NCLEX PN WITH NGN / NGN PN NCLEX
EXAM QUESTION BANK | NEWEST
ACTUAL EXAM COMPREHESIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025\2026
UPDATE!
A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that
apply. ANSWER Place the infant in a private room. Place the infant in a
room near the nurses' station.
A nurse is caring for a client who has just been admitted to the nursing
unit after receiving flame burns to the face and chest. The nurse notes
a hoarse cough and that the client is expectorating sputum with black
flecks. The client's eyelashes and eyebrows are singed, and the eyelids
are swollen. The client suddenly becomes restless, and his color
becomes dusky. The nurse interprets this data as indicating which of
the following? ANSWER The burn has probably caused laryngeal
edema, which has occluded the airway.
A nurse reviews the record of a child who was just seen by a health care
provider (HCP). The HCP has documented a diagnosis of suspected aortic
,stenosis. Which clinical manifestation that is specifically found in
children with this disorder should the nurse anticipate? ANSWER
Exercise intolerance
The nurse in the newborn nursery receives a telephone call to prepare
for the admission of an infant born at 43 weeks' gestation with Apgar
scores of 1 and 4. When planning for the admission of this infant, the
nurse's highest priority should be to: ANSWER Connect the
resuscitation bag to the oxygen outlet.
The child with aortic stenosis shows signs of exercise intolerance, chest
pain, and dizziness when standing for long periods. Pallor may be
noted, but it is not specific to this type of disorder alone. Options 2 and
4 are not related to this disorder.
A nurse is told that a child with rheumatic fever (RF) will be arriving to
the nursing unit for admission. Which question should the nurse ask the
family to elicit information specific to the development of RF?
ANSWER "Did the child have a sore throat or an unexplained fever
within the past 2 months?"
Rheumatic fever (RF) characteristically presents 2 to 6 weeks after an
untreated or partially treated group A β-hemolytic streptococcal
infection of the upper respiratory tract. Initially, the nurse determines if
the child has had a sore throat or an unexplained fever within the past
2 months. Options 1, 2, and 3 are unrelated to RF.
,A nurse assists with admitting a child with a diagnosis of acute-stage
Kawasaki disease. When obtaining the child's medical history, which
clinical manifestation is likely to be reported? ANSWER Conjunctival
hyperemia
During the acute stage of Kawasaki disease, the child presents with
fever, conjunctival hyperemia, a red throat, swollen hands, a rash, and
enlargement of the cervical lymph nodes. During the subacute stage,
cracking lips and fissures, desquamation of the skin on the tips of the
fingers and toes, joint pain, cardiac manifestations, and thrombocytosis
occur. During the convalescent stage, the child appears normal, but
signs of inflammation may be present.
A nurse caring for an infant with congenital heart disease is monitoring
the infant closely for signs of congestive heart failure (CHF). The nurse
looks for which early sign of CHF? ANSWER Tachycardia
The early signs of CHF include tachycardia, tachypnea, profuse scalp
sweating, fatigue, irritability, sudden weight gain, and respiratory
distress. A cough may occur with CHF as a result of mucosal swelling
and irritation, but it is not an early sign. Pallor may be noted in the
infant with CHF, but it is also not an early sign.
A nurse is monitoring the daily weight of an infant with congestive
heart failure (CHF). Which of the following alerts the nurse to suspect
, fluid accumulation and thus to the need to notify the registered nurse?
ANSWER A weight gain of 1 lb in 1 day
A weight gain of 0.5 kg (1 lb) in 1 day is a result of the accumulation of
fluid. The nurse should monitor the urine output, monitor for evidence
of facial or peripheral edema, check the lung sounds, and report the
weight gain. Tachypnea and an increased BP would occur with fluid
accumulation. Diaphoresis is a sign of CHF, but it is not specific to fluid
accumulation, and it usually occurs with exertional activities
A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The
infant suddenly becomes cyanotic and the oxygen saturation reading
drops to 60%. Choose the interventions that the nurse should perform.
Select all that apply. ANSWER Notify the registered nurse. Prepare to
administer morphine sulfate. Prepare to administer intravenous fluids.
Prepare to administer 100% oxygen by face mask.
The child who is cyanotic with oxygen saturations dropping to 60% is
having a hypercyanotic episode. Hypercyanotic episodes often occur
among infants with tetralogy of Fallot, and they may occur among
infants whose heart defect includes the obstruction of pulmonary blood
flow and communication between the ventricles. If a hypercyanotic
episode occurs, the infant is placed in a knee-chest position
immediately. The registered nurse is notified, who will then contact the
health care provider. The knee-chest position improves systemic
arterial oxygen saturation by decreasing venous return so that smaller
EXAM QUESTION BANK | NEWEST
ACTUAL EXAM COMPREHESIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% PASS | 2025\2026
UPDATE!
A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that
apply. ANSWER Place the infant in a private room. Place the infant in a
room near the nurses' station.
A nurse is caring for a client who has just been admitted to the nursing
unit after receiving flame burns to the face and chest. The nurse notes
a hoarse cough and that the client is expectorating sputum with black
flecks. The client's eyelashes and eyebrows are singed, and the eyelids
are swollen. The client suddenly becomes restless, and his color
becomes dusky. The nurse interprets this data as indicating which of
the following? ANSWER The burn has probably caused laryngeal
edema, which has occluded the airway.
A nurse reviews the record of a child who was just seen by a health care
provider (HCP). The HCP has documented a diagnosis of suspected aortic
,stenosis. Which clinical manifestation that is specifically found in
children with this disorder should the nurse anticipate? ANSWER
Exercise intolerance
The nurse in the newborn nursery receives a telephone call to prepare
for the admission of an infant born at 43 weeks' gestation with Apgar
scores of 1 and 4. When planning for the admission of this infant, the
nurse's highest priority should be to: ANSWER Connect the
resuscitation bag to the oxygen outlet.
The child with aortic stenosis shows signs of exercise intolerance, chest
pain, and dizziness when standing for long periods. Pallor may be
noted, but it is not specific to this type of disorder alone. Options 2 and
4 are not related to this disorder.
A nurse is told that a child with rheumatic fever (RF) will be arriving to
the nursing unit for admission. Which question should the nurse ask the
family to elicit information specific to the development of RF?
ANSWER "Did the child have a sore throat or an unexplained fever
within the past 2 months?"
Rheumatic fever (RF) characteristically presents 2 to 6 weeks after an
untreated or partially treated group A β-hemolytic streptococcal
infection of the upper respiratory tract. Initially, the nurse determines if
the child has had a sore throat or an unexplained fever within the past
2 months. Options 1, 2, and 3 are unrelated to RF.
,A nurse assists with admitting a child with a diagnosis of acute-stage
Kawasaki disease. When obtaining the child's medical history, which
clinical manifestation is likely to be reported? ANSWER Conjunctival
hyperemia
During the acute stage of Kawasaki disease, the child presents with
fever, conjunctival hyperemia, a red throat, swollen hands, a rash, and
enlargement of the cervical lymph nodes. During the subacute stage,
cracking lips and fissures, desquamation of the skin on the tips of the
fingers and toes, joint pain, cardiac manifestations, and thrombocytosis
occur. During the convalescent stage, the child appears normal, but
signs of inflammation may be present.
A nurse caring for an infant with congenital heart disease is monitoring
the infant closely for signs of congestive heart failure (CHF). The nurse
looks for which early sign of CHF? ANSWER Tachycardia
The early signs of CHF include tachycardia, tachypnea, profuse scalp
sweating, fatigue, irritability, sudden weight gain, and respiratory
distress. A cough may occur with CHF as a result of mucosal swelling
and irritation, but it is not an early sign. Pallor may be noted in the
infant with CHF, but it is also not an early sign.
A nurse is monitoring the daily weight of an infant with congestive
heart failure (CHF). Which of the following alerts the nurse to suspect
, fluid accumulation and thus to the need to notify the registered nurse?
ANSWER A weight gain of 1 lb in 1 day
A weight gain of 0.5 kg (1 lb) in 1 day is a result of the accumulation of
fluid. The nurse should monitor the urine output, monitor for evidence
of facial or peripheral edema, check the lung sounds, and report the
weight gain. Tachypnea and an increased BP would occur with fluid
accumulation. Diaphoresis is a sign of CHF, but it is not specific to fluid
accumulation, and it usually occurs with exertional activities
A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The
infant suddenly becomes cyanotic and the oxygen saturation reading
drops to 60%. Choose the interventions that the nurse should perform.
Select all that apply. ANSWER Notify the registered nurse. Prepare to
administer morphine sulfate. Prepare to administer intravenous fluids.
Prepare to administer 100% oxygen by face mask.
The child who is cyanotic with oxygen saturations dropping to 60% is
having a hypercyanotic episode. Hypercyanotic episodes often occur
among infants with tetralogy of Fallot, and they may occur among
infants whose heart defect includes the obstruction of pulmonary blood
flow and communication between the ventricles. If a hypercyanotic
episode occurs, the infant is placed in a knee-chest position
immediately. The registered nurse is notified, who will then contact the
health care provider. The knee-chest position improves systemic
arterial oxygen saturation by decreasing venous return so that smaller
