) From 110-
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80 mg/dL B




The LPN knows that an assignment to which of the following clients
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would be appropriate? B B




a) A client with emphysema scheduled for discharge
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b) A client in traction for treatment of a fractural femur
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c) A client with low back pain scheduled for a myelogram
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d) A client newly diagnosed with type 1 diabetes -
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answerb) A client in traction for treatment of a fractural femur
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,Explanation: This client is in stable condition and can be cared for by
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an LPN
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After receiving hand off care report from the RN, which of the follow
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ing clients should the LPN see first?
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a) A client refusing to take sucralfate before mealtime
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b) A client with left-
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sided weakness asking for assistance to the commode
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c) A client reporting chills who is scheduled for a cholecystectomy
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d) A client with a nasogastric tube who had a bowel resection yesterd
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ay - B



Banswerc) A client reporting chills who is scheduled for a cholecystec
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tomy B




Explanation: This client is the least stable B B B B B B




The primary health care provider prescribes amoxicillin 150 mg PO i
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n oral suspension every 8 hours for a 3-
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year old client. The LPN enters the client's room to administer the m
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edication and discovers that the client does not have an identificatio
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n bracelet. Which of the following actions should the LPN take?
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a) Ask the parent's to state their child's name
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b) Ask the child to say their first and last name
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c) Have a coworker identify the child before giving the medication
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, d) Hold the medication until an identification bracelet can be obtain
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ed - answera) Ask the parents to state their child's name.
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Explanation: This action will allow the nurse to correctly identify the
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child and enable the nurse to give the medication on time
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The LPN in the outpatient clinic notes that the blood pressure for a c
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lient is 190/100 mm Hg. The LPN should take which of the following
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actions?


a) Report the BP reading to the RN
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b) Wait 20 min and retake the BP
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c) Use a different cuff and retake the BP
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d) Position the client supine with feet elevated -
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answera) Report the BP reading to the RN.
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Explanation: The LPN is responsible for data collection and should rB B B B B B B B B B



eport findings that are abnormal to the supervising RN. Immediate a
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ction should be taken. It is unnecessary to recheck BP using other eq
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uipment or to position client supine with feet elevated.
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A client comes to the nurse's station and inquires about going the caf
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eteria to get something to eat. The client becomes verbally abusive w
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hen told personal privileges do not include going to the cafeteria. W
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hich of the following approaches by the LPN would be MOST effecti
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ve? B