NGN NCLEX PN ACTUAL EXAM 2024-
2025 WITH NGN /PN NCLEX ACTUAL
EXAM (NEXT GENERATION) 2024-2025
COMPLETE 180 QUESTIONS AND
CORRECT DETAILED ANSWERS.
An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the
nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to
resolve the conflict?
Ask the AP to discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure
precautions. Which of the following materials should the AP place in the client's room?
Oral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following
actions by the newly licensed nurse should the supervising nurse intervene?
Tells a client he will lose his phone privileges if he does not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the
nurse include in the meal tray?
Roasted Salmon
A nurse is reviewing information about advance directives with a newly admitted client. Which of the
following statements by the client indicates an understanding of the information?
"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver
reports the client has difficulty sleeping at night and wanders throughout the house. Which of the
following interventions should the nurse recommend?
Encourage the client to take frequent walks during the day
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)
Assist the client to empty her bladder
A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which
of the following instructions should the nurse include regarding effleurage?
,"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty. The
client is incontinent of stool and urine. Which of the following actions should the nurse take to prevent
skin breakdown?
Use a moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse
take to promote the client's autonomy?
Allow the client to choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden gush of
vaginal fluids. Which of the following findings is evidence of an obstetric complication?
Appears greenish-brown in color
A nurse is assisting with the care of an adolescent client immediately following a lumbar puncture.
Which of the following actions should the nurse take?
Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure.
Which of the following statements by the client indicates an understanding of the teaching?
"I should discuss this document with my family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of
the prostate. The nurse notices clots and dark red blood in the catheter collection bag. Which of the
following actions should the nurse take?
Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which
of the following actions should the nurse plan to take?
Instruct the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the following information
should the nurse include in the teaching?
"You should increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of the
following actions should the nurse plan to take?
Compress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a
prescription for montelukast. Which of the following instructions should the nurse include in the
teaching?
, Administer the medication to the toddler each evening
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?
Defining responsibilities
A nurse is caring for a client who reports having a decrease in fetal movement following an external
cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The
nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart
rate?
Lower left
A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a
tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse
intervene?
Suction for 30 seconds
A nurse is reviewing the medication administration record of a client who takes atenolol PO and supplies
a nitroglycerin transdermal patch daily. Which of the following interactions should the nurse monitor
with this client?
Hypotension
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?
Verify the client's identity using a photograph
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?
"I try not to look at the scales on my body"
A nurse is completing chart reviews in a long-term care facility in response to an increase in falls. Which
of the following responses in the chart should the nurse use to determine the potential causes of falls?
Medication record
A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks
should the nurse assign to the AP?
Complete post mortem care for a client who has died
A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing
Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the
client to monitor and report?
Skin rash with fever
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