NCLEX PN WITH NGN QUESTIONS EXAM NEWEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
During a home visit, the community health nurse observes bruises
in various stages of healing on the extremities and torso of an
elderly client. The client explains that the bruises are from
bumping into furniture and the wall in the wheelchair. What is the
priority nursing action?
A) Ask the client to explain the bruises on the torso
B) Assess the client's general hygiene and nutritional status
C) Report the bruises to the client's health care provider
D) Talk to the client's child about injuries. - ANSWER-B) Assess
the client's general hygiene and nutritional status
Suggestive of elder abuse but not conclusive. Further assessment
is needed to confirm suspicions. Nurse will assess general
hygiene, clothing, nutritional status, and hydration status.
Want to maintain a neutral trusting nursing-client relationship.
Asking a "why" question makes the client defensive
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The client is scheduled to receive the influenza vaccine. The
nurse should administer the vaccine ________________.
A) At a 90 degree angle into deltoid muscle
B) At a 90-degree angle into the ventrogluteal muscle
C) At a 45-degree angle subcutaneously into the abdomen
D) At a 45-degree angle subcutaneously into the upper thigh -
ANSWER-B At a 90-degree angle into the ventrogluteal muscle
Since the client had a bilateral mastectomy injections should be
avoided in upper extremities because of the client's risk for
lymphedema.
The ventrogluteal site should be used for clients who have had a
bilateral mastectomy with axillary lymph node removal.
Im can be given at 90-degree into (deltoid, vastus lateralis, or
ventrogluteal)
A child on the playground is experiencing an anaphylactic
reaction. The school nurse arrives with an EpiPen. The weather is
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cold and the child is wearing several layers of clothing. How
should the nurse proceed with the EpiPen?
A) Inject into the upper arm where the sleeve can be pulled up
B) Inject into the most accessible vein
C) Inject through the clothing into thigh and hold in place for 10
seconds
D) Take the child inside, remove excess clothing and inject into
right thigh - ANSWER-C) Inject through the clothing into thigh and
hold in place for 10 seconds
The nurse is talking with a client with obesity who has a new
prescription for lipase inhibitor. Which of the following statements
by the client would require immediate follow up?
A) I will take this medication in the morning on an empty stomach
B) I should consume a diet that is low in fat while taking this
medication
C) I may exprice oily stools and flatulence while taking this
medication
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D) I will take fat soluble vitamin at least 2 hours before or after
taking this medication - ANSWER-A) I will take this medication in
the morning on an empty stomach
Lipase inhibitors prevent the breakdown and absorption of fat.
Prescribed for obese client who have a difficulty losing weight.
Take with, or within 1 hour of, meals that contain fat. If the meal
does not contain fat the dose may be skipped.
An 80-year old client is receiving amikacin, a aminoglycoside
antibiotic, IVPB every 12 hours. Which of the following data
obtained by the LPN is MOST important to report to the RN
before the client receives the next dose?
A) client reports tinnitus
B) BUN 20 mg/dL
C) blood pressure 104/62 mm Hg
D) urine output of 400 mL since last dose - ANSWER-A) client
reports tinnitus
Serious reactions to aminoglycosides (gentamicin, tobramycin,
amikacin) include ototoxicity and nephrotoxicity and are affected
by age, renal function, and medication dose. Tinnitus and vertigo