BESTLEC
Newest 2025/2026 NCLEX-PN Next Generation Exam (NGN)
With Accurate Questions and 100% Verified Answers.
(Covering Clinical Judgment, Patient Care, And Foundational Nursing Concepts)
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?
C
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
LE
3 Dosage is decreased when infection stimulates endogenous steroid secretion.
4 Dosage is increased relative to an increase in the level of stress. Correct Answer- 4 Dosage is
increased relative to an increase in the level of stress
ST
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
BE
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?" Correct 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?
, BESTLEC
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?" Correct 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."
C
3 "I will sleep with my right arm elevated on a small flat pillow from now on."
4
LE
"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."
Correct Answer-The LPN/LVN is reinforcing teaching for a client after a right mastectomy and
ST
axillary lymph node dissection. Which statement by the client requires further intervention by the
LPN/LVN? Select all that apply.
BE
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|
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.
, BESTLEC
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. Correct 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.
C
The client's AFB smear strongly indicates a diagnosis of TB. The health care team begins
LE
treatment while awaiting the finalization of sputum cultures. Which transmission precaution does
the LPN/LVN use when caring for the client?
ST
1 Contact precautions.
2 Droplet precautions.
BE
3 Airborne precautions.
4 Protective environment precautions Correct 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.
, BESTLEC
6 Monitor immunotherapy treatment. Correct 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.)
C
1 "I will keep my clinic visits so that I can get my phlegm checked for TB to know how I'm
doing."
2
LE
"It's so good that I don't need to worry my close friends about getting screened for TB
now that I'm on my meds."
ST
3 "A public health nurse may need to visit and check that I am taking my medicine
correctly."
4 "I like to be outdoors by myself and won't mind not being around lots of people or riding
the public bus."
BE
5 "Once I feel pretty good, I can begin cutting back on my medicine."
6 "Taking my medicine is the best way to keep from spreading TB to my friends."
Correct Answer-1 "I will keep my clinic visits so that I can get my phlegm checked for TB to
know how I'm doing."
3 "A public health nurse may need to visit and check that I am taking my medicine correctly."
4 "I like to be outdoors by myself and won't mind not being around lots of people or riding the
public bus."
6 "Taking my medicine is the best way to keep from spreading TB to my friends."
Newest 2025/2026 NCLEX-PN Next Generation Exam (NGN)
With Accurate Questions and 100% Verified Answers.
(Covering Clinical Judgment, Patient Care, And Foundational Nursing Concepts)
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?
C
1 Dosage is increased when the blood glucose level increases.
2 Dosage is decreased when dietary intake is increased.
LE
3 Dosage is decreased when infection stimulates endogenous steroid secretion.
4 Dosage is increased relative to an increase in the level of stress. Correct Answer- 4 Dosage is
increased relative to an increase in the level of stress
ST
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
BE
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?" Correct 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?
, BESTLEC
1 "Do your clothes feel tight?"
2 "Do you need to void?"
3 "Are you feeling dizzy?"
4 "Do you have any pain?" Correct 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."
C
3 "I will sleep with my right arm elevated on a small flat pillow from now on."
4
LE
"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."
Correct Answer-The LPN/LVN is reinforcing teaching for a client after a right mastectomy and
ST
axillary lymph node dissection. Which statement by the client requires further intervention by the
LPN/LVN? Select all that apply.
BE
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|
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.
, BESTLEC
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. Correct 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.
C
The client's AFB smear strongly indicates a diagnosis of TB. The health care team begins
LE
treatment while awaiting the finalization of sputum cultures. Which transmission precaution does
the LPN/LVN use when caring for the client?
ST
1 Contact precautions.
2 Droplet precautions.
BE
3 Airborne precautions.
4 Protective environment precautions Correct 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.
, BESTLEC
6 Monitor immunotherapy treatment. Correct 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.)
C
1 "I will keep my clinic visits so that I can get my phlegm checked for TB to know how I'm
doing."
2
LE
"It's so good that I don't need to worry my close friends about getting screened for TB
now that I'm on my meds."
ST
3 "A public health nurse may need to visit and check that I am taking my medicine
correctly."
4 "I like to be outdoors by myself and won't mind not being around lots of people or riding
the public bus."
BE
5 "Once I feel pretty good, I can begin cutting back on my medicine."
6 "Taking my medicine is the best way to keep from spreading TB to my friends."
Correct Answer-1 "I will keep my clinic visits so that I can get my phlegm checked for TB to
know how I'm doing."
3 "A public health nurse may need to visit and check that I am taking my medicine correctly."
4 "I like to be outdoors by myself and won't mind not being around lots of people or riding the
public bus."
6 "Taking my medicine is the best way to keep from spreading TB to my friends."
