NGN - NCLEX PN EXAM 2026 TEST
BANK| NCLEX PN -NGN EXAM WITH
AND CORRECT DETAILED ANSWERS
GRADED+
1. (Prioritization)
A nurse enters a room and finds four clients with the following conditions.
Which client requires immediate intervention?
A. Client with emphysema and clubbing of fingernails (chronic finding)
B. Client with a closed head injury whose headache worsens with coughing
C. Client with COPD using pursed-lip breathing techniques
D. Client with pneumonia expectorating yellow sputum
Correct Answer & Rationale: B. A headache that worsens with coughing
or straining suggests increased intracranial pressure (ICP). This is a
neurological emergency requiring immediate assessment and intervention
to prevent brain herniation. The other findings are either chronic or
expected .
2. (Management of Care - Delegation)
A charge nurse on a medical-surgical unit is assigning client care. Which
client should be assigned to the RN?
A. A client with a new colostomy requiring stoma care education
B. A client with stable COPD needing a scheduled inhaler
C. A client with a UTI receiving IV antibiotics
D. A client with a stage 2 pressure injury requiring a dressing change
Correct Answer & Rationale: A. Clients requiring initial education or
unstable conditions need RN-level assessment and teaching. The new
colostomy client requires comprehensive teaching, which is beyond the
LPN scope. Options B, C, and D involve stable or routine tasks that can be
delegated to an LPN or UAP with appropriate supervision .
, 3. (SATA - Select All That Apply)
A nurse is educating staff about client confidentiality. Which statements
should be included? (Select all that apply)
☐ A. The client is the sole owner of the client's medical record
☐ B. Unneeded computer-generated worksheets must be shredded
☐ C. Personal computer passwords may be shared with charge nurses only
☐ D. Keep your voice low during client interactions
☐ E. Nurses can discuss client cases in the elevator if names aren't used
Correct Answers & Rationale: A, B, D.
A is correct: Clients have ownership rights to their medical records and
health information.
B is correct: Proper disposal of documents containing PHI (Protected
Health Information) is required by HIPAA.
C is incorrect: Passwords must NEVER be shared with anyone, regardless of
position.
D is correct: Maintaining low voices prevents unintentional disclosure of
confidential information.
E is incorrect: Discussing cases, even without names, in public areas like
elevators is a breach of confidentiality .
4. (NGN Case Study: Bowel Elimination)
A client with a new colostomy reports skin irritation around the stoma and
asks about pouch management.
Which statements by the client indicate correct understanding? (Select all
that apply)
☐ A. "I should avoid emptying the pouch more than 2 times a day to
prevent loosening the seal"
☐ B. "I can expect to have mucus in my urine"
☐ C. "I should notify my provider if I develop fever or redness at the
incision"
☐ D. "I may feel a burning sensation around the stoma until healing is
complete"
☐ E. "Swimming is not an option for me anymore"
Correct Answers & Rationale: C, D.
, A is incorrect: The pouch should be emptied when 1/3 to 1/2 full to
prevent leakage.
B is incorrect: Mucus in urine is expected with an ileal conduit (urinary
diversion), not a colostomy.
C is correct: Fever, redness, and drainage indicate possible infection and
require provider notification.
D is correct: Mild burning/irritation is normal during initial healing.
E is incorrect: Clients with ostomies can swim; special pouch covers are
available .
5. (Pharmacology)
A client is prescribed alendronate for osteoporosis. Which statement
indicates correct understanding of the teaching?
A. "I can take this medication with my morning coffee"
B. "I must sit upright for 30 minutes after taking the medication"
C. "I should take this medication at bedtime with a snack"
D. "It's okay to lie down immediately after taking this pill"
Correct Answer & Rationale: B. Alendronate is a bisphosphonate that can
cause severe esophageal irritation if not taken properly. It must be taken
with a full glass of plain water (not coffee, juice, or food), and the client
must remain upright (sitting or standing) for at least 30 minutes .
6. (SATA)
A nurse is preparing a client for an arterial blood gas (ABG) draw from the
radial artery. Which actions are appropriate? (Select all that apply)
☐ A. Perform the Allen test before the procedure
☐ B. Apply a tourniquet to the upper arm
☐ C. Apply pressure to the site for 5-10 minutes after the draw
☐ D. Check collateral circulation to the hand
☐ E. Have the client make a fist repeatedly during the procedure
Correct Answers & Rationale: A, C, D.
A & D are correct: The Allen test assesses ulnar artery collateral
circulation—essential before radial artery puncture to prevent hand
ischemia if the radial artery is damaged.
, B is incorrect: Tourniquets are not used for arterial draws.
C is correct: Extended pressure is needed because arterial pressure is
higher than venous.
E is incorrect: This is not part of ABG collection technique .
7. (Nutrition)
The LPN/LVN is reinforcing teaching for a client on a low-sodium diet.
Which meal choice indicates that the client understands the teaching?
A. Ham sandwich with lettuce and tomato
B. Grilled chicken breast with herbs and steamed vegetables
C. Canned vegetable soup with saltine crackers
D. Cheeseburger with french fries
Correct Answer & Rationale: B. Ham, canned soups, and processed foods
like cheeseburgers are high in sodium. Grilled chicken with herbs and fresh
or steamed vegetables without added salt is the best choice .
8. (NGN Case Study: Client with Heart Failure)
A client is being treated for heart failure with diuretic therapy. Which
finding best indicates to the LPN/LVN that the client's condition is
improving?
A. The client's weight has remained stable since admission.
B. The client's systolic blood pressure has decreased.
C. There are fewer crackles heard when auscultating the client's lungs.
D. The client's urinary output is 1,500 mL per day.
Correct Answer & Rationale: C. Fewer crackles (pulmonary edema)
indicate that fluid is being removed from the lungs and the heart failure is
improving. While a stable weight and good urine output are positive, they
do not specifically indicate improvement in heart failure as directly as clear
lung sounds .
9. (Medical/Surgical: Stroke)
The LPN/LVN is caring for a client diagnosed with a right-sided stroke with
dysphagia. Which action by the LPN/LVN reflects appropriate care for the
client? (Select all that apply.)
☐ 1. The LPN/LVN assesses the client's ability to swallow.
BANK| NCLEX PN -NGN EXAM WITH
AND CORRECT DETAILED ANSWERS
GRADED+
1. (Prioritization)
A nurse enters a room and finds four clients with the following conditions.
Which client requires immediate intervention?
A. Client with emphysema and clubbing of fingernails (chronic finding)
B. Client with a closed head injury whose headache worsens with coughing
C. Client with COPD using pursed-lip breathing techniques
D. Client with pneumonia expectorating yellow sputum
Correct Answer & Rationale: B. A headache that worsens with coughing
or straining suggests increased intracranial pressure (ICP). This is a
neurological emergency requiring immediate assessment and intervention
to prevent brain herniation. The other findings are either chronic or
expected .
2. (Management of Care - Delegation)
A charge nurse on a medical-surgical unit is assigning client care. Which
client should be assigned to the RN?
A. A client with a new colostomy requiring stoma care education
B. A client with stable COPD needing a scheduled inhaler
C. A client with a UTI receiving IV antibiotics
D. A client with a stage 2 pressure injury requiring a dressing change
Correct Answer & Rationale: A. Clients requiring initial education or
unstable conditions need RN-level assessment and teaching. The new
colostomy client requires comprehensive teaching, which is beyond the
LPN scope. Options B, C, and D involve stable or routine tasks that can be
delegated to an LPN or UAP with appropriate supervision .
, 3. (SATA - Select All That Apply)
A nurse is educating staff about client confidentiality. Which statements
should be included? (Select all that apply)
☐ A. The client is the sole owner of the client's medical record
☐ B. Unneeded computer-generated worksheets must be shredded
☐ C. Personal computer passwords may be shared with charge nurses only
☐ D. Keep your voice low during client interactions
☐ E. Nurses can discuss client cases in the elevator if names aren't used
Correct Answers & Rationale: A, B, D.
A is correct: Clients have ownership rights to their medical records and
health information.
B is correct: Proper disposal of documents containing PHI (Protected
Health Information) is required by HIPAA.
C is incorrect: Passwords must NEVER be shared with anyone, regardless of
position.
D is correct: Maintaining low voices prevents unintentional disclosure of
confidential information.
E is incorrect: Discussing cases, even without names, in public areas like
elevators is a breach of confidentiality .
4. (NGN Case Study: Bowel Elimination)
A client with a new colostomy reports skin irritation around the stoma and
asks about pouch management.
Which statements by the client indicate correct understanding? (Select all
that apply)
☐ A. "I should avoid emptying the pouch more than 2 times a day to
prevent loosening the seal"
☐ B. "I can expect to have mucus in my urine"
☐ C. "I should notify my provider if I develop fever or redness at the
incision"
☐ D. "I may feel a burning sensation around the stoma until healing is
complete"
☐ E. "Swimming is not an option for me anymore"
Correct Answers & Rationale: C, D.
, A is incorrect: The pouch should be emptied when 1/3 to 1/2 full to
prevent leakage.
B is incorrect: Mucus in urine is expected with an ileal conduit (urinary
diversion), not a colostomy.
C is correct: Fever, redness, and drainage indicate possible infection and
require provider notification.
D is correct: Mild burning/irritation is normal during initial healing.
E is incorrect: Clients with ostomies can swim; special pouch covers are
available .
5. (Pharmacology)
A client is prescribed alendronate for osteoporosis. Which statement
indicates correct understanding of the teaching?
A. "I can take this medication with my morning coffee"
B. "I must sit upright for 30 minutes after taking the medication"
C. "I should take this medication at bedtime with a snack"
D. "It's okay to lie down immediately after taking this pill"
Correct Answer & Rationale: B. Alendronate is a bisphosphonate that can
cause severe esophageal irritation if not taken properly. It must be taken
with a full glass of plain water (not coffee, juice, or food), and the client
must remain upright (sitting or standing) for at least 30 minutes .
6. (SATA)
A nurse is preparing a client for an arterial blood gas (ABG) draw from the
radial artery. Which actions are appropriate? (Select all that apply)
☐ A. Perform the Allen test before the procedure
☐ B. Apply a tourniquet to the upper arm
☐ C. Apply pressure to the site for 5-10 minutes after the draw
☐ D. Check collateral circulation to the hand
☐ E. Have the client make a fist repeatedly during the procedure
Correct Answers & Rationale: A, C, D.
A & D are correct: The Allen test assesses ulnar artery collateral
circulation—essential before radial artery puncture to prevent hand
ischemia if the radial artery is damaged.
, B is incorrect: Tourniquets are not used for arterial draws.
C is correct: Extended pressure is needed because arterial pressure is
higher than venous.
E is incorrect: This is not part of ABG collection technique .
7. (Nutrition)
The LPN/LVN is reinforcing teaching for a client on a low-sodium diet.
Which meal choice indicates that the client understands the teaching?
A. Ham sandwich with lettuce and tomato
B. Grilled chicken breast with herbs and steamed vegetables
C. Canned vegetable soup with saltine crackers
D. Cheeseburger with french fries
Correct Answer & Rationale: B. Ham, canned soups, and processed foods
like cheeseburgers are high in sodium. Grilled chicken with herbs and fresh
or steamed vegetables without added salt is the best choice .
8. (NGN Case Study: Client with Heart Failure)
A client is being treated for heart failure with diuretic therapy. Which
finding best indicates to the LPN/LVN that the client's condition is
improving?
A. The client's weight has remained stable since admission.
B. The client's systolic blood pressure has decreased.
C. There are fewer crackles heard when auscultating the client's lungs.
D. The client's urinary output is 1,500 mL per day.
Correct Answer & Rationale: C. Fewer crackles (pulmonary edema)
indicate that fluid is being removed from the lungs and the heart failure is
improving. While a stable weight and good urine output are positive, they
do not specifically indicate improvement in heart failure as directly as clear
lung sounds .
9. (Medical/Surgical: Stroke)
The LPN/LVN is caring for a client diagnosed with a right-sided stroke with
dysphagia. Which action by the LPN/LVN reflects appropriate care for the
client? (Select all that apply.)
☐ 1. The LPN/LVN assesses the client's ability to swallow.
