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NCLEX LPN NGN FULL BLUEPRINT 2026-27
• A nurse is providing discharge teaching for a client with newly diagnosed
type 2 diabetes. Which statement indicates a need for further teaching?
• A. "I can eat whatever I want as long as I take my medication."
• B. "I should check my blood sugar levels regularly."
• C. "I need to follow a meal plan to manage my blood sugar."
• D. "I will exercise regularly to help control my diabetes."
Answer: A.
• Rationale: While medication is important, clients with diabetes must also
manage their diet to maintain blood sugar levels. Eating whatever they
want could lead to poor glycemic control.
• A nurse is assessing a client with pneumonia. Which finding would
indicate the presence of pleural effusion?
• A. Decreased breath sounds on auscultation
• B. Increased tactile fremitus
• C. High-pitched wheezes
,2
• D. Dullness to percussion
Answer: D.
• Rationale: Dullness to percussion is a common finding in pleural effusion
due to the presence of fluid in the pleural space, whereas increased tactile
fremitus and wheezes are more commonly associated with lung
consolidation.
• The nurse is teaching a client with hypertension about lifestyle
changes. Which statement by the client shows a need for further
education?
• A. "I will reduce my salt intake."
• B. "I can quit smoking and drinking alcohol."
• C. "I will start a regular exercise program."
• D. "I can eat as much processed food as I want."
Answer: D.
• Rationale: Processed foods often contain high levels of sodium and
unhealthy fats, which can exacerbate hypertension. The client needs
further education on dietary modifications.
• A nurse is caring for a client with diabetes who is scheduled for surgery.
Which preoperative instruction should the nurse provide?
• A. "You can eat a normal meal before surgery."
• B. "You should take your insulin as usual, regardless of food intake."
• C. "You may need to adjust your insulin dosage based on your fasting status."
• D. "Skip your diabetes medications the night before surgery."
Answer: C.
• Rationale: Clients with diabetes may need to adjust their insulin dosage
based on whether they are fasting for surgery. It’s crucial to manage blood
glucose levels effectively preoperatively.
• The nurse is assessing a client who is 1 day post-operative following
a laparotomy. Which finding is most concerning?
• A. Temperature of 100.4°F (38°C)
,3
• B. Absent bowel sounds
• C. Serous drainage from the incision
• D. Elevated heart rate of 110 beats per minute
Answer: D.
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• Rationale: An elevated heart rate of 110 beats per minute may indicate
pain, hypovolemia, or infection and should be investigated further, making
it the most concerning finding among those listed.
• A nurse is caring for a client with heart failure who is experiencing dyspnea.
Which position should the nurse encourage the client to assume for optimal
comfort?
• A. Supine
• B. Trendelenburg
• C. High Fowler’s
• D. Lateral recumbent
Answer: C.
• Rationale: The High Fowler's position helps to alleviate dyspnea by
allowing for maximum lung expansion and improved oxygenation.
• A nurse is providing education to a client about managing
hypertension. Which statement by the client indicates a need for further
education?
• A. "I will limit my alcohol intake."
• B. "I can continue to eat salty snacks as long as I take my medication."
• C. "I will monitor my blood pressure regularly."
• D. "I will follow a heart-healthy diet."
Answer: B.
• Rationale: While medications are important, managing dietary sodium
intake is crucial for controlling hypertension. Clients should not rely
solely on medications if they continue consuming high-sodium foods.
• The nurse is assessing a client with a history of peptic ulcer disease.
Which symptom should the nurse report immediately?
• A. Occasional heartburn
• B. Black, tarry stools
• C. Mild abdominal discomfort
• D. Nausea and loss of appetite
NCLEX LPN NGN FULL BLUEPRINT 2026-27
• A nurse is providing discharge teaching for a client with newly diagnosed
type 2 diabetes. Which statement indicates a need for further teaching?
• A. "I can eat whatever I want as long as I take my medication."
• B. "I should check my blood sugar levels regularly."
• C. "I need to follow a meal plan to manage my blood sugar."
• D. "I will exercise regularly to help control my diabetes."
Answer: A.
• Rationale: While medication is important, clients with diabetes must also
manage their diet to maintain blood sugar levels. Eating whatever they
want could lead to poor glycemic control.
• A nurse is assessing a client with pneumonia. Which finding would
indicate the presence of pleural effusion?
• A. Decreased breath sounds on auscultation
• B. Increased tactile fremitus
• C. High-pitched wheezes
,2
• D. Dullness to percussion
Answer: D.
• Rationale: Dullness to percussion is a common finding in pleural effusion
due to the presence of fluid in the pleural space, whereas increased tactile
fremitus and wheezes are more commonly associated with lung
consolidation.
• The nurse is teaching a client with hypertension about lifestyle
changes. Which statement by the client shows a need for further
education?
• A. "I will reduce my salt intake."
• B. "I can quit smoking and drinking alcohol."
• C. "I will start a regular exercise program."
• D. "I can eat as much processed food as I want."
Answer: D.
• Rationale: Processed foods often contain high levels of sodium and
unhealthy fats, which can exacerbate hypertension. The client needs
further education on dietary modifications.
• A nurse is caring for a client with diabetes who is scheduled for surgery.
Which preoperative instruction should the nurse provide?
• A. "You can eat a normal meal before surgery."
• B. "You should take your insulin as usual, regardless of food intake."
• C. "You may need to adjust your insulin dosage based on your fasting status."
• D. "Skip your diabetes medications the night before surgery."
Answer: C.
• Rationale: Clients with diabetes may need to adjust their insulin dosage
based on whether they are fasting for surgery. It’s crucial to manage blood
glucose levels effectively preoperatively.
• The nurse is assessing a client who is 1 day post-operative following
a laparotomy. Which finding is most concerning?
• A. Temperature of 100.4°F (38°C)
,3
• B. Absent bowel sounds
• C. Serous drainage from the incision
• D. Elevated heart rate of 110 beats per minute
Answer: D.
, 4
• Rationale: An elevated heart rate of 110 beats per minute may indicate
pain, hypovolemia, or infection and should be investigated further, making
it the most concerning finding among those listed.
• A nurse is caring for a client with heart failure who is experiencing dyspnea.
Which position should the nurse encourage the client to assume for optimal
comfort?
• A. Supine
• B. Trendelenburg
• C. High Fowler’s
• D. Lateral recumbent
Answer: C.
• Rationale: The High Fowler's position helps to alleviate dyspnea by
allowing for maximum lung expansion and improved oxygenation.
• A nurse is providing education to a client about managing
hypertension. Which statement by the client indicates a need for further
education?
• A. "I will limit my alcohol intake."
• B. "I can continue to eat salty snacks as long as I take my medication."
• C. "I will monitor my blood pressure regularly."
• D. "I will follow a heart-healthy diet."
Answer: B.
• Rationale: While medications are important, managing dietary sodium
intake is crucial for controlling hypertension. Clients should not rely
solely on medications if they continue consuming high-sodium foods.
• The nurse is assessing a client with a history of peptic ulcer disease.
Which symptom should the nurse report immediately?
• A. Occasional heartburn
• B. Black, tarry stools
• C. Mild abdominal discomfort
• D. Nausea and loss of appetite
