NGN NCLEX PN EXAM 2025/2026
NEWEST ACTUAL EXAM TEST
BANK COMPLETE 500 QUESTIONS
WITH DETAILED VERIFIED
ANSWERS AND RATIONALES
(VERSION A AND B)
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.
☐ 2. The LPN/LVN positions the client with the head of bed elevated 25 degrees.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the left side of the mouth.
☐ 5. The LPN/LVN turns off the television.
1. The LPN/LVN assesses the client's ability to swallow.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 5. The LPN/LVN turns off the television.
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.
☐ 2. The LPN/LVN positions the client with the head of bed elevated 25 degrees.
☑ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the left side of the mouth.
☑ 5. The LPN/LVN turns off the client's television.
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☑ 3. The LPN/LVN offers the client scrambled eggs.
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,☑ 5. The LPN/LVN turns off the client's television.
The LPN/LVN is caring for a client who has a primary health care provider order for strict intake and
output. The client drinks 12 oz of lemon-lime soda and 1/2 cup of grape juice between breakfast and
lunch, and voids 200 mL of urine. Calculate and record the client's oral intake in milliliters for this
period._____________________mL
One cup of fluid = 8 oz. Then convert ounces into milliliters. One ounce = 30 mL.
The client's intake is:
12 oz lemon-lime soda = 360 mL 1/2 cup grape juice = 4 oz = 120 mL
The LPN/LVN is caring for a client who has a primary health care provider order for strict intake and
output. The client drinks 12 oz of lemon-lime soda and 1/2 cup of grape juice between breakfast and
lunch, and voids 200 mL of urine. Calculate and record the client's oral intake in milliliters for this period.
To calculate the client's oral intake in milliliters (mL):
1. Convert ounces (oz) to milliliters (mL):
• 12 oz of lemon-lime soda → 12 × 30 mL = 360 mL
2. Convert cups to milliliters:
• 1/2 cup of grape juice → 0.5 × 240 mL = 120 mL
3. Total oral intake:
• 360 mL (soda) + 120 mL (grape juice) = 480 mL
So, the correct answer is:
480 mL
A client admitted to the hospital for treatment of active tuberculosis (TB). The LPN/LVN reinforces
teaching about TB. Which statement by the client indicates to the LPN/LVN that further teaching is
necessary?
1 "I will have to take medication for 6 months."
2 "I should cover my nose and mouth when coughing or sneezing."
3 "I will remain in isolation for at least 6 weeks."
4 "I will always have a positive skin test for TB."
3. I will remain in isolation for at least 6 weeks."
A client admitted to the hospital in premature labor has been treated successfully. The client is to
receive a regimen of betamethasone. Which statement by the client indicates to the LPN/LVN that the
client understands the teaching about the medication?
1 As long as I receive my medication, I won't deliver prematurely."
2 "It is important that I count the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heartbeat while on this medication."
4 "Bed rest is necessary in order for the medication to work properly."
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,2 "It is important that I count the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heartbeat while on this medication."
The LPN/LVN is explaining the procedure for clean-catch urine specimen collection for culture and
sensitivity to a male client. Which explanation by the LPN/LVN would be most
accurate?
1 "The urinary meatus is cleansed with an iodine solution and then a urinary drainage catheter is
inserted to obtain urine."
2 "You will be asked to empty your bladder one-half hour before the test; you will then be asked to void
into a container."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided into a
sterile container; the container must not touch the penis."
4 "You must void a few drops of urine, then stop; then void the remaining urine into a clean container,
which should be immediately covered."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided into a
sterile container; the container must not touch the penis."
The LPN/LVN is checking the morning's serum electrolyte results for a client. The LPN/LVN notes that the
client's sodium is 142 mEq/L (142 mmol/L), potassium is 4.4 mEq/L (4.4 mmol/L), and chloride is 102
mEq/L (102 mmol/L). Which should the nurse do first?
1 Encourage the client to drink additional fluids.
2 Notify the primary health care provider of electrolyte results.
3 Record electrolyte results in the client's medical record.
4 Withhold the client's potassium supplement
3 Record electrolyte results in the client's medical record.
A client reporting chest pressure is brought to the emergency department (ED). Vital signs include blood
pressure 150/90 mmHg, pulse 88 beats/minute, respirations 20 breaths/minute. The LPN/LVN
administers nitroglycerin 0.4 mg sublingually as ordered. After five minutes, the client's vital signs
include blood pressure 100/60 Hg, pulse 96 beats/minute, respirations 20 breaths/minute. Which action
should the LPN/LVN take next?
1 Notify the primary health care provider of hypotension.
2 Place the client in semi-Fowler position and administer oxygen at 4 L/ minute.
3 Administer a second dose of nitroglycerin 0.4 mg sublingually, as ordered.
4 Document vital signs and continue to monitor the client.
4 Document vital signs and continue to monitor the client.
A client with type 1 diabetes contacts the home care LPN/LVN to report nausea and abdominal pain.
What should the LPN/LVN advise the client to do?
1 "Hold your regular dose of insulin."
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, 2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level."
2 "Check your blood glucose level every 3 to 4 hours."
A client is being treated for Addison disease. The primary health care provider orders cortisone 25 mg
PO daily. The LPN/LVN should explain to the client that a dosage adjustment may be required in which
situation?
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
3 Dosage is decreased when infection stimulates endogenous steroid secretion.
4 Dosage is increased relative to an increase in the level of stress
4 Dosage is increased relative to an increase in the level of stress
A client with a history of heart failure visits the clinic. The client states, "I have not been feeling like my
old self for about 2 weeks." It would be most
important for the LPN/LVN to ask which question?
1 "Do your ankles swell at the end of the day?"
2 "How do you position yourself for sleep?"
3 "How do you feel after you eat dinner?"
4 "Do you have chest pain when you inhale?"
2 "How do you position yourself for sleep?"
The LPN/LVN is caring for a client immediately after a paracentesis. It is most
important for the LPN/LVN to ask which question?
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?"
3 "Are you feeling dizzy?"
The LPN/LVN is reinforcing teaching for a client after a right mastectomy and axillary lymph node
dissection. Which statement by the client requires further intervention by the LPN/LVN? Select all that
apply.
1 "I will wear gloves and long sleeves whenever I go out and work in my garden."
2 "The risk for arm swelling will decrease one year after my treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow from now on."
4 "If my right arm begins to feel heavy, I should contact my primary health care provider."
5 "It will be necessary for me to wear a compression bandage for the rest of my life."
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NEWEST ACTUAL EXAM TEST
BANK COMPLETE 500 QUESTIONS
WITH DETAILED VERIFIED
ANSWERS AND RATIONALES
(VERSION A AND B)
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.
☐ 2. The LPN/LVN positions the client with the head of bed elevated 25 degrees.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the left side of the mouth.
☐ 5. The LPN/LVN turns off the television.
1. The LPN/LVN assesses the client's ability to swallow.
☐ 3. The LPN/LVN offers the client scrambled eggs.
☐ 5. The LPN/LVN turns off the television.
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.
☐ 2. The LPN/LVN positions the client with the head of bed elevated 25 degrees.
☑ 3. The LPN/LVN offers the client scrambled eggs.
☐ 4. The LPN/LVN instructs the client to place food on the left side of the mouth.
☑ 5. The LPN/LVN turns off the client's television.
☑ 1. The LPN/LVN assesses the client's ability to swallow.
☑ 3. The LPN/LVN offers the client scrambled eggs.
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,☑ 5. The LPN/LVN turns off the client's television.
The LPN/LVN is caring for a client who has a primary health care provider order for strict intake and
output. The client drinks 12 oz of lemon-lime soda and 1/2 cup of grape juice between breakfast and
lunch, and voids 200 mL of urine. Calculate and record the client's oral intake in milliliters for this
period._____________________mL
One cup of fluid = 8 oz. Then convert ounces into milliliters. One ounce = 30 mL.
The client's intake is:
12 oz lemon-lime soda = 360 mL 1/2 cup grape juice = 4 oz = 120 mL
The LPN/LVN is caring for a client who has a primary health care provider order for strict intake and
output. The client drinks 12 oz of lemon-lime soda and 1/2 cup of grape juice between breakfast and
lunch, and voids 200 mL of urine. Calculate and record the client's oral intake in milliliters for this period.
To calculate the client's oral intake in milliliters (mL):
1. Convert ounces (oz) to milliliters (mL):
• 12 oz of lemon-lime soda → 12 × 30 mL = 360 mL
2. Convert cups to milliliters:
• 1/2 cup of grape juice → 0.5 × 240 mL = 120 mL
3. Total oral intake:
• 360 mL (soda) + 120 mL (grape juice) = 480 mL
So, the correct answer is:
480 mL
A client admitted to the hospital for treatment of active tuberculosis (TB). The LPN/LVN reinforces
teaching about TB. Which statement by the client indicates to the LPN/LVN that further teaching is
necessary?
1 "I will have to take medication for 6 months."
2 "I should cover my nose and mouth when coughing or sneezing."
3 "I will remain in isolation for at least 6 weeks."
4 "I will always have a positive skin test for TB."
3. I will remain in isolation for at least 6 weeks."
A client admitted to the hospital in premature labor has been treated successfully. The client is to
receive a regimen of betamethasone. Which statement by the client indicates to the LPN/LVN that the
client understands the teaching about the medication?
1 As long as I receive my medication, I won't deliver prematurely."
2 "It is important that I count the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heartbeat while on this medication."
4 "Bed rest is necessary in order for the medication to work properly."
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,2 "It is important that I count the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heartbeat while on this medication."
The LPN/LVN is explaining the procedure for clean-catch urine specimen collection for culture and
sensitivity to a male client. Which explanation by the LPN/LVN would be most
accurate?
1 "The urinary meatus is cleansed with an iodine solution and then a urinary drainage catheter is
inserted to obtain urine."
2 "You will be asked to empty your bladder one-half hour before the test; you will then be asked to void
into a container."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided into a
sterile container; the container must not touch the penis."
4 "You must void a few drops of urine, then stop; then void the remaining urine into a clean container,
which should be immediately covered."
3 "Before voiding, the urinary meatus is cleansed with an iodine solution and urine is voided into a
sterile container; the container must not touch the penis."
The LPN/LVN is checking the morning's serum electrolyte results for a client. The LPN/LVN notes that the
client's sodium is 142 mEq/L (142 mmol/L), potassium is 4.4 mEq/L (4.4 mmol/L), and chloride is 102
mEq/L (102 mmol/L). Which should the nurse do first?
1 Encourage the client to drink additional fluids.
2 Notify the primary health care provider of electrolyte results.
3 Record electrolyte results in the client's medical record.
4 Withhold the client's potassium supplement
3 Record electrolyte results in the client's medical record.
A client reporting chest pressure is brought to the emergency department (ED). Vital signs include blood
pressure 150/90 mmHg, pulse 88 beats/minute, respirations 20 breaths/minute. The LPN/LVN
administers nitroglycerin 0.4 mg sublingually as ordered. After five minutes, the client's vital signs
include blood pressure 100/60 Hg, pulse 96 beats/minute, respirations 20 breaths/minute. Which action
should the LPN/LVN take next?
1 Notify the primary health care provider of hypotension.
2 Place the client in semi-Fowler position and administer oxygen at 4 L/ minute.
3 Administer a second dose of nitroglycerin 0.4 mg sublingually, as ordered.
4 Document vital signs and continue to monitor the client.
4 Document vital signs and continue to monitor the client.
A client with type 1 diabetes contacts the home care LPN/LVN to report nausea and abdominal pain.
What should the LPN/LVN advise the client to do?
1 "Hold your regular dose of insulin."
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, 2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level."
2 "Check your blood glucose level every 3 to 4 hours."
A client is being treated for Addison disease. The primary health care provider orders cortisone 25 mg
PO daily. The LPN/LVN should explain to the client that a dosage adjustment may be required in which
situation?
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
3 Dosage is decreased when infection stimulates endogenous steroid secretion.
4 Dosage is increased relative to an increase in the level of stress
4 Dosage is increased relative to an increase in the level of stress
A client with a history of heart failure visits the clinic. The client states, "I have not been feeling like my
old self for about 2 weeks." It would be most
important for the LPN/LVN to ask which question?
1 "Do your ankles swell at the end of the day?"
2 "How do you position yourself for sleep?"
3 "How do you feel after you eat dinner?"
4 "Do you have chest pain when you inhale?"
2 "How do you position yourself for sleep?"
The LPN/LVN is caring for a client immediately after a paracentesis. It is most
important for the LPN/LVN to ask which question?
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?"
3 "Are you feeling dizzy?"
The LPN/LVN is reinforcing teaching for a client after a right mastectomy and axillary lymph node
dissection. Which statement by the client requires further intervention by the LPN/LVN? Select all that
apply.
1 "I will wear gloves and long sleeves whenever I go out and work in my garden."
2 "The risk for arm swelling will decrease one year after my treatment is completed."
3 "I will sleep with my right arm elevated on a small flat pillow from now on."
4 "If my right arm begins to feel heavy, I should contact my primary health care provider."
5 "It will be necessary for me to wear a compression bandage for the rest of my life."
4|Page
