NCLEX PN (NGN) QUESTIONS FORMART EXAM
NEWEST 2025 ACTUAL EXAM COMPLETE 500
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
The clinic nurse evaluates a client who was prescribed lithium
therapy a month ago for bipolar disorder. Which client statement
would cause the MOST concern?
A) "I've felt the need for an afternoon nap most days this week."
B) I've gained 3 lb since i began taking this med."
C) "I've had the stomach flu for the past couple days."
D) "My mouth seems to be drier than usual lately." - ANSWER-
C
Rationale; Drowsiness, weight gain, and dry mouth are
expected side effects of lithium.
Dehydration and sodium loss from vomiting and diarrhea
can lead to toxic lithium levels replicating flu like symptoms.
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A nurse in the gynecology clinic is reviewing client histories.
Which report would be MOST concerning to the nurse?
A) 25 year old who reports a fish-like vaginal odor for the past
month
B) 30 year old client with an IUD who report heavy bleeding
with menses
C) 40 year old client with endometriosis who reports pain during
intercourse
D) 60 year old client who reports bloating and pelvic pressure
for the past two months. - ANSWER-D
Rationale; Ovarian cancer results in more deaths than other
gynecologic cancers. Symptoms are subtle may present with
bloating, early satiety, urinary symptoms (pressure on the
bladder), nd pelvic pressure.
Which of the following are correct nursing actions related to
client positioning? SATA
A) Position client in Fowler position after cardiac cath via
femoral artery
B) Position client in Trendelenburg position on left side if air
embolism is suspected
C) Position client on the left side following a liver biopsy
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D) Position client on the side with head, back, and knees flexed
during lumbar puncture.
E) Position client with the arm raised above the head for chest
tube placement. - ANSWER-B. D, E
Rationale; Fowler position is contraindicated for femoral
cardiac cath because risk of hemorrhage, instead place
supine. After a liver biopsy the client should lie on the right
side for 2 hours to apply pressure and splint the site, then
supine for 12-14.
the nurse inserts a small-bore NG tube and prepares to initiate
enteral feedings for a client hospitalized with laryngeal cancer.
Which action should the nurse take first?
A) Crush and administer medications
B) Dilute the enteral formula as prescribed
C) Flush the tube with 30 mL of water
D) Verify tube placement with an x-ray - ANSWER-D
Rationale; x-ray is the standard protocol for ensuring tube
placement prior to initiating tube feedings.
the LPN assigns the ambulation of a client to the UAP. The UAP
placing the client's foley bag on the IV pole at the level of the
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client's chest during ambulation down the length of the hallway.
What action should the LPN take initially?
A) Immediately lower the bag and speak privately to the UAP
B) Let UAP complete assigned tasks and speak to them at the
end of the shift
C) Praise UAP for encouraging the client to walk the entire
hallway
D) Speak with the nurse manager about the need for UAP
inservice education - ANSWER-A
Rationale; The foley bag is too high and should be lowered
below the level of the bladder. Correction of staff should be
done privately not when the client is present. Attend to the
error right away to stop potential harm to the client.
The nurse is caring for an 8 month old client with suspected
acute otitis media. Which of the following findings would be
consistent with the condition? SATA
A) Frequent pulling on affected ear
B) Purulent drainage from the affected ear
C) Refusal to eat
D) Restlessness and irritability
E) Retracted tympanic membranes - ANSWER-A, B, C, D