1 of 35
NGN NCLEX PN ACTUAL EXAM NEWEST 2025/2026 WITH NGN /PN
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse in a long-term care facility has received a change-of-shift report on four clients.
Which of the following clients should the nurse attend to first? - ......ANSWER........A client
who has COPD and dementia and was agitated during the night shift
A nurse in a long-term care facility is assisting with the admission of a client who requires
oropharyngeal suction. Which of the ff. supplies does the nurse need to perform this task?
- ......ANSWER........Yank Auer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increase fatigue. Listen to the audio clip. Which of the following
lung sounds should the nurse report to the provider? - ......ANSWER........Fine crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury. The
client is demonstrating manifestations of autonomic dysreflexia. Which of the following
actions should the nurse take first? - ......ANSWER........Check the client for bladder
distention.
,2 of 35
A nurse in a long-term care facility is caring for a client who uses a continuous positive
airway pressure (CPAP) machine at night for sleep apnea. The client reports daytime
sleepiness. Which of the following actions should the nurse take first?
- ......ANSWER........Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which of
the following statements made by the client should she report to the provider?
- ......ANSWER........"I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ......ANSWER........"I will rinse my mouth
after taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age child
who has an active case of pediculosis capitis. Which of the following should be included in
the teaching? - ......ANSWER........Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client. Which of
the following actions should the nurse verify the client's identity? - ......ANSWER........Verify
the client's identity using a photograph
,3 of 35
A nurse in an acute mental health facility is caring for a newly admitted client. Which of the
following should occur during the orientation phase of the nurse-client relationship?
- ......ANSWER........Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for a
procedure. Which of the ff. clinical manifestations indicates a possible latex allergy?
- ......ANSWER........Rhinorrhea
A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing
postoperative pain. Which of the following is an adverse effect of this medication?
- ......ANSWER........Urinary Retention
A nurse is administering medication to a client. Which of the following actions is
appropriate for the nurse to take? - ......ANSWER........Verify with another nurse when
calculating a new dose of medication
A nurse is administering medication. A client states, "I know that the Inderal helps my
blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today."
Which of the following actions should the nurse take? - ......ANSWER........Asks the client to
describe what he is experiencing
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A nurse is admitting a client with active tuberculosis. Which of the following is an
appropriate nursing intervention? - ......ANSWER........Place the client in a room that is
ventilated to the outside
A nurse is applying a condom catheter to a male client who is incontinent. Which of the
following is an appropriate technique to use? - ......ANSWER........Leave space between the
tip of the penis and the end of the condom catheter
A nurse is assisting a client to move up in bed. Which of the following actions should the
nurse take? - ......ANSWER........Ask the client to flex the hips and knees
A nurse is assisting in the admission of a client who has diabetic ketoacidosis to a medical
unit. Which of the ff. IV solutions the nurse anticipates administering first upon admission?
- ......ANSWER........0.9% sodium chloride
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with
increased bleeding. Which of the following actions should the nurse take? (Select all that
apply) - ......ANSWER........Assist the client to empty her bladder
A nurse is assisting with a support group for clients who have experienced intimate partner
violence. The nurse should identify which of the following client statements as indicating
the greatest risk for violence? - ......ANSWER........I have decided to tell my husband I am
leaving him
NGN NCLEX PN ACTUAL EXAM NEWEST 2025/2026 WITH NGN /PN
NCLEX ACTUAL EXAM (NEXT GENERATION) COMPLETE 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse in a long-term care facility has received a change-of-shift report on four clients.
Which of the following clients should the nurse attend to first? - ......ANSWER........A client
who has COPD and dementia and was agitated during the night shift
A nurse in a long-term care facility is assisting with the admission of a client who requires
oropharyngeal suction. Which of the ff. supplies does the nurse need to perform this task?
- ......ANSWER........Yank Auer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increase fatigue. Listen to the audio clip. Which of the following
lung sounds should the nurse report to the provider? - ......ANSWER........Fine crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury. The
client is demonstrating manifestations of autonomic dysreflexia. Which of the following
actions should the nurse take first? - ......ANSWER........Check the client for bladder
distention.
,2 of 35
A nurse in a long-term care facility is caring for a client who uses a continuous positive
airway pressure (CPAP) machine at night for sleep apnea. The client reports daytime
sleepiness. Which of the following actions should the nurse take first?
- ......ANSWER........Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which of
the following statements made by the client should she report to the provider?
- ......ANSWER........"I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ......ANSWER........"I will rinse my mouth
after taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age child
who has an active case of pediculosis capitis. Which of the following should be included in
the teaching? - ......ANSWER........Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client. Which of
the following actions should the nurse verify the client's identity? - ......ANSWER........Verify
the client's identity using a photograph
,3 of 35
A nurse in an acute mental health facility is caring for a newly admitted client. Which of the
following should occur during the orientation phase of the nurse-client relationship?
- ......ANSWER........Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for a
procedure. Which of the ff. clinical manifestations indicates a possible latex allergy?
- ......ANSWER........Rhinorrhea
A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing
postoperative pain. Which of the following is an adverse effect of this medication?
- ......ANSWER........Urinary Retention
A nurse is administering medication to a client. Which of the following actions is
appropriate for the nurse to take? - ......ANSWER........Verify with another nurse when
calculating a new dose of medication
A nurse is administering medication. A client states, "I know that the Inderal helps my
blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today."
Which of the following actions should the nurse take? - ......ANSWER........Asks the client to
describe what he is experiencing
, 4 of 35
A nurse is admitting a client with active tuberculosis. Which of the following is an
appropriate nursing intervention? - ......ANSWER........Place the client in a room that is
ventilated to the outside
A nurse is applying a condom catheter to a male client who is incontinent. Which of the
following is an appropriate technique to use? - ......ANSWER........Leave space between the
tip of the penis and the end of the condom catheter
A nurse is assisting a client to move up in bed. Which of the following actions should the
nurse take? - ......ANSWER........Ask the client to flex the hips and knees
A nurse is assisting in the admission of a client who has diabetic ketoacidosis to a medical
unit. Which of the ff. IV solutions the nurse anticipates administering first upon admission?
- ......ANSWER........0.9% sodium chloride
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with
increased bleeding. Which of the following actions should the nurse take? (Select all that
apply) - ......ANSWER........Assist the client to empty her bladder
A nurse is assisting with a support group for clients who have experienced intimate partner
violence. The nurse should identify which of the following client statements as indicating
the greatest risk for violence? - ......ANSWER........I have decided to tell my husband I am
leaving him
