NGN NCLEX PN ACTUAL EXAM NEWEST 2025 WITH NGN /PN NCLEX
ACTUAL EXAM (NEXT GENERATION) COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Question 1
A licensed practical nurse (LPN) is caring for a client with heart failure. The client reports a
sudden increase in shortness of breath and has crackles in the lung bases. Which of the
following prescribed medications should the LPN anticipate administering?
A) Digoxin
B) Metoprolol
C) Furosemide
D) Lisinopril
E) Warfarin
Correct Answer: C) Furosemide
Rationale: Furosemide is a loop diuretic that promotes the excretion of excess fluid, thereby
reducing pulmonary congestion and its associated symptoms in heart failure.
Question 2
An LPN is preparing to administer an intramuscular (IM) injection to an adult client. Which of
the following sites is the safest for most adult IM injections?
A) Deltoid
B) Dorsogluteal
C) Vastus lateralis
D) Ventrogluteal
E) Rectus femoris
Correct Answer: D) Ventrogluteal
Rationale: The ventrogluteal site is preferred for adult IM injections due to its thick muscle,
distance from major nerves and blood vessels, and minimal risk of injury.
Question 3
A client with type 2 diabetes mellitus is receiving metformin. The LPN should instruct the client
to report which of the following adverse effects as a priority?
A) Diarrhea
B) Nausea
C) Muscle pain
D) Metallic taste
E) Abdominal bloating
Correct Answer: C) Muscle pain
,Rationale: Muscle pain can be an indicator of lactic acidosis, a rare but serious complication of
metformin that requires immediate medical attention.
Question 4
An LPN is caring for an older adult client experiencing delirium. Which intervention should the
LPN prioritize?
A) Administering a sedative to promote sleep.
B) Orienting the client to person, place, and time frequently.
C) Limiting family visits to decrease overstimulation.
D) Encouraging complex cognitive tasks.
E) Restraining the client to ensure safety.
Correct Answer: B) Orienting the client to person, place, and time frequently.
Rationale: Frequent reorientation helps reduce confusion, anxiety, and disorganization in
clients with delirium, promoting a sense of reality and safety.
Question 5
A pregnant client is 32 weeks gestation and experiencing painless vaginal bleeding. The LPN
should suspect which of the following conditions?
A) Abruptio placentae
B) Placenta previa
C) Vasa previa
D) Preterm labor
E) Cervical insufficiency
Correct Answer: B) Placenta previa
Rationale: Painless vaginal bleeding during the second or third trimester is the hallmark
symptom of placenta previa, where the placenta covers the cervical os.
Question 6
An LPN is collecting data from an infant who has dehydration. Which of the following findings
should the LPN expect?
A) Increased urine output
B) Sunken fontanelles
C) Bounding peripheral pulses
D) Moist mucous membranes
E) Increased skin turgor
Correct Answer: B) Sunken fontanelles
,Rationale: Sunken fontanelles are a classic physical sign of dehydration in infants, indicating
decreased fluid volume.
Question 7
A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy at 2
L/min via nasal cannula. The LPN understands this low flow rate is important because higher
flow rates can:
A) Cause oxygen toxicity.
B) Lead to respiratory alkalosis.
C) Suppress the client's hypoxic drive.
D) Increase cardiac workload.
E) Promote atelectasis.
Correct Answer: C) Suppress the client's hypoxic drive.
Rationale: Clients with COPD may rely on a hypoxic drive to breathe. High concentrations of
oxygen can diminish this drive, leading to hypoventilation and carbon dioxide retention.
Question 8
An LPN is assisting a client with a new prescription for digoxin. The LPN should instruct the
client to report which of the following adverse effects immediately?
A) Anorexia
B) Fatigue
C) Yellow halos around lights
D) Nausea
E) Headache
Correct Answer: C) Yellow halos around lights
Rationale: Visual disturbances, such as yellow or green halos around lights (xanthopsia), are a
classic symptom of digoxin toxicity.
Question 9
An LPN is reinforcing teaching with a client who has a new colostomy. Which of the following
statements by the client indicates an understanding of the teaching?
A) "I should empty my stoma bag when it is completely full."
B) "I will change the appliance every day to prevent skin irritation."
C) "I should expect some bleeding around the stoma when I clean it."
D) "I will notify my doctor if the stoma appears dusky or bluish."
E) "It's normal for the stoma to be pale pink and dry."
Correct Answer: D) "I will notify my doctor if the stoma appears dusky or bluish."
, Rationale: A dusky or bluish stoma indicates impaired blood supply, which is a serious
complication requiring immediate medical attention. A healthy stoma is beefy red and moist.
Question 10
An LPN is preparing to administer medications through a nasogastric (NG) tube. Which of the
following actions should the LPN take first?
A) Crush all medications into a fine powder.
B) Flush the tube with 15-30 mL of water.
C) Verify the placement of the NG tube.
D) Administer medications separately.
E) Position the client in a semi-Fowler's position.
Correct Answer: C) Verify the placement of the NG tube.
Rationale: Verifying NG tube placement is the critical first step to prevent aspiration of
medications into the lungs, ensuring client safety.
Question 11
An LPN is assisting with the care of a client who is postoperative following a total hip
arthroplasty. Which of the following actions should the LPN take to prevent hip dislocation?
A) Encourage internal rotation of the affected hip.
B) Position a pillow between the client's legs when turning.
C) Elevate the head of the bed to 90 degrees.
D) Encourage crossing the legs at the ankles.
E) Instruct the client to lie on the affected side.
Correct Answer: B) Position a pillow between the client's legs when turning.
Rationale: Maintaining hip abduction with a pillow or wedge between the legs prevents
adduction and internal rotation, which can lead to hip dislocation after arthroplasty.
Question 12
An LPN is reinforcing teaching with a client who has gestational diabetes about managing blood
glucose levels. Which of the following statements by the client indicates a need for further
teaching?
A) "I will test my blood sugar every morning before I eat."
B) "I will eat three large meals and no snacks to control my sugar."
C) "I understand that exercise helps lower my blood sugar."
D) "I will report any symptoms of hyperglycemia or hypoglycemia."
E) "I know my diet is the most important part of managing my diabetes."
ACTUAL EXAM (NEXT GENERATION) COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Question 1
A licensed practical nurse (LPN) is caring for a client with heart failure. The client reports a
sudden increase in shortness of breath and has crackles in the lung bases. Which of the
following prescribed medications should the LPN anticipate administering?
A) Digoxin
B) Metoprolol
C) Furosemide
D) Lisinopril
E) Warfarin
Correct Answer: C) Furosemide
Rationale: Furosemide is a loop diuretic that promotes the excretion of excess fluid, thereby
reducing pulmonary congestion and its associated symptoms in heart failure.
Question 2
An LPN is preparing to administer an intramuscular (IM) injection to an adult client. Which of
the following sites is the safest for most adult IM injections?
A) Deltoid
B) Dorsogluteal
C) Vastus lateralis
D) Ventrogluteal
E) Rectus femoris
Correct Answer: D) Ventrogluteal
Rationale: The ventrogluteal site is preferred for adult IM injections due to its thick muscle,
distance from major nerves and blood vessels, and minimal risk of injury.
Question 3
A client with type 2 diabetes mellitus is receiving metformin. The LPN should instruct the client
to report which of the following adverse effects as a priority?
A) Diarrhea
B) Nausea
C) Muscle pain
D) Metallic taste
E) Abdominal bloating
Correct Answer: C) Muscle pain
,Rationale: Muscle pain can be an indicator of lactic acidosis, a rare but serious complication of
metformin that requires immediate medical attention.
Question 4
An LPN is caring for an older adult client experiencing delirium. Which intervention should the
LPN prioritize?
A) Administering a sedative to promote sleep.
B) Orienting the client to person, place, and time frequently.
C) Limiting family visits to decrease overstimulation.
D) Encouraging complex cognitive tasks.
E) Restraining the client to ensure safety.
Correct Answer: B) Orienting the client to person, place, and time frequently.
Rationale: Frequent reorientation helps reduce confusion, anxiety, and disorganization in
clients with delirium, promoting a sense of reality and safety.
Question 5
A pregnant client is 32 weeks gestation and experiencing painless vaginal bleeding. The LPN
should suspect which of the following conditions?
A) Abruptio placentae
B) Placenta previa
C) Vasa previa
D) Preterm labor
E) Cervical insufficiency
Correct Answer: B) Placenta previa
Rationale: Painless vaginal bleeding during the second or third trimester is the hallmark
symptom of placenta previa, where the placenta covers the cervical os.
Question 6
An LPN is collecting data from an infant who has dehydration. Which of the following findings
should the LPN expect?
A) Increased urine output
B) Sunken fontanelles
C) Bounding peripheral pulses
D) Moist mucous membranes
E) Increased skin turgor
Correct Answer: B) Sunken fontanelles
,Rationale: Sunken fontanelles are a classic physical sign of dehydration in infants, indicating
decreased fluid volume.
Question 7
A client with chronic obstructive pulmonary disease (COPD) is prescribed oxygen therapy at 2
L/min via nasal cannula. The LPN understands this low flow rate is important because higher
flow rates can:
A) Cause oxygen toxicity.
B) Lead to respiratory alkalosis.
C) Suppress the client's hypoxic drive.
D) Increase cardiac workload.
E) Promote atelectasis.
Correct Answer: C) Suppress the client's hypoxic drive.
Rationale: Clients with COPD may rely on a hypoxic drive to breathe. High concentrations of
oxygen can diminish this drive, leading to hypoventilation and carbon dioxide retention.
Question 8
An LPN is assisting a client with a new prescription for digoxin. The LPN should instruct the
client to report which of the following adverse effects immediately?
A) Anorexia
B) Fatigue
C) Yellow halos around lights
D) Nausea
E) Headache
Correct Answer: C) Yellow halos around lights
Rationale: Visual disturbances, such as yellow or green halos around lights (xanthopsia), are a
classic symptom of digoxin toxicity.
Question 9
An LPN is reinforcing teaching with a client who has a new colostomy. Which of the following
statements by the client indicates an understanding of the teaching?
A) "I should empty my stoma bag when it is completely full."
B) "I will change the appliance every day to prevent skin irritation."
C) "I should expect some bleeding around the stoma when I clean it."
D) "I will notify my doctor if the stoma appears dusky or bluish."
E) "It's normal for the stoma to be pale pink and dry."
Correct Answer: D) "I will notify my doctor if the stoma appears dusky or bluish."
, Rationale: A dusky or bluish stoma indicates impaired blood supply, which is a serious
complication requiring immediate medical attention. A healthy stoma is beefy red and moist.
Question 10
An LPN is preparing to administer medications through a nasogastric (NG) tube. Which of the
following actions should the LPN take first?
A) Crush all medications into a fine powder.
B) Flush the tube with 15-30 mL of water.
C) Verify the placement of the NG tube.
D) Administer medications separately.
E) Position the client in a semi-Fowler's position.
Correct Answer: C) Verify the placement of the NG tube.
Rationale: Verifying NG tube placement is the critical first step to prevent aspiration of
medications into the lungs, ensuring client safety.
Question 11
An LPN is assisting with the care of a client who is postoperative following a total hip
arthroplasty. Which of the following actions should the LPN take to prevent hip dislocation?
A) Encourage internal rotation of the affected hip.
B) Position a pillow between the client's legs when turning.
C) Elevate the head of the bed to 90 degrees.
D) Encourage crossing the legs at the ankles.
E) Instruct the client to lie on the affected side.
Correct Answer: B) Position a pillow between the client's legs when turning.
Rationale: Maintaining hip abduction with a pillow or wedge between the legs prevents
adduction and internal rotation, which can lead to hip dislocation after arthroplasty.
Question 12
An LPN is reinforcing teaching with a client who has gestational diabetes about managing blood
glucose levels. Which of the following statements by the client indicates a need for further
teaching?
A) "I will test my blood sugar every morning before I eat."
B) "I will eat three large meals and no snacks to control my sugar."
C) "I understand that exercise helps lower my blood sugar."
D) "I will report any symptoms of hyperglycemia or hypoglycemia."
E) "I know my diet is the most important part of managing my diabetes."
