NCLEX-PN NEXT GENERATION EXAM 2025
QUESTIONS AND CORRECT ANSWERS
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 -
ANSWER-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?" - ANSWER-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?" - ANSWER-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." - ANSWER-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."
5 "It will be necessary for me to wear a compression bandage for
the rest of my life."
The LPN/LVN is preparing to reinforce instructions for a client about
the use of an incentive spirometer. Arrange the following steps in the
order the client should perform them. All options must be used.
1 Seal lips around the mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply. - ANSWER-1. Seal lips around the
mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply.
The client's AFB smear strongly indicates a diagnosis of TB. The health
care team begins treatment while awaiting the finalization of sputum
cultures. Which transmission precaution does the LPN/LVN use when
caring for the client?
, 1 Contact precautions.
2 Droplet precautions.
3 Airborne precautions.
4 Protective environment precautions - ANSWER-3 Airborne
precautions.
The LPN/LVN and the RN develop the plan of care. Select 3 goals
which are appropriate to include in the plan.
1 Reduce transmission of TB.
2 Educate about radiation therapy.
3 Improve pulmonary function.
4 Promote therapy adherence.
5 Decrease the risk for dysrhythmias.
6 Monitor immunotherapy treatment. - ANSWER-1 Reduce
transmission of TB.
3 Improve pulmonary function.
4 Promote therapy adherence.
The client's condition improves and the client is discharged. The RN
provides discharge teaching about reducing transmission of TB in the
community.
The LPN/LVN recognizes which client statement indicates
understanding about the discharge teaching? (Select all that apply.)
QUESTIONS AND CORRECT ANSWERS
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 -
ANSWER-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?" - ANSWER-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?" - ANSWER-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." - ANSWER-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."
5 "It will be necessary for me to wear a compression bandage for
the rest of my life."
The LPN/LVN is preparing to reinforce instructions for a client about
the use of an incentive spirometer. Arrange the following steps in the
order the client should perform them. All options must be used.
1 Seal lips around the mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply. - ANSWER-1. Seal lips around the
mouthpiece.
2 Assume high Fowler's position.
3 Exhale slowly and cough.
4 Hold your breath for 3 to 5 seconds.
5 Inhale slowly and deeply.
The client's AFB smear strongly indicates a diagnosis of TB. The health
care team begins treatment while awaiting the finalization of sputum
cultures. Which transmission precaution does the LPN/LVN use when
caring for the client?
, 1 Contact precautions.
2 Droplet precautions.
3 Airborne precautions.
4 Protective environment precautions - ANSWER-3 Airborne
precautions.
The LPN/LVN and the RN develop the plan of care. Select 3 goals
which are appropriate to include in the plan.
1 Reduce transmission of TB.
2 Educate about radiation therapy.
3 Improve pulmonary function.
4 Promote therapy adherence.
5 Decrease the risk for dysrhythmias.
6 Monitor immunotherapy treatment. - ANSWER-1 Reduce
transmission of TB.
3 Improve pulmonary function.
4 Promote therapy adherence.
The client's condition improves and the client is discharged. The RN
provides discharge teaching about reducing transmission of TB in the
community.
The LPN/LVN recognizes which client statement indicates
understanding about the discharge teaching? (Select all that apply.)
