1 of 44
NGN NCLEX PN ACTUAL EXAM NEWEST 2025/2026 WITH NGN /PN
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE 130
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
'A client is admitted to the hospital with influenza-like symptoms. When taking the client's
history, the LPN/LVN learns that the client had been taking digoxin 0.125 mg PO daily and
furosemide 40 mg PO daily for 3 years. Last month the primary health care provider
changed the prescription for digoxin to 0.25 mg daily. The LPN/LVN would expect the
primary health care provider to prescribe which laboratory tests?
1 Serum electrolyte and digoxin levels. 2 Hemoglobin level and hematocrit. 3 Cardiac
enzymes and arterial blood gas analysis. 4 Blood culture and sensitivity and urinalysis.
- ......ANSWER........1 Serum electrolyte and digoxin levels.
A client is admitted to the postpartum unit following a miscarriage. The next day the
LPN/LVN finds the woman crying while looking at the babies in the newborn nursery. Which
of the following approaches by the LPN/LVN would be most appropriate?
1. Assure the woman that the loss was "for the best."
2. Explain to her that she is young enough to have more children.
3. Ask her why she is looking at the babies.
4. Acknowledge the loss and be supportive. - ......ANSWER........4. Acknowledge the
loss and be supportive.
A client is admitted to the telemetry unit with a diagnosis of acute myocardial infarction.
The client tells the LPN/LVN, "I'm scared, I think I'm going to die." Which response by the
LPN/LVN would be most appropriate?
1. "Everything is going to be fine. We'll take good care of you."
2. "I know what you mean. I thought I was having a heart attack once."
3. "I'll call your primary health care provider so you can discuss it."
,2 of 44
4. "It's normal to feel frightened. We're doing everything we can for you.'
- ......ANSWER........4. "It's normal to feel frightened. We're doing everything we can
for you.'
A client is admitted with symptoms of pulmonary edema, including tachycardia, dyspnea,
and a productive cough. Which finding would the nurse expect when auscultating the
client's breath sounds?
1 Crackles 2 Stridor 3 Pulmonary friction rub 4 Diminished breath sounds
- ......ANSWER........1 Crackles
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 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.
A client is hospitalized with a diagnosis of atrial fibrillation. The primary health care
provider prescribes heparin 5,000 units every 12 hours to be given by subcutaneous
injection and a daily partial thromboplastin time (PTT). The result of the client's most
recent PTT is 55 seconds. Which action should be taken by the LPN/LVN?
,3 of 44
1 Document the results and administer the heparin. 2 Withhold the heparin. 3 Notify the
primary health care provider of the test results. 4 Have the test repeated.
- ......ANSWER........1 Document the results and administer the heparin.
A client is in the terminal stages of carcinoma of the lung. A family member asks the
LPN/LVN, "How much longer will it be?" Which of the following responses by the LPN/LVN
would be most appropriate?
1. "I cannot say exactly. What are your concerns currently?"
2. "I don't know. I'll call the doctor."
3. "This must be a terrible situation for you."
4. "Don't worry, it will be very soon." - ......ANSWER........1. "I cannot say exactly. What
are your concerns currently?"
A client is placed in Buck's traction. The LPN/LVN assigned to her prepares to assist her
with a bath. The woman says, "You're too young to know how to do this. Get me somebody
who knows what they're doing." Which of the following responses by the LPN/LVN would
be most appropriate?
1. "I am young, but I graduated from nursing school."
2. "If I don't bathe you now, you'll have to wait until I'm finished with my other clients."
3. "Can you be more specific about your concerns?"
4. "Your concerns are unnecessary. I know what I'm doing." - ......ANSWER........3.
"Can you be more specific about your concerns?"
A client is to undergo a breast biopsy. The client tells the LPN/LVN, "If I lose my breast, I
know my husband will no longer find me attractive." Which response by the LPN/LVN
would be most appropriate?
1. "You don't know if you are going to lose your breast. They are just doing the biopsy
now."
2. "You should focus on your children right now. They are young and they need you."
, 4 of 44
3. "You seem to be concerned that your relationship with your husband might
change."
4. "Why don't you wait and see what your husband's reaction is before you get upset."
- ......ANSWER........3. "You seem to be concerned that your relationship with your
husband might change."
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 reports to the LPN/LVN, "I just started to feel short of breath." The client has
normal saline solution infusing at a rate of 75 mL/hour through a peripherally inserted
central catheter (PICC). What is the first action the LPN/LVN should take?
1. Obtain client's blood pressure and apical heart rate.
2. Reassure client that shortness of breath will improve.
3. Observe the insertion site of the PICC.
4. Elevate the head of the bed 9o degrees. - ......ANSWER........4. Elevate the head of
the bed 9o degrees.
A client returns to the clinic 2 weeks after being started on allopurinol 200 mg PO daily. The
LPN/LVN reviews information about this medication with the client. Which statement by
the client indicates that the teaching was effective?
NGN NCLEX PN ACTUAL EXAM NEWEST 2025/2026 WITH NGN /PN
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE 130
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
'A client is admitted to the hospital with influenza-like symptoms. When taking the client's
history, the LPN/LVN learns that the client had been taking digoxin 0.125 mg PO daily and
furosemide 40 mg PO daily for 3 years. Last month the primary health care provider
changed the prescription for digoxin to 0.25 mg daily. The LPN/LVN would expect the
primary health care provider to prescribe which laboratory tests?
1 Serum electrolyte and digoxin levels. 2 Hemoglobin level and hematocrit. 3 Cardiac
enzymes and arterial blood gas analysis. 4 Blood culture and sensitivity and urinalysis.
- ......ANSWER........1 Serum electrolyte and digoxin levels.
A client is admitted to the postpartum unit following a miscarriage. The next day the
LPN/LVN finds the woman crying while looking at the babies in the newborn nursery. Which
of the following approaches by the LPN/LVN would be most appropriate?
1. Assure the woman that the loss was "for the best."
2. Explain to her that she is young enough to have more children.
3. Ask her why she is looking at the babies.
4. Acknowledge the loss and be supportive. - ......ANSWER........4. Acknowledge the
loss and be supportive.
A client is admitted to the telemetry unit with a diagnosis of acute myocardial infarction.
The client tells the LPN/LVN, "I'm scared, I think I'm going to die." Which response by the
LPN/LVN would be most appropriate?
1. "Everything is going to be fine. We'll take good care of you."
2. "I know what you mean. I thought I was having a heart attack once."
3. "I'll call your primary health care provider so you can discuss it."
,2 of 44
4. "It's normal to feel frightened. We're doing everything we can for you.'
- ......ANSWER........4. "It's normal to feel frightened. We're doing everything we can
for you.'
A client is admitted with symptoms of pulmonary edema, including tachycardia, dyspnea,
and a productive cough. Which finding would the nurse expect when auscultating the
client's breath sounds?
1 Crackles 2 Stridor 3 Pulmonary friction rub 4 Diminished breath sounds
- ......ANSWER........1 Crackles
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 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.
A client is hospitalized with a diagnosis of atrial fibrillation. The primary health care
provider prescribes heparin 5,000 units every 12 hours to be given by subcutaneous
injection and a daily partial thromboplastin time (PTT). The result of the client's most
recent PTT is 55 seconds. Which action should be taken by the LPN/LVN?
,3 of 44
1 Document the results and administer the heparin. 2 Withhold the heparin. 3 Notify the
primary health care provider of the test results. 4 Have the test repeated.
- ......ANSWER........1 Document the results and administer the heparin.
A client is in the terminal stages of carcinoma of the lung. A family member asks the
LPN/LVN, "How much longer will it be?" Which of the following responses by the LPN/LVN
would be most appropriate?
1. "I cannot say exactly. What are your concerns currently?"
2. "I don't know. I'll call the doctor."
3. "This must be a terrible situation for you."
4. "Don't worry, it will be very soon." - ......ANSWER........1. "I cannot say exactly. What
are your concerns currently?"
A client is placed in Buck's traction. The LPN/LVN assigned to her prepares to assist her
with a bath. The woman says, "You're too young to know how to do this. Get me somebody
who knows what they're doing." Which of the following responses by the LPN/LVN would
be most appropriate?
1. "I am young, but I graduated from nursing school."
2. "If I don't bathe you now, you'll have to wait until I'm finished with my other clients."
3. "Can you be more specific about your concerns?"
4. "Your concerns are unnecessary. I know what I'm doing." - ......ANSWER........3.
"Can you be more specific about your concerns?"
A client is to undergo a breast biopsy. The client tells the LPN/LVN, "If I lose my breast, I
know my husband will no longer find me attractive." Which response by the LPN/LVN
would be most appropriate?
1. "You don't know if you are going to lose your breast. They are just doing the biopsy
now."
2. "You should focus on your children right now. They are young and they need you."
, 4 of 44
3. "You seem to be concerned that your relationship with your husband might
change."
4. "Why don't you wait and see what your husband's reaction is before you get upset."
- ......ANSWER........3. "You seem to be concerned that your relationship with your
husband might change."
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 reports to the LPN/LVN, "I just started to feel short of breath." The client has
normal saline solution infusing at a rate of 75 mL/hour through a peripherally inserted
central catheter (PICC). What is the first action the LPN/LVN should take?
1. Obtain client's blood pressure and apical heart rate.
2. Reassure client that shortness of breath will improve.
3. Observe the insertion site of the PICC.
4. Elevate the head of the bed 9o degrees. - ......ANSWER........4. Elevate the head of
the bed 9o degrees.
A client returns to the clinic 2 weeks after being started on allopurinol 200 mg PO daily. The
LPN/LVN reviews information about this medication with the client. Which statement by
the client indicates that the teaching was effective?
