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Newest 2025 NCLEX-PN Next Generation Exam
(NGN) with accurate questions and verified answers
covering clinical judgment, patient care, and
foundational nursing concepts.
A client is being treated for Addison disease. The primary health
care provider orders cortisone 25 mg PO daily. The LPN/LVN
should explain to the client that a dosage adjustment may be
required in which situation?
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
3 Dosage is decreased when infection stimulates endogenous
steroid secretion.
4 Dosage is increased relative to an increase in the level of
stress - ANSWER-4 Dosage is increased relative to an increase
in the level of stress
A client with a history of heart failure visits the clinic. The client
states, "I have not been feeling like my old self for about 2
weeks." It would be most
important for the LPN/LVN to ask which question?
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1 "Do your ankles swell at the end of the day?"
2 "How do you position yourself for sleep?"
3 "How do you feel after you eat dinner?"
4 "Do you have chest pain when you inhale?" - ANSWER-2
"How do you position yourself for sleep?"
The LPN/LVN is caring for a client immediately after a
paracentesis. It is most
important for the LPN/LVN to ask which question?
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?" - ANSWER-3 "Are you feeling
dizzy?"
The LPN/LVN is reinforcing teaching for a client after a right
mastectomy and axillary lymph node dissection. Which
statement by the client requires further intervention by the
LPN/LVN? Select all that apply.
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1 "I will wear gloves and long sleeves whenever I go out and
work in my garden."
2 "The risk for arm swelling will decrease one year after my
treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow
from now on."
4 "If my right arm begins to feel heavy, I should contact my
primary health care provider."
5 "It will be necessary for me to wear a compression bandage
for the rest of my life." - ANSWER-The LPN/LVN is
reinforcing teaching for a client after a right mastectomy and
axillary lymph node dissection. Which statement by the client
requires further intervention by the LPN/LVN? Select all that
apply.
1 "I will wear gloves and long sleeves whenever I go out and
work in my garden."
2 "The risk for arm swelling will decrease one year after my
treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow
from now on."
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5 "It will be necessary for me to wear a compression bandage
for the rest of my life."
The LPN/LVN is preparing to reinforce instructions for a client
about the use of an incentive spirometer. Arrange the following
steps in the order the client should perform them. All options
must be used.
1 Seal lips around the mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply. - ANSWER-1. Seal lips around the
mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply.
The client's AFB smear strongly indicates a diagnosis of TB.
The health care team begins treatment while awaiting the
Newest 2025 NCLEX-PN Next Generation Exam
(NGN) with accurate questions and verified answers
covering clinical judgment, patient care, and
foundational nursing concepts.
A client is being treated for Addison disease. The primary health
care provider orders cortisone 25 mg PO daily. The LPN/LVN
should explain to the client that a dosage adjustment may be
required in which situation?
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
3 Dosage is decreased when infection stimulates endogenous
steroid secretion.
4 Dosage is increased relative to an increase in the level of
stress - ANSWER-4 Dosage is increased relative to an increase
in the level of stress
A client with a history of heart failure visits the clinic. The client
states, "I have not been feeling like my old self for about 2
weeks." It would be most
important for the LPN/LVN to ask which question?
,2|Page
1 "Do your ankles swell at the end of the day?"
2 "How do you position yourself for sleep?"
3 "How do you feel after you eat dinner?"
4 "Do you have chest pain when you inhale?" - ANSWER-2
"How do you position yourself for sleep?"
The LPN/LVN is caring for a client immediately after a
paracentesis. It is most
important for the LPN/LVN to ask which question?
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?" - ANSWER-3 "Are you feeling
dizzy?"
The LPN/LVN is reinforcing teaching for a client after a right
mastectomy and axillary lymph node dissection. Which
statement by the client requires further intervention by the
LPN/LVN? Select all that apply.
,3|Page
1 "I will wear gloves and long sleeves whenever I go out and
work in my garden."
2 "The risk for arm swelling will decrease one year after my
treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow
from now on."
4 "If my right arm begins to feel heavy, I should contact my
primary health care provider."
5 "It will be necessary for me to wear a compression bandage
for the rest of my life." - ANSWER-The LPN/LVN is
reinforcing teaching for a client after a right mastectomy and
axillary lymph node dissection. Which statement by the client
requires further intervention by the LPN/LVN? Select all that
apply.
1 "I will wear gloves and long sleeves whenever I go out and
work in my garden."
2 "The risk for arm swelling will decrease one year after my
treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow
from now on."
, 4|Page
5 "It will be necessary for me to wear a compression bandage
for the rest of my life."
The LPN/LVN is preparing to reinforce instructions for a client
about the use of an incentive spirometer. Arrange the following
steps in the order the client should perform them. All options
must be used.
1 Seal lips around the mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply. - ANSWER-1. Seal lips around the
mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply.
The client's AFB smear strongly indicates a diagnosis of TB.
The health care team begins treatment while awaiting the
