NGN NCLEX PN ACTUAL EXAM NEWEST 2025 WITH NGN /PN
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
The LPN/LVN is planning care for a 4-year-old client who has
been sexually abused by the parent. Play therapy is scheduled.
The LPN/LVN knows that the primary goal of play therapy for a 4-
year-old client is which of these?
1 Provide the opportunity to express anger and hostility by
playing with dolls.
2 Promote communication because the client may lack capacity
to verbally express perceptions.
3 Assess whether the client function at an age-appropriate
developmental level.
4 Reveal the type of abuse experienced through direct
observation of the client at play. -correct answer -->>2.
Promote communication because the client may lack capacity to
verbally express perceptions.
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?
1 The client's weight has remained stable since admission.
2 The client's systolic blood pressure has decreased.
3 There are fewer crackles heard when auscultating the client's
lungs.
4 The client's urinary output is 1,500 mL per day -correct
answer -->>3. There are fewer crackles heard when
auscultating the client's lungs.
,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. -correct answer --
>>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. -correct
answer -->>☑ 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 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 -correct answer --
>>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. -correct answer
-->>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." -correct
answer -->>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 heart beat while on this
medication."
4 "Bed rest is necessary in order for the medication to work
properly." -correct answer -->>2 "It is important that I count
the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heart beat 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?
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
The LPN/LVN is planning care for a 4-year-old client who has
been sexually abused by the parent. Play therapy is scheduled.
The LPN/LVN knows that the primary goal of play therapy for a 4-
year-old client is which of these?
1 Provide the opportunity to express anger and hostility by
playing with dolls.
2 Promote communication because the client may lack capacity
to verbally express perceptions.
3 Assess whether the client function at an age-appropriate
developmental level.
4 Reveal the type of abuse experienced through direct
observation of the client at play. -correct answer -->>2.
Promote communication because the client may lack capacity to
verbally express perceptions.
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?
1 The client's weight has remained stable since admission.
2 The client's systolic blood pressure has decreased.
3 There are fewer crackles heard when auscultating the client's
lungs.
4 The client's urinary output is 1,500 mL per day -correct
answer -->>3. There are fewer crackles heard when
auscultating the client's lungs.
,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. -correct answer --
>>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. -correct
answer -->>☑ 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 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 -correct answer --
>>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. -correct answer
-->>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." -correct
answer -->>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 heart beat while on this
medication."
4 "Bed rest is necessary in order for the medication to work
properly." -correct answer -->>2 "It is important that I count
the fetal movements for one hour, twice a day."
3 "I have insomnia and a rapid heart beat 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?
