EXAM 2026 (NGN-STYLE QUESTIONS &
CASE SCENARIOS) – ACTUAL QS & ANS
WITH RATIONALES – INSTANT
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Can an RN delegate to the LPN to provide tracheostomy care
to a client with pneumonia? - CORRECT ANSWER -Yes.
An RN is making assignments for client care to a LPN at the
beginning of the shift. Which of the following assignments
should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive
spirometer
B. Collecting a clean-catch urine specimen from a client who
was admitted on the previous shift
,C. Providing nasopharyngeal suctioning for a client who has
pneumonia
D. Replacing the cartridge and tubing on a PCA pump -
CORRECT ANSWER -D. Replacing the cartridge and
tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
An RN is making assignments for client care to a LPN at the
beginning of the shift. Which of the following assignments
should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive
spirometer
B. Collecting a clean-catch urine specimen from a client who
was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has
pneumonia
,D. Replacing the cartridge and tubing on a PCA pump -
CORRECT ANSWER -D. Replacing the cartridge and
tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse on a med-surg unit has received change-of-shift report
& will care for 4 clients. Which of the following client's needs
may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
, D. Applying a sterile dressing to a pressure ulcer - CORRECT
ANSWER -C. Reapplying a condom catheter for a client
who has urinary incontinence
Rationale: The application of a condom catheter is a
noninvasive, routine procedure that the nurse may delegate to
the AP
A nurse on a med-surg unit has received change-of-shift report
& will care for 4 clients. Which of the following client's needs
may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane