1|Page
NGN NCLEX PN ACTUAL EXAM BUNDLED EXAMS
NEWEST 2025 WITH NGN /PN NCLEX ACTUAL
EXAM (NEXT GENERATION) COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
You are caring for a 14-month-old diagnosed with
severe iron deficiency anemia. She is admitted for a
blood transfusion and is started on oral iron
supplementation. When you change her diaper, you note
a dark black stool. What are the appropriate nursing
actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed -
.....ANSWER ...✔✔ Choices B, C, and D are correct.
B is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to document this finding in the chart, but no
further action is needed.
,2|Page
C is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to continue with your assessment. Since the
finding is expected, no other steps are necessary.
D is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to administer the oral iron supplement as
prescribed.
Choice A is incorrect. Black stools are an expected
response to iron supplementation. The nurse doesn't
need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity,
Subtopic: Pharmacological therapies, Pediatrics
Hematology
The nurse is re-educating on discharge instructions to
a patient who has chronic diabetes insipidus (DI). Which
of the following patient statements would indicate a
correct understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every
day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." -
.....ANSWER ...✔✔ Choice B is correct.
,3|Page
A patient with chronic diabetes insipidus (DI) is
instructed to weigh themselves daily. This weight
should be taken with the same scale and obtained after
the first-morning void.
Choices A, C, and D are incorrect. Fluid restrictions
would be appropriate for a patient with syndrome of
inappropriate antidiuretic hormone (SIADH). This would
not be appropriate for DI as the patient will need to
consume more fluids to replace those that are lost.
Salty snacks are not encouraged because this may
hasten the hypernatremia associated with this disease.
Logging intake and output are not useful because this
provides a crude way of assessing fluid status.
This nurse is caring for a patient who is receiving
prescribed ketorolac. Which of the following findings
would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - .....ANSWER ...✔✔
Choices A and D are correct
, 4|Page
Ketorolac is a medication used to treat pain and
pyrexia. A patient exhibiting a decrease in pain and
having a decrease in temperature would be a
therapeutic response.
Choices B, C, and E are incorrect. Ketorolac does not
therapeutically lower blood pressure, increase urinary
output, or increase muscle coordination. Medications
that could be used to lower blood pressure would be
agents such as lisinopril, atenolol, etc. Agents used to
increase urinary output would be diuretics such as
furosemide. The improvement in muscle coordination
may be achieved by medications such as levodopa-
carbidopa.
Which of the following falls under the right time of the 8
rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the
medication dosage.
B. Double-check the last time that the medication was
administered.
C. Verify the frequency with which the medication is
ordered.
D. Document the pertinent vital signs. - .....ANSWER
...✔✔ Choices B and C are correct.
NGN NCLEX PN ACTUAL EXAM BUNDLED EXAMS
NEWEST 2025 WITH NGN /PN NCLEX ACTUAL
EXAM (NEXT GENERATION) COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
You are caring for a 14-month-old diagnosed with
severe iron deficiency anemia. She is admitted for a
blood transfusion and is started on oral iron
supplementation. When you change her diaper, you note
a dark black stool. What are the appropriate nursing
actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed -
.....ANSWER ...✔✔ Choices B, C, and D are correct.
B is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to document this finding in the chart, but no
further action is needed.
,2|Page
C is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to continue with your assessment. Since the
finding is expected, no other steps are necessary.
D is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing
action to administer the oral iron supplement as
prescribed.
Choice A is incorrect. Black stools are an expected
response to iron supplementation. The nurse doesn't
need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity,
Subtopic: Pharmacological therapies, Pediatrics
Hematology
The nurse is re-educating on discharge instructions to
a patient who has chronic diabetes insipidus (DI). Which
of the following patient statements would indicate a
correct understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every
day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." -
.....ANSWER ...✔✔ Choice B is correct.
,3|Page
A patient with chronic diabetes insipidus (DI) is
instructed to weigh themselves daily. This weight
should be taken with the same scale and obtained after
the first-morning void.
Choices A, C, and D are incorrect. Fluid restrictions
would be appropriate for a patient with syndrome of
inappropriate antidiuretic hormone (SIADH). This would
not be appropriate for DI as the patient will need to
consume more fluids to replace those that are lost.
Salty snacks are not encouraged because this may
hasten the hypernatremia associated with this disease.
Logging intake and output are not useful because this
provides a crude way of assessing fluid status.
This nurse is caring for a patient who is receiving
prescribed ketorolac. Which of the following findings
would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - .....ANSWER ...✔✔
Choices A and D are correct
, 4|Page
Ketorolac is a medication used to treat pain and
pyrexia. A patient exhibiting a decrease in pain and
having a decrease in temperature would be a
therapeutic response.
Choices B, C, and E are incorrect. Ketorolac does not
therapeutically lower blood pressure, increase urinary
output, or increase muscle coordination. Medications
that could be used to lower blood pressure would be
agents such as lisinopril, atenolol, etc. Agents used to
increase urinary output would be diuretics such as
furosemide. The improvement in muscle coordination
may be achieved by medications such as levodopa-
carbidopa.
Which of the following falls under the right time of the 8
rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the
medication dosage.
B. Double-check the last time that the medication was
administered.
C. Verify the frequency with which the medication is
ordered.
D. Document the pertinent vital signs. - .....ANSWER
...✔✔ Choices B and C are correct.
