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NCLEX PN NGN (NEXT
GENERATION) NGN PN NCLEX REAL
EXAM QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED EXAM
A client admitted to the hospital for treatment of active tuberculosis (TB). The LPN/LVN
reinforces teaching about 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." -- 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." -- 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."
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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?
1 "The urinary meatus is cleansed with an iodine solution and then a urinary drainage
catheter is inserted to obtain urine."
2 "You will be asked to empty your bladder one-half hour before the test; you will then
be asked to void into a container."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is
voided into a sterile container; the container must not touch the penis."
4 "You must void a few drops of urine, then stop; then void the remaining urine into a
clean container, which should be immediately covered." -- ANSWER--3 "Before voiding, the
urinary meatus is cleansed with an iodine solution and urine is voided into a sterile container;
the container must not touch the penis."
The LPN/LVN is checking the morning's serum electrolyte results for a client. The LPN/LVN
notes that the client's sodium is 142 mEq/L (142 mmol/L), potassium is 4.4 mEq/L (4.4
mmol/L), and chloride is 102 mEq/L (102 mmol/L). Which should the nurse do first?
1 Encourage the client to drink additional fluids.
2 Notify the primary health care provider of electrolyte results.
3 Record electrolyte results in the client's medical record.
4 Withhold the client's potassium supplement -- ANSWER--3 Record electrolyte results in
the client's medical record.
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A client reporting chest pressure is brought to the emergency department (ED). Vital signs
include blood pressure 150/90 mmHg, pulse 88 beats/minute, respirations 20 breaths/minute.
The LPN/LVN administers nitroglycerin 0.4 mg sublingually as ordered. After five minutes,
the client's vital signs include blood pressure 100/60 Hg, pulse 96 beats/minute, respirations
20 breaths/minute. Which action should the LPN/LVN take next?
1 Notify the primary health care provider of hypotension.
2 Place the client in semi-Fowler position and administer oxygen at 4 L/ minute.
3 Administer a second dose of nitroglycerin 0.4 mg sublingually, as ordered.
4 Document vital signs and continue to monitor the client. -- ANSWER--4 Document vital
signs and continue to monitor the client.
A client with type 1 diabetes contacts the home care LPN/LVN to report nausea and
abdominal pain. What should the LPN/LVN advise the client to do?
1 "Hold your regular dose of insulin."
2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level." -- ANSWER--2 "Check your blood glucose level every 3 to 4
hours."
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.
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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?
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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NCLEX PN NGN (NEXT
GENERATION) NGN PN NCLEX REAL
EXAM QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED EXAM
A client admitted to the hospital for treatment of active tuberculosis (TB). The LPN/LVN
reinforces teaching about 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." -- 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." -- 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."
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, Page 2 of 54
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?
1 "The urinary meatus is cleansed with an iodine solution and then a urinary drainage
catheter is inserted to obtain urine."
2 "You will be asked to empty your bladder one-half hour before the test; you will then
be asked to void into a container."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is
voided into a sterile container; the container must not touch the penis."
4 "You must void a few drops of urine, then stop; then void the remaining urine into a
clean container, which should be immediately covered." -- ANSWER--3 "Before voiding, the
urinary meatus is cleansed with an iodine solution and urine is voided into a sterile container;
the container must not touch the penis."
The LPN/LVN is checking the morning's serum electrolyte results for a client. The LPN/LVN
notes that the client's sodium is 142 mEq/L (142 mmol/L), potassium is 4.4 mEq/L (4.4
mmol/L), and chloride is 102 mEq/L (102 mmol/L). Which should the nurse do first?
1 Encourage the client to drink additional fluids.
2 Notify the primary health care provider of electrolyte results.
3 Record electrolyte results in the client's medical record.
4 Withhold the client's potassium supplement -- ANSWER--3 Record electrolyte results in
the client's medical record.
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A client reporting chest pressure is brought to the emergency department (ED). Vital signs
include blood pressure 150/90 mmHg, pulse 88 beats/minute, respirations 20 breaths/minute.
The LPN/LVN administers nitroglycerin 0.4 mg sublingually as ordered. After five minutes,
the client's vital signs include blood pressure 100/60 Hg, pulse 96 beats/minute, respirations
20 breaths/minute. Which action should the LPN/LVN take next?
1 Notify the primary health care provider of hypotension.
2 Place the client in semi-Fowler position and administer oxygen at 4 L/ minute.
3 Administer a second dose of nitroglycerin 0.4 mg sublingually, as ordered.
4 Document vital signs and continue to monitor the client. -- ANSWER--4 Document vital
signs and continue to monitor the client.
A client with type 1 diabetes contacts the home care LPN/LVN to report nausea and
abdominal pain. What should the LPN/LVN advise the client to do?
1 "Hold your regular dose of insulin."
2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level." -- ANSWER--2 "Check your blood glucose level every 3 to 4
hours."
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.
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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?
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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