NGN PN- NCLEX Examination GUARANTEED
PASS!!
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.
Page 1 of 42
,☐ 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
Page 2 of 42
,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."
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, 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?
Page 4 of 42
PASS!!
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.
Page 1 of 42
,☐ 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
Page 2 of 42
,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."
Page 3 of 42
, 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?
Page 4 of 42
