NGN NCLEX PN EXAM 2025/2026
NEWEST ACTUAL EXAM TEST BANK
COMPLETE QUESTIONS WITH
VERIFIED ANSWERS
/. 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.
- 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 - 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. - 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. - 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 - 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. - 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." - 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." - 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?
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." - Answer-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 - Answer-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. - Answer-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."
2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level." - Answer-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 - 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?"
NEWEST ACTUAL EXAM TEST BANK
COMPLETE QUESTIONS WITH
VERIFIED ANSWERS
/. 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.
- 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 - 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. - 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. - 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 - 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. - 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." - 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." - 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?
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." - Answer-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 - Answer-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. - Answer-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."
2 "Check your blood glucose level every 3 to 4 hours."
3 "Increase consumption of foods containing simple sugars."
4 "Increase your activity level." - Answer-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 - 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?"
