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NGN PN- NCLEX NEWEST 2025 ACTUAL EXAM TEST
BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 550 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+| PN NCLEX -NGN EXAM (MOST RECENT!!)
PN NCLEX -NGN EXAM VERSION A.
The client's AFB smear strongly indicates a diagnosis of TB. The health
care team begins treatment while awaiting the finalization of sputum
cultures. Which transmission precaution does the LPN/LVN use when
caring for the client?
1. Contact precautions.
2. Droplet precautions.
3. Airborne precautions.
4. Protective environment precautions - Correct Answer -3.
A client is admitted to the hospital with influenza-like symptoms. When
taking the client's history, the LPN/LVN learns that the client had been
taking digoxin 0.125 mg PO daily and furosemide 40 mg PO daily for 3
years. Last month the primary health care provider changed the
prescription for digoxin to 0.25 mg daily. The LPN/LVN would expect
the primary health care provider to prescribe which laboratory tests?
1. Serum electrolyte and digoxin levels.
2. Hemoglobin level and hematocrit.
3. Cardiac enzymes and arterial blood gas analysis.
pg. 1
,2|Page
4. Blood culture and sensitivity and urinalysis. - Correct Answer -1.
A client is hospitalized with a diagnosis of atrial fibrillation. The
primary health care provider prescribes heparin 5,000 units every 12
hours to be given by subcutaneous injection and a daily partial
thromboplastin time (PTT). The result of the client's most recent PTT is
55 seconds. Which action should be taken by the LPN/LVN?
1. Document the results and administer the heparin.
2. Withhold the heparin.
3. Notify the primary health care provider of the test results.
4. Have the test repeated. - Correct Answer -1.
The primary health care provider orders furosemide and spironolactone
for a client. Prior to administering the medication, the LPN/LVN
determines that the client's potassium is 3.2 mEq/L (3.2 mmol/L). In
addition to notifying the supervising RN, the LPN/LVN should
anticipate taking which action?
1. Hold both the furosemide and spironolactone.
2. Administer the spironolactone only.
3. Administer the furosemide only.
4. Administer the furosemide and spironolactone - Correct Answer -2.
The LPN/LVN notes that there is no urine in the client's urinary drainage
bag 3 hours after the bag was last emptied. Which action should the
LPN/LVN take first?
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1. Check for kinks in urinary drainage tubing.
2. Insert a new indwelling urinary catheter.
3. Irrigate existing indwelling urinary catheter.
4. Notify client's primary health care provider - Correct Answer -1.
Two hours after the insertion of a Salem sump nasogastric (NG) tube,
the client vomits a moderate amount of yellow-green fluid. What is the
most appropriate action for the LPN/LVN to take?
1. Inject 30 mL air and auscultate the left upper quadrant.
2. Instill 20 mL carbonated beverage into the drainage tube.
3. Inform the primary health care provider of the vomiting.
4. Irrigate nasogastric (NG) tube with 20 mL normal saline. - Correct
Answer -4 Irrigate nasogastric (NG) tube with 20 mL normal saline.
The LPN/LVN is preparing to administer isoniazid 300 mg PO. Which
of the following is a priority laboratory value to monitor before
administering the medication?
1. B-type natriuretic peptide (BNP).
2. Aspartate aminotransferase (AST).
3. Potassium.
4. Vitamin B12. - Correct Answer -2 Aspartate aminotransferase (AST).
Which of the following would most concern the LPN/LVN during a
client's recovery from surgery?
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1. Safety.
2. Hemorrhage.
3. Infection.
4. Pain control. - Correct Answer -2. Hemorrhage.
The LPN/LVN reports the client's vital signs to the RN. A priority
concern for the LPN/LVN is to reduce the client's risk for developing
which complication?
1. Hyperactive reflexes.
2. Heart failure.
3. Hypovolemic shock.
4. Pulmonary edema. - Correct Answer -3 Hypovolemic shock.
The LPN/LVN is preparing a primigravid client for a primary health care
provider examination. Laboratory test results are available. Which
fasting serum glucose level result would indicate that gestational
diabetes is likely?
1. Serum glucose level of 40 mg/dL (2.2 mmol/L).
2. Serum glucose level of 100 mg/dL (5.5 mmol/L).
3. Serum glucose level of 140 mg/dL (7.7 mmol/L).
4. Serum glucose level of 180 mg/dL (9.9 mmol/L). - Correct Answer -4
Serum glucose level of 180 mg/dL (9.9 mmol/L).
pg. 4
NGN PN- NCLEX NEWEST 2025 ACTUAL EXAM TEST
BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 550 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+| PN NCLEX -NGN EXAM (MOST RECENT!!)
PN NCLEX -NGN EXAM VERSION A.
The client's AFB smear strongly indicates a diagnosis of TB. The health
care team begins treatment while awaiting the finalization of sputum
cultures. Which transmission precaution does the LPN/LVN use when
caring for the client?
1. Contact precautions.
2. Droplet precautions.
3. Airborne precautions.
4. Protective environment precautions - Correct Answer -3.
A client is admitted to the hospital with influenza-like symptoms. When
taking the client's history, the LPN/LVN learns that the client had been
taking digoxin 0.125 mg PO daily and furosemide 40 mg PO daily for 3
years. Last month the primary health care provider changed the
prescription for digoxin to 0.25 mg daily. The LPN/LVN would expect
the primary health care provider to prescribe which laboratory tests?
1. Serum electrolyte and digoxin levels.
2. Hemoglobin level and hematocrit.
3. Cardiac enzymes and arterial blood gas analysis.
pg. 1
,2|Page
4. Blood culture and sensitivity and urinalysis. - Correct Answer -1.
A client is hospitalized with a diagnosis of atrial fibrillation. The
primary health care provider prescribes heparin 5,000 units every 12
hours to be given by subcutaneous injection and a daily partial
thromboplastin time (PTT). The result of the client's most recent PTT is
55 seconds. Which action should be taken by the LPN/LVN?
1. Document the results and administer the heparin.
2. Withhold the heparin.
3. Notify the primary health care provider of the test results.
4. Have the test repeated. - Correct Answer -1.
The primary health care provider orders furosemide and spironolactone
for a client. Prior to administering the medication, the LPN/LVN
determines that the client's potassium is 3.2 mEq/L (3.2 mmol/L). In
addition to notifying the supervising RN, the LPN/LVN should
anticipate taking which action?
1. Hold both the furosemide and spironolactone.
2. Administer the spironolactone only.
3. Administer the furosemide only.
4. Administer the furosemide and spironolactone - Correct Answer -2.
The LPN/LVN notes that there is no urine in the client's urinary drainage
bag 3 hours after the bag was last emptied. Which action should the
LPN/LVN take first?
pg. 2
,3|Page
1. Check for kinks in urinary drainage tubing.
2. Insert a new indwelling urinary catheter.
3. Irrigate existing indwelling urinary catheter.
4. Notify client's primary health care provider - Correct Answer -1.
Two hours after the insertion of a Salem sump nasogastric (NG) tube,
the client vomits a moderate amount of yellow-green fluid. What is the
most appropriate action for the LPN/LVN to take?
1. Inject 30 mL air and auscultate the left upper quadrant.
2. Instill 20 mL carbonated beverage into the drainage tube.
3. Inform the primary health care provider of the vomiting.
4. Irrigate nasogastric (NG) tube with 20 mL normal saline. - Correct
Answer -4 Irrigate nasogastric (NG) tube with 20 mL normal saline.
The LPN/LVN is preparing to administer isoniazid 300 mg PO. Which
of the following is a priority laboratory value to monitor before
administering the medication?
1. B-type natriuretic peptide (BNP).
2. Aspartate aminotransferase (AST).
3. Potassium.
4. Vitamin B12. - Correct Answer -2 Aspartate aminotransferase (AST).
Which of the following would most concern the LPN/LVN during a
client's recovery from surgery?
pg. 3
, 4|Page
1. Safety.
2. Hemorrhage.
3. Infection.
4. Pain control. - Correct Answer -2. Hemorrhage.
The LPN/LVN reports the client's vital signs to the RN. A priority
concern for the LPN/LVN is to reduce the client's risk for developing
which complication?
1. Hyperactive reflexes.
2. Heart failure.
3. Hypovolemic shock.
4. Pulmonary edema. - Correct Answer -3 Hypovolemic shock.
The LPN/LVN is preparing a primigravid client for a primary health care
provider examination. Laboratory test results are available. Which
fasting serum glucose level result would indicate that gestational
diabetes is likely?
1. Serum glucose level of 40 mg/dL (2.2 mmol/L).
2. Serum glucose level of 100 mg/dL (5.5 mmol/L).
3. Serum glucose level of 140 mg/dL (7.7 mmol/L).
4. Serum glucose level of 180 mg/dL (9.9 mmol/L). - Correct Answer -4
Serum glucose level of 180 mg/dL (9.9 mmol/L).
pg. 4
