NCLEX PN NGN QUESTIONS FORMART EXAM

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NCLEX PN (NGN) QUESTIONS FORMART EXAM

NEWEST 2025 ACTUAL EXAM COMPLETE 500

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED

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The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the MOST concern?

• "I've felt the need for an afternoon nap most days this week."
• I've gained 3 lb since i began taking this med."
• "I've had the stomach flu for the past couple days."
• "My mouth seems to be drier than usual lately." - ANSWER-

C Rationale; Drowsiness, weight gain, and dry mouth are expected side effects of lithium.

Dehydration and sodium loss from vomiting and diarrhea can lead to toxic lithium levels replicating flu like symptoms.

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A nurse in the gynecology clinic is reviewing client histories.Which report would be MOST concerning to the nurse?

• 25 year old who reports a fish-like vaginal odor for the past

month

• 30 year old client with an IUD who report heavy bleeding

with menses

• 40 year old client with endometriosis who reports pain during

intercourse

• 60 year old client who reports bloating and pelvic pressure

for the past two months. - ANSWER-D Rationale; Ovarian cancer results in more deaths than other gynecologic cancers. Symptoms are subtle may present with bloating, early satiety, urinary symptoms (pressure on the bladder), nd pelvic pressure.

Which of the following are correct nursing actions related to client positioning? SATA

• Position client in Fowler position after cardiac cath via

femoral artery

• Position client in Trendelenburg position on left side if air

embolism is suspected

• Position client on the left side following a liver biopsy 2 / 4

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• Position client on the side with head, back, and knees flexed

during lumbar puncture.

• Position client with the arm raised above the head for chest

tube placement. - ANSWER-B. D, E Rationale; Fowler position is contraindicated for femoral cardiac cath because risk of hemorrhage, instead place supine. After a liver biopsy the client should lie on the right side for 2 hours to apply pressure and splint the site, then supine for 12-14.

the nurse inserts a small-bore NG tube and prepares to initiate enteral feedings for a client hospitalized with laryngeal cancer.Which action should the nurse take first?

• Crush and administer medications
• Dilute the enteral formula as prescribed
• Flush the tube with 30 mL of water
• Verify tube placement with an x-ray - ANSWER-D

Rationale; x-ray is the standard protocol for ensuring tube placement prior to initiating tube feedings.

the LPN assigns the ambulation of a client to the UAP. The UAP placing the client's foley bag on the IV pole at the level of the 3 / 4

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client's chest during ambulation down the length of the hallway.What action should the LPN take initially?

• Immediately lower the bag and speak privately to the UAP
• Let UAP complete assigned tasks and speak to them at the

end of the shift

• Praise UAP for encouraging the client to walk the entire

hallway

• Speak with the nurse manager about the need for UAP

inservice education - ANSWER-A Rationale; The foley bag is too high and should be lowered below the level of the bladder. Correction of staff should be done privately not when the client is present. Attend to the error right away to stop potential harm to the client.

The nurse is caring for an 8 month old client with suspected acute otitis media. Which of the following findings would be consistent with the condition? SATA

• Frequent pulling on affected ear
• Purulent drainage from the affected ear
• Refusal to eat
• Restlessness and irritability
• Retracted tympanic membranes - ANSWER-A, B, C, D
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