NGN - NCLEX PN EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| NCLEX PN -NGN EXAM WITH
COMPLETE 550 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
The nurse is working in the emergency room when a client arrives with
severe burns of the left arm, hands, face, and neck. which action should
receive priority?
A. starting an IV?
B. Applying oxygen
C. Obtaining blood gas
D. Medicating the client foe pain - Correct Answer - B. Applying
oxygen
The client with burns to the neck needs airway assessments and
supplemental oxygen, so applying oxygen is priority. the next action
should be to start an IV and medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client
has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications - Correct Answer - C. Take medication with water only
pg. 1
,Fosamax should be taken with water only. The client should also remain
upright for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and
Crutchfield thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - Correct Answer - B. A torque wrench
A torque wrench is kept at the bedside to tighten and loosen the screws
of Crutchfield tongs. This wrench controls the amount of pressure that is
placed on the screws.
An infant weighs 7 pounds at birth. The expected weight by 1 year
should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds - Correct Answer - D. 21 pounds
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple
his birth weight.
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might be a indicate a
serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
pg. 2
,C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter - Correct Answer - C. WBC
2,000 per cubic millimeter
Tegretol can suppress the bone marrow and decrease the white blood
cells count; thus, a lab value of WBC 2,000 per cubic millimeter
indicates side effects of the drug.
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
A. Teaching how to irrigate the ileostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage - Correct Answer - D.
Facilitating perineal wound drainage
The client with a perineal resection will have a perineal incision. Drains
will be used to facilitate wound drainage. This will help prevent
infection of the surgical site. The client will not have an ileostomy. as in
answer A he will have some electrolyte loss, but treatment is not focused
on preventing the loss, so answer B is incorrect A high fiber diet in
answer C is not ordered at this time.
The nurse is performing discharge teaching on a client with diverticulitis
who has been placed on low-roughage diet. Which food would have to
be eliminated from this client's diet?
A. Roasted Chicken
B. Noodles
C. Cooked Broccoli
pg. 3
, D. Custard - Correct Answer - C. Cooked Broccoli
The client with diverticulitis should avoid eating foods that are gas
forming and that increase abdominal discomfort, such as cooked
broccoli.
A removal of the left lower lobe of the lung is performed on a client with
lung cancer. Which post-operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage - Correct Answer - A. A closed
chest drainage
The client with a lung resection will have chest tubes and a drainage-
collection device. He probably will not have a tracheostomy or
mediastinal tube, and he will not have an order for percussion, vibration,
or drainage.
Six hours after birth, the infant is found to have an area of swelling over
the right parietal area that does not cross the suture line. The nurse
should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum - Correct Answer - A. A cephalohematoma
The swelling over the right parietal area is a cephalohematoma, an area
of bleeding outside the cranium. This type of hematoma does not cross
the suture line because it's outside the cranium but beneath the
periosteum.
pg. 4
TEST BANK| NCLEX PN -NGN EXAM WITH
COMPLETE 550 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
The nurse is working in the emergency room when a client arrives with
severe burns of the left arm, hands, face, and neck. which action should
receive priority?
A. starting an IV?
B. Applying oxygen
C. Obtaining blood gas
D. Medicating the client foe pain - Correct Answer - B. Applying
oxygen
The client with burns to the neck needs airway assessments and
supplemental oxygen, so applying oxygen is priority. the next action
should be to start an IV and medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client
has a new prescription for alendronate (Fosamax). Which instructions
should be given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications - Correct Answer - C. Take medication with water only
pg. 1
,Fosamax should be taken with water only. The client should also remain
upright for at least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and
Crutchfield thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver - Correct Answer - B. A torque wrench
A torque wrench is kept at the bedside to tighten and loosen the screws
of Crutchfield tongs. This wrench controls the amount of pressure that is
placed on the screws.
An infant weighs 7 pounds at birth. The expected weight by 1 year
should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds - Correct Answer - D. 21 pounds
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple
his birth weight.
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might be a indicate a
serious side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
pg. 2
,C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter - Correct Answer - C. WBC
2,000 per cubic millimeter
Tegretol can suppress the bone marrow and decrease the white blood
cells count; thus, a lab value of WBC 2,000 per cubic millimeter
indicates side effects of the drug.
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op
period?
A. Teaching how to irrigate the ileostomy
B. Stopping electrolytes loss in the incisional area
C. Encouraging a high fiber diet
D. Facilitating perineal wound drainage - Correct Answer - D.
Facilitating perineal wound drainage
The client with a perineal resection will have a perineal incision. Drains
will be used to facilitate wound drainage. This will help prevent
infection of the surgical site. The client will not have an ileostomy. as in
answer A he will have some electrolyte loss, but treatment is not focused
on preventing the loss, so answer B is incorrect A high fiber diet in
answer C is not ordered at this time.
The nurse is performing discharge teaching on a client with diverticulitis
who has been placed on low-roughage diet. Which food would have to
be eliminated from this client's diet?
A. Roasted Chicken
B. Noodles
C. Cooked Broccoli
pg. 3
, D. Custard - Correct Answer - C. Cooked Broccoli
The client with diverticulitis should avoid eating foods that are gas
forming and that increase abdominal discomfort, such as cooked
broccoli.
A removal of the left lower lobe of the lung is performed on a client with
lung cancer. Which post-operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage - Correct Answer - A. A closed
chest drainage
The client with a lung resection will have chest tubes and a drainage-
collection device. He probably will not have a tracheostomy or
mediastinal tube, and he will not have an order for percussion, vibration,
or drainage.
Six hours after birth, the infant is found to have an area of swelling over
the right parietal area that does not cross the suture line. The nurse
should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
D. Caput succedaneum - Correct Answer - A. A cephalohematoma
The swelling over the right parietal area is a cephalohematoma, an area
of bleeding outside the cranium. This type of hematoma does not cross
the suture line because it's outside the cranium but beneath the
periosteum.
pg. 4
