1
NEXT GEN NCLEX PRACTICE EXAM ACTUAL
TEST WITH QUESTIONS AND VERIFIED
ANSWERS 2026-27 LATEST VERSION
Q1
A nurse is preparing to administer insulin. Which action is the
highest priority?
A. Rotate injection sites
B. Verify the dose with another nurse
C. Use a small-gauge needle
D. Warm insulin to room temperature
Correct Answer: B
Rationale: Insulin is a high-alert medication. Independent
double-checking prevents serious medication errors.
Q2
Which client is at the highest risk for falls?
A. Client with controlled hypertension
B. Client receiving opioid analgesics
C. Client with asthma
D. Client with diet-controlled diabetes
,2
Correct Answer: B
Rationale: Opioids cause sedation, dizziness, and impaired
judgment, increasing fall risk.
Q3 (SATA)
Which actions reduce healthcare-associated infections?
☑ Perform hand hygiene
☑ Use appropriate PPE
☑ Reuse gloves between patients
☑ Disinfect shared equipment
Correct Answers: Hand hygiene, Use appropriate PPE, Disinfect
equipment
Rationale: Reusing gloves spreads microorganisms and violates
infection-control principles.
Q4
A fire breaks out in a utility room. What is the nurse’s first
action?
A. Use a fire extinguisher
B. Remove nearby patients
C. Activate the fire alarm
D. Close doors
,3
Correct Answer: C
Rationale: Follow RACE. Activating the alarm ensures rapid
response and safety.
Q5
Which assessment finding requires immediate intervention?
A. BP 148/92 mmHg
B. Respiratory rate 8/min after opioids
C. Temperature 99.1°F (37.3°C)
D. Blood glucose 178 mg/dL
Correct Answer: B
Rationale: Respiratory depression is life-threatening and
requires immediate action.
Q6
Which action best prevents medication errors?
A. Administering medications quickly
B. Avoiding patient questions
C. Using the six rights of medication administration
D. Preparing medications for multiple patients
, 4
Correct Answer: C
Rationale: The six rights ensure safe and accurate medication
delivery.
Q7
A client reports dizziness when standing. This suggests:
A. Hypervolemia
B. Orthostatic hypotension
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Orthostatic hypotension causes dizziness due to
decreased cerebral perfusion.
Q8
Which client should the nurse see first?
A. Client with pain rated 6/10
B. Client with oxygen saturation 88%
C. Client awaiting discharge teaching
D. Client with nausea
Correct Answer: B
Rationale: Airway and oxygenation take priority.
NEXT GEN NCLEX PRACTICE EXAM ACTUAL
TEST WITH QUESTIONS AND VERIFIED
ANSWERS 2026-27 LATEST VERSION
Q1
A nurse is preparing to administer insulin. Which action is the
highest priority?
A. Rotate injection sites
B. Verify the dose with another nurse
C. Use a small-gauge needle
D. Warm insulin to room temperature
Correct Answer: B
Rationale: Insulin is a high-alert medication. Independent
double-checking prevents serious medication errors.
Q2
Which client is at the highest risk for falls?
A. Client with controlled hypertension
B. Client receiving opioid analgesics
C. Client with asthma
D. Client with diet-controlled diabetes
,2
Correct Answer: B
Rationale: Opioids cause sedation, dizziness, and impaired
judgment, increasing fall risk.
Q3 (SATA)
Which actions reduce healthcare-associated infections?
☑ Perform hand hygiene
☑ Use appropriate PPE
☑ Reuse gloves between patients
☑ Disinfect shared equipment
Correct Answers: Hand hygiene, Use appropriate PPE, Disinfect
equipment
Rationale: Reusing gloves spreads microorganisms and violates
infection-control principles.
Q4
A fire breaks out in a utility room. What is the nurse’s first
action?
A. Use a fire extinguisher
B. Remove nearby patients
C. Activate the fire alarm
D. Close doors
,3
Correct Answer: C
Rationale: Follow RACE. Activating the alarm ensures rapid
response and safety.
Q5
Which assessment finding requires immediate intervention?
A. BP 148/92 mmHg
B. Respiratory rate 8/min after opioids
C. Temperature 99.1°F (37.3°C)
D. Blood glucose 178 mg/dL
Correct Answer: B
Rationale: Respiratory depression is life-threatening and
requires immediate action.
Q6
Which action best prevents medication errors?
A. Administering medications quickly
B. Avoiding patient questions
C. Using the six rights of medication administration
D. Preparing medications for multiple patients
, 4
Correct Answer: C
Rationale: The six rights ensure safe and accurate medication
delivery.
Q7
A client reports dizziness when standing. This suggests:
A. Hypervolemia
B. Orthostatic hypotension
C. Hypertension
D. Fluid overload
Correct Answer: B
Rationale: Orthostatic hypotension causes dizziness due to
decreased cerebral perfusion.
Q8
Which client should the nurse see first?
A. Client with pain rated 6/10
B. Client with oxygen saturation 88%
C. Client awaiting discharge teaching
D. Client with nausea
Correct Answer: B
Rationale: Airway and oxygenation take priority.
