NGN NCLEX PN FINAL EXAM 2024/2025 QUESTIONS AND
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
The nurse is teaching a group of client-care attendants about infection-
control measures. The nurse tells the group that the first line of intervention
for preventing the spread of infection is: - ANSWER Washing hands
A nurse monitors members of the healthcare team for the use of
interventions to reduce the occurrence of methicillin-resistant
staphylococcus aureus (MRSA) and other nosocomial infections. Which
finding demonstrates to the nurse that the team members understand
infection control measures? - ANSWER Performing hand hygiene before
and after contact with every client
A nurse is providing care to a client after surgery. The nurse must practice
surgical asepsis when performing which procedure? - ANSWER Insertion
of an indwelling urinary catheter
Which nursing action is appropriate when performing wound care for a
client who has a diabetic foot ulcer? - ANSWER Change the sterile field
after sterile water is spilled on it
After completing a course on infection control, a licensed practical nurse
(LPN) demonstrates knowledge of the use of standard precautions based
on which statement? - ANSWER Standard precautions are mandatory for
use with all client care.
A nurse implements standard precautions when caring for a client. Which
action best demonstrates proper use of these precautions? - ANSWER
Performing hand hygiene immediately after removing gloves
A nurse is implementing standard precautions when caring for all assigned
clients, regardless of their diagnosis or infection status. The nurse
demonstrates adherence to the guidelines for standard precautions by
which action? - ANSWER disposing of sharps into a puncture-resistant
container
The nurse is aware that Standard Precautions represent the first tier of
Centers for Disease Control guidelines for isolation precautions. Which is
,the nurse's primary responsibility when following Standard Precautions? -
ANSWER Consider all body substances potentially infectious
The nurse educator is presenting information about Standard Precautions
to a group of newly hired nurses. Hand hygiene is a necessity in Standard
Precautions. Which true statement about hand washing would the educator
include in her teachings? - ANSWER Frequent hand washing reduces
transmission of pathogens from one client to another.
Which procedure performed by the nurse will require the use of sterile
technique? - ANSWER inserting an indwelling urinary catheter
The health care provider orders contact precautions for a client with a
draining wound. Which action should the nurse take to initiate these
precautions? - ANSWER place an isolation cart containing gloves and
gowns outside the client's room.
A nurse is reviewing infection-control measures with a group of unlicensed
assistive personnel (UAP). Which statement made by one of the group
members indicates learning goals have been met? - ANSWER Standard
precautions should be used when performing client care.
A certified nursing assistant (CNA) is caring for a client with Clostridium
difficile diarrhea and asks the nurse, "How can I keep from catching this
from the client?" The nurse reminds the CNA to wash her hands and to
ensure that the client is placed: - ANSWER on contact isolation
A nurse is changing a client's dressing and providing wound care. Which
activity should the nurse perform first? - ANSWER wash hands thoroughly
A client is admitted to the health care facility with active tuberculosis (TB).
The nurse should include which intervention in the plan of care? -
ANSWER Putting on an individually fitted N95 respiratory or high-efficiency
particulate air (HEPA) respirator when entering the client's room
A nurse must obtain the blood pressure of a client in airborne isolation.
Which method is best to prevent transmission of infection to other clients by
the equipment? - ANSWER Leave the equipment in the room for use only
with that client
,The nurse is teaching a group of unlicensed assistive personnel (UAP)
about standard precautions. What information should the nurse include that
best describes standard precautions? Select all that apply. - ANSWER
>Wear gloves when there is the potential for contact with a clientj's body
fluid; >Wear gloves, a face shield, and a gown when contact with body
fluids is possible
The nurse preceptor is discussing Standard Precautions with a graduate
nurse. The preceptor should include which measures when discussing
Standard Precautions? Select all that apply. - ANSWER >wear gloves
when administering intramuscular (IM) medication
>wash hands after removal of gloves
The physician orders contact precautions for a client with a draining wound.
Which action should the nurse take to initiate these precautions? -
ANSWER Place an isolation cart containing gloves and gowns outside the
client's room.
A nurse is working at a local emergency department. A nearby building
explosion has occurred, and many of the victims involved are being brought
to the facility. Which client would the nurse expect to be triaged first? -
ANSWER a 62-year-old with tachypnea
The nurse complies with a client's request to administer his medication at 9
p.m. instead of 10 p.m. so he can go to sleep earlier. Which type of nursing
intervention is the nurse utilizing? - ANSWER independent
The charge nurse is making client care assignments. Which client is most
appropriate for a licensed practical nurse? - ANSWER A stable 6-month-old
infant with pneumonia
A clinical pathway is guiding care for a postpartum client who had an
uncomplicated vaginal delivery of an 8-lb, 2-oz (3,686-g) baby 24 hours
ago. The client has no episiotomy and is bottle-feeding her baby. Which
outcome should be achieved within the next 8 hours? - ANSWER Client will
demonstrate ability to bottle-feed the neonate.
A 33-year-old client who tested positive for the human immunodeficiency
virus (HIV) is admitted to the medical unit with pancreatitis. A nurse director
from another unit comes into the medical unit nurses' station and begins
, reading the client's chart. The staff nurse questions the director, who says
that the client is her neighbor's son. What should the nurse do to protect
the client's right to privacy? - ANSWER Inform the nurse director that she's
violating the client's right to privacy and ask her to return the chart.
Hyperbaric oxygen therapy increases the blood's capacity to carry and
deliver oxygen to compromised tissues. Which condition would benefit from
hyperbaric oxygen therapy? - ANSWER compromised skin graft
After a physician explains the risks and benefits of a clinical trial to a client,
the client agrees to participate. Later that day, the client requests
clarification of the process involved in the clinical trial. As a member of the
multidisciplinary team, how should the nurse respond? - ANSWER Provide
the information requested
A 75-year-old client who was admitted to the hospital with a stroke informs
the nurse that he doesn't want to be kept alive with machines. He wants to
make sure that everyone knows his wishes. Which action should the nurse
take? - ANSWER Make arrangements for the client to receive information
about advance directives
After undergoing a right lower lobectomy for treatment of lung cancer, a 75-
year-old client returns to his room with a chest tube in place. Several hours
later a nurse finds the client out of bed barely able to speak, with the chest
tube removed. Which action should the nurse take immediately? -
ANSWER Cover the insertion site with an occlusive dressing, call for
assistance, and remain with the client.
A client with end-stage pulmonary hypertension tells his physician that he
doesn't want any heroic measures should his heart stop and that he doesn't
want to be placed on a ventilator. The physician enters a do-not-resuscitate
order into the hospital's computer system. Which ethical principle is a nurse
upholding by supporting the client's decision? - ANSWER Autonomy
A nurse is working with the team to develop a neonate's plan of care.
Which action would be the highest priority in regulating the neonate's
temperature? - ANSWER Block sources of radiant, convective, conductive,
and evaporative losses.
VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++
The nurse is teaching a group of client-care attendants about infection-
control measures. The nurse tells the group that the first line of intervention
for preventing the spread of infection is: - ANSWER Washing hands
A nurse monitors members of the healthcare team for the use of
interventions to reduce the occurrence of methicillin-resistant
staphylococcus aureus (MRSA) and other nosocomial infections. Which
finding demonstrates to the nurse that the team members understand
infection control measures? - ANSWER Performing hand hygiene before
and after contact with every client
A nurse is providing care to a client after surgery. The nurse must practice
surgical asepsis when performing which procedure? - ANSWER Insertion
of an indwelling urinary catheter
Which nursing action is appropriate when performing wound care for a
client who has a diabetic foot ulcer? - ANSWER Change the sterile field
after sterile water is spilled on it
After completing a course on infection control, a licensed practical nurse
(LPN) demonstrates knowledge of the use of standard precautions based
on which statement? - ANSWER Standard precautions are mandatory for
use with all client care.
A nurse implements standard precautions when caring for a client. Which
action best demonstrates proper use of these precautions? - ANSWER
Performing hand hygiene immediately after removing gloves
A nurse is implementing standard precautions when caring for all assigned
clients, regardless of their diagnosis or infection status. The nurse
demonstrates adherence to the guidelines for standard precautions by
which action? - ANSWER disposing of sharps into a puncture-resistant
container
The nurse is aware that Standard Precautions represent the first tier of
Centers for Disease Control guidelines for isolation precautions. Which is
,the nurse's primary responsibility when following Standard Precautions? -
ANSWER Consider all body substances potentially infectious
The nurse educator is presenting information about Standard Precautions
to a group of newly hired nurses. Hand hygiene is a necessity in Standard
Precautions. Which true statement about hand washing would the educator
include in her teachings? - ANSWER Frequent hand washing reduces
transmission of pathogens from one client to another.
Which procedure performed by the nurse will require the use of sterile
technique? - ANSWER inserting an indwelling urinary catheter
The health care provider orders contact precautions for a client with a
draining wound. Which action should the nurse take to initiate these
precautions? - ANSWER place an isolation cart containing gloves and
gowns outside the client's room.
A nurse is reviewing infection-control measures with a group of unlicensed
assistive personnel (UAP). Which statement made by one of the group
members indicates learning goals have been met? - ANSWER Standard
precautions should be used when performing client care.
A certified nursing assistant (CNA) is caring for a client with Clostridium
difficile diarrhea and asks the nurse, "How can I keep from catching this
from the client?" The nurse reminds the CNA to wash her hands and to
ensure that the client is placed: - ANSWER on contact isolation
A nurse is changing a client's dressing and providing wound care. Which
activity should the nurse perform first? - ANSWER wash hands thoroughly
A client is admitted to the health care facility with active tuberculosis (TB).
The nurse should include which intervention in the plan of care? -
ANSWER Putting on an individually fitted N95 respiratory or high-efficiency
particulate air (HEPA) respirator when entering the client's room
A nurse must obtain the blood pressure of a client in airborne isolation.
Which method is best to prevent transmission of infection to other clients by
the equipment? - ANSWER Leave the equipment in the room for use only
with that client
,The nurse is teaching a group of unlicensed assistive personnel (UAP)
about standard precautions. What information should the nurse include that
best describes standard precautions? Select all that apply. - ANSWER
>Wear gloves when there is the potential for contact with a clientj's body
fluid; >Wear gloves, a face shield, and a gown when contact with body
fluids is possible
The nurse preceptor is discussing Standard Precautions with a graduate
nurse. The preceptor should include which measures when discussing
Standard Precautions? Select all that apply. - ANSWER >wear gloves
when administering intramuscular (IM) medication
>wash hands after removal of gloves
The physician orders contact precautions for a client with a draining wound.
Which action should the nurse take to initiate these precautions? -
ANSWER Place an isolation cart containing gloves and gowns outside the
client's room.
A nurse is working at a local emergency department. A nearby building
explosion has occurred, and many of the victims involved are being brought
to the facility. Which client would the nurse expect to be triaged first? -
ANSWER a 62-year-old with tachypnea
The nurse complies with a client's request to administer his medication at 9
p.m. instead of 10 p.m. so he can go to sleep earlier. Which type of nursing
intervention is the nurse utilizing? - ANSWER independent
The charge nurse is making client care assignments. Which client is most
appropriate for a licensed practical nurse? - ANSWER A stable 6-month-old
infant with pneumonia
A clinical pathway is guiding care for a postpartum client who had an
uncomplicated vaginal delivery of an 8-lb, 2-oz (3,686-g) baby 24 hours
ago. The client has no episiotomy and is bottle-feeding her baby. Which
outcome should be achieved within the next 8 hours? - ANSWER Client will
demonstrate ability to bottle-feed the neonate.
A 33-year-old client who tested positive for the human immunodeficiency
virus (HIV) is admitted to the medical unit with pancreatitis. A nurse director
from another unit comes into the medical unit nurses' station and begins
, reading the client's chart. The staff nurse questions the director, who says
that the client is her neighbor's son. What should the nurse do to protect
the client's right to privacy? - ANSWER Inform the nurse director that she's
violating the client's right to privacy and ask her to return the chart.
Hyperbaric oxygen therapy increases the blood's capacity to carry and
deliver oxygen to compromised tissues. Which condition would benefit from
hyperbaric oxygen therapy? - ANSWER compromised skin graft
After a physician explains the risks and benefits of a clinical trial to a client,
the client agrees to participate. Later that day, the client requests
clarification of the process involved in the clinical trial. As a member of the
multidisciplinary team, how should the nurse respond? - ANSWER Provide
the information requested
A 75-year-old client who was admitted to the hospital with a stroke informs
the nurse that he doesn't want to be kept alive with machines. He wants to
make sure that everyone knows his wishes. Which action should the nurse
take? - ANSWER Make arrangements for the client to receive information
about advance directives
After undergoing a right lower lobectomy for treatment of lung cancer, a 75-
year-old client returns to his room with a chest tube in place. Several hours
later a nurse finds the client out of bed barely able to speak, with the chest
tube removed. Which action should the nurse take immediately? -
ANSWER Cover the insertion site with an occlusive dressing, call for
assistance, and remain with the client.
A client with end-stage pulmonary hypertension tells his physician that he
doesn't want any heroic measures should his heart stop and that he doesn't
want to be placed on a ventilator. The physician enters a do-not-resuscitate
order into the hospital's computer system. Which ethical principle is a nurse
upholding by supporting the client's decision? - ANSWER Autonomy
A nurse is working with the team to develop a neonate's plan of care.
Which action would be the highest priority in regulating the neonate's
temperature? - ANSWER Block sources of radiant, convective, conductive,
and evaporative losses.
