NCLEX NGN Pre-Test Questions
Question Paper with Exam-Ready Examiner
Mark Scheme
All Chapters Latest 2026/2027 Edition
Course: Nursing
Date: February 2026
“Premium NCLEX Next-Gen Practice Material |
Verified Questions for Exam Success”
2/24/2026, 1:50:26 PM
, A nurse is assigned to care for a client with chronic renal failure A, B, C, D
who is undergoing hemodialysis through an internal AV fistula in
the RA. Which intervention should the nurse implement in
caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three
each shift
e. Placing a pressure dressing over the site after each dialysis
treatment
f. Administering IV fluids through the venous site of the AV
fistula as needed
A nurse is evaluating outcomes for a client with Guillain-Barre D, E
syndrome. Which outcome does the nurse recognize as optimal
respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
e. pO2 of 85 mmHg and pCO2 of 40 mmHg
A nurse of the telemetry unit is caring for a client who has had a A
MI and is now attached to a cardiac monitor. The nurse is The pattern of ventricular fibrillation is identified and can be a result after a patient with an
monitoring the client's cardiac rhythm and nots ventricular MI. VF makes the patient feel faint, then loses consciousness and becomes pulseless and
fibrillation. Which nursing intervention should the nurse take apneic (BP and heart sounds absent). Treatment is to terminate VF and covert it into a
first? rhythm via defibrillation-> call a rapid and initiate CPR. Cardioversion is used for
a. Calling the rapid response team ventricular or supraventricular tachydysrhythmias.
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem
A nurse developing a plan of care for a client with a spinal cord B
injury includes measures to prevent autonomic dysreflexia The most frequent cause of autonomic dysreflexias are a distended bladder and impacted
(hyperreflexia). Which intervention does the nurse incorporate feces. Other causes include stimulation of the skin by tactile, thermal, or painful stimuli. The
into the plan to prevent this complication? nurse renders care in such a way as to minimize these risks.
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal
suppositories
A nurse provides home care instructions to a client who has been C
fitted with a halo device to treat a cervical fracture. Which Cleanse the skin under the wool liner each day to prevent rashes and soars.
statement by the client indicates the need for further teaching?
a. I need to get more fluids and fiber into my diet
b. I should cut my food into small pieces before I eat
c. I need to put powder under the vest twice a day to prevent
sweating
d. I have to check the pin sites everyday and watch for signs of
infection
A nurse is caring for a client with increased intracranial pressure. D
In which position should the nurse maintain the client? Proper positioning promotes venous drainage from the cranium to minimize ICP.
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the side
d. Head midline and elevated 30-45 degrees
A client with a basilar skull fracture has clear fluid leaking from B
the ears. The nurse should take which action first? CSF contains glucose not protein.
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for rupture
2/24/2026, 1:50:26 PM
Question Paper with Exam-Ready Examiner
Mark Scheme
All Chapters Latest 2026/2027 Edition
Course: Nursing
Date: February 2026
“Premium NCLEX Next-Gen Practice Material |
Verified Questions for Exam Success”
2/24/2026, 1:50:26 PM
, A nurse is assigned to care for a client with chronic renal failure A, B, C, D
who is undergoing hemodialysis through an internal AV fistula in
the RA. Which intervention should the nurse implement in
caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three
each shift
e. Placing a pressure dressing over the site after each dialysis
treatment
f. Administering IV fluids through the venous site of the AV
fistula as needed
A nurse is evaluating outcomes for a client with Guillain-Barre D, E
syndrome. Which outcome does the nurse recognize as optimal
respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
e. pO2 of 85 mmHg and pCO2 of 40 mmHg
A nurse of the telemetry unit is caring for a client who has had a A
MI and is now attached to a cardiac monitor. The nurse is The pattern of ventricular fibrillation is identified and can be a result after a patient with an
monitoring the client's cardiac rhythm and nots ventricular MI. VF makes the patient feel faint, then loses consciousness and becomes pulseless and
fibrillation. Which nursing intervention should the nurse take apneic (BP and heart sounds absent). Treatment is to terminate VF and covert it into a
first? rhythm via defibrillation-> call a rapid and initiate CPR. Cardioversion is used for
a. Calling the rapid response team ventricular or supraventricular tachydysrhythmias.
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem
A nurse developing a plan of care for a client with a spinal cord B
injury includes measures to prevent autonomic dysreflexia The most frequent cause of autonomic dysreflexias are a distended bladder and impacted
(hyperreflexia). Which intervention does the nurse incorporate feces. Other causes include stimulation of the skin by tactile, thermal, or painful stimuli. The
into the plan to prevent this complication? nurse renders care in such a way as to minimize these risks.
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal
suppositories
A nurse provides home care instructions to a client who has been C
fitted with a halo device to treat a cervical fracture. Which Cleanse the skin under the wool liner each day to prevent rashes and soars.
statement by the client indicates the need for further teaching?
a. I need to get more fluids and fiber into my diet
b. I should cut my food into small pieces before I eat
c. I need to put powder under the vest twice a day to prevent
sweating
d. I have to check the pin sites everyday and watch for signs of
infection
A nurse is caring for a client with increased intracranial pressure. D
In which position should the nurse maintain the client? Proper positioning promotes venous drainage from the cranium to minimize ICP.
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the side
d. Head midline and elevated 30-45 degrees
A client with a basilar skull fracture has clear fluid leaking from B
the ears. The nurse should take which action first? CSF contains glucose not protein.
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for rupture
2/24/2026, 1:50:26 PM
