NCLEX-PN (NGN) TEST EXAM UPDATED 2025-
2026 WITH ALL NEW QUESTIONS AND
EXACTLY RIGHT ANSWERS | A+ QUALITY
GUARANTEE
A nurse at a public health clinic is caring for a group of clients. Which of the
following should the nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis - ANSWER: Hepatitis A
A nurse is giving change of shift report about a client who is 36 hr postoperative to
another nurse.
Which of the following should the nurse include?
A. Daily bath given at 1000
B. Vomited a large amount of emesis immediately after surgery
C. Flushed IV with 0.9% sodium chloride
D. Pain relieved by position change - ANSWER: Pain relieved by position
change
A charge nurse is evaluating the time management skills of a newly licensed nurse.
Which of the following actions should the charge nurse identify as an effective
time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
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D. Skips break times to catch up on charting - ANSWER: Completes activities
for one client before moving to the next client
A nurse is caring for a client who has a prescription for atorvastatin. Which of the
following client conditions is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis - ANSWER: Hepatitis C
A nurse delegates tasks to a licensed practical nurse and an assistive personnel.
When admitting a client who is experiencing acute liver failure and who has ascites
and an NG tube, which of the following tasks is most appropriate for the nurse to
delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr - ANSWER: Measure
the amount of gastric drainage every 2 hr
A nurse is assessing a client who has a long arm cast. For which of the following
findings should the nurse monitor when assessing for acute compartment syndrome
A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental statu - ANSWER: Edema
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A nurse is caring for a client who has opioid use disorder and is experiencing
withdrawal. Which of the following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis
C. Euphoria
D. Hypothermia - ANSWER: Hyperreflexia
A nurse is caring for a client who is at high risk for developing diabetes insipidus
following a severe head injury. Which assessment finding indicates to the nurse
that the client is developing DI?
A. Urine specific gravity of 1.028
B. Urine output of 250 mL/hr
C. Serum sodium of 155 mEq/L
D. Blood glucose of 198 mg/dL - ANSWER: Urine output of 250 mL/hr
A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. When creating a sterile field, which of the following actions
should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field -
ANSWER: Hold the bottle of sterile solution with the palm over the label while
pouring
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A nurse is caring for a client who is in labor and receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which of the following should the nurse expect?
A. Head compression
B. Fetal hypoxia
C. Abruptio placentae
D. Postmaturity - ANSWER: Head compression
A nurse is caring for a client who is requesting treatment for a gambling disorder.
Which of the following medications should the nurse expect the provider to
prescribe?
A. Varenicline
B. Disulfiram
C. Sertraline
D. Clonidine - ANSWER: Sertraline
A charge nurse overhears two assistive personnel in the unit lobby discussing the
HIV status of a client. Which of the following response is the priority for the nurse
to make?
A. Do you understand HIPAA regulations?
B. This discussion is only appropriate in a private area
C. Please stop this discussion
D. Did you know you can be liable if you breach confidentiality - ANSWER:
Please stop this discussion