CASE STUDY NGN EXAM QUESTIONS
WITH 100% CORRECT ANSWERS |
LATEST VERSION 2025/2026.
Client presented with enlarged lymph node and was treated with antibiotics. Lymph nodes did
not resolve and more developed. Client is owner of a lawn spraying business he started.
Significant physical exam findings include lymphadenopathy and splenomegaly. History of
chicken pox. No known allergies to food or medication. - ANS
Admitted 62-year-old male to the medical-surgical (MS) floor. Client presents with large,
painless lymph nodes in the neck, collar bone, and groin. He has been waking up at night
drenched in sweat. Skin is warm and pale. Client is alert and oriented to person, place, time,
and situation. Heart tones are regular with no murmur. Lungs are clear to auscultation.
Abdomen is soft with active bowel sounds. Capillary refill is brisk in extremities. No tingling or
numbness is present. He states that he doesn't know why he has lost weight since he is not
dieting. Client states he becomes fatigued as the day progresses.
1010:
Healthcare provider making rounds. - ANS
The LPN analyzes the assessment findings to determine care priorities.
Choose the most likely options for the information missing from the statement by selecting
from the lists of options provided.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, The highest priority need is the -------
due to --------
. - ANS weakened immune system, overgrowth of lymphocytes
Rationale:
The highest priority need is the weakened immune system due to overgrowth of lymphocytes.
The client has malignant lymphoma (Hodgkin or non-Hodgkin), which affects mature white
blood cells (WBC), weakening the immune system. Lymphoma affects lymphocytes by
increasing production. Even though lymphoma can cause weight loss, progressive fatigue, and
tachycardia, these findings are not the priority needs. A weakened immune system can cause
more harm and more severe effects than weight loss, fatigue, or tachycardia.
Excessive production of blast cells occurs in leukemia, not lymphoma. Lack of erythrocytes
occurs in anemia, not lymphoma. Reduction of platelets occurs in thrombocytopenia, not
lymphoma.
The LPN alongside RN are making rounds with the healthcare provider to discuss whether the
client has Hodgkin or non-Hodgkin lymphoma.
For each potential order, click to indicate whether the order is anticipated or not indicated.
Each row must have only 1 response option selected.
Potential Orders: Choose Anticipated or Not Indicated
Biopsy
Shingles vaccine
Complete blood count (CBC)
Computed tomography (CT) scan
Serum lactate dehydrogenase (LDH)
Troponin level - ANS Anticipated: biopsy, CBC, CT, LDH
Rationale:
Anticipated orders include biopsy, complete blood count (CBC), computed tomography (CT)
scan, and serum lactate dehydrogenase (LDH). A biopsy is needed to confirm a diagnosis
because Hodgkin and non-Hodgkin lymphoma cannot be diagnosed from just physical findings.
A CBC is needed to provide a baseline level for lymphocytes, erythrocytes, and platelets. A CT
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
WITH 100% CORRECT ANSWERS |
LATEST VERSION 2025/2026.
Client presented with enlarged lymph node and was treated with antibiotics. Lymph nodes did
not resolve and more developed. Client is owner of a lawn spraying business he started.
Significant physical exam findings include lymphadenopathy and splenomegaly. History of
chicken pox. No known allergies to food or medication. - ANS
Admitted 62-year-old male to the medical-surgical (MS) floor. Client presents with large,
painless lymph nodes in the neck, collar bone, and groin. He has been waking up at night
drenched in sweat. Skin is warm and pale. Client is alert and oriented to person, place, time,
and situation. Heart tones are regular with no murmur. Lungs are clear to auscultation.
Abdomen is soft with active bowel sounds. Capillary refill is brisk in extremities. No tingling or
numbness is present. He states that he doesn't know why he has lost weight since he is not
dieting. Client states he becomes fatigued as the day progresses.
1010:
Healthcare provider making rounds. - ANS
The LPN analyzes the assessment findings to determine care priorities.
Choose the most likely options for the information missing from the statement by selecting
from the lists of options provided.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, The highest priority need is the -------
due to --------
. - ANS weakened immune system, overgrowth of lymphocytes
Rationale:
The highest priority need is the weakened immune system due to overgrowth of lymphocytes.
The client has malignant lymphoma (Hodgkin or non-Hodgkin), which affects mature white
blood cells (WBC), weakening the immune system. Lymphoma affects lymphocytes by
increasing production. Even though lymphoma can cause weight loss, progressive fatigue, and
tachycardia, these findings are not the priority needs. A weakened immune system can cause
more harm and more severe effects than weight loss, fatigue, or tachycardia.
Excessive production of blast cells occurs in leukemia, not lymphoma. Lack of erythrocytes
occurs in anemia, not lymphoma. Reduction of platelets occurs in thrombocytopenia, not
lymphoma.
The LPN alongside RN are making rounds with the healthcare provider to discuss whether the
client has Hodgkin or non-Hodgkin lymphoma.
For each potential order, click to indicate whether the order is anticipated or not indicated.
Each row must have only 1 response option selected.
Potential Orders: Choose Anticipated or Not Indicated
Biopsy
Shingles vaccine
Complete blood count (CBC)
Computed tomography (CT) scan
Serum lactate dehydrogenase (LDH)
Troponin level - ANS Anticipated: biopsy, CBC, CT, LDH
Rationale:
Anticipated orders include biopsy, complete blood count (CBC), computed tomography (CT)
scan, and serum lactate dehydrogenase (LDH). A biopsy is needed to confirm a diagnosis
because Hodgkin and non-Hodgkin lymphoma cannot be diagnosed from just physical findings.
A CBC is needed to provide a baseline level for lymphocytes, erythrocytes, and platelets. A CT
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
