NCLEX NGN RN EXAM 2 Actual Exam 200 Questions
in Next Generation Format Includes Standalone
Questions, Case Studies, Bow-Tie, Matrix, Drag-and-
Drop, and Detailed Rationales
Respiratory / Postoperative Care
1. You are encouraging your postoperative patient to cough and take deep breaths. The
patient questions why it is so important to do this. Your response would include the
understanding that retaining pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d. Pneumonia
.
☑ correct answersd. Pneumonia
Rationale: Retained pulmonary secretions provide a medium for bacterial growth, leading to
postoperative pneumonia. Deep breathing and coughing help mobilize secretions, maintain
alveolar expansion, and prevent atelectasis.
.
Infectious Disease / Immunology
2. Which of the following would you want to include in an education session to staff on HIV
and AIDS?
a. Newborn infants of HIV-positive mothers usually test positive
b. The hematological system is usually attacked by HIV
,c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells
d. T lymphocytes are destroyed because the virus attacks the immune system
.
☑ correct answersd. T lymphocytes are destroyed because the virus attacks the
immune system
Rationale: HIV specifically targets and destroys CD4+ T lymphocytes (T helper cells), leading to
progressive immune deficiency. This depletion makes the patient susceptible to opportunistic
infections.
Pediatric Communicable Diseases
3. You are conducting a teaching session for mothers at a local school on rubeola (measles).
Which of the following would you NOT want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet
d. The communicable period usually ranges from 10 to 15 days after the rash appears
.
☑ correct answersd. The communicable period usually ranges from 10 to 15 days after
the rash appears
Rationale: The communicable period for rubeola is 4 to 5 days before the rash appears to 4 to 5
days after rash onset (not 10-15 days). The incubation period is 10-15 days. Koplik's spots (blue-
white spots with red base in the mouth) are characteristic of rubeola.
Health Promotion / Skin Cancer Prevention
,4. You are providing a teaching session to a group of patients regarding skin cancer. Which of
the following statements would you NOT want to include?
a. Wear sunscreen when engaged in outdoor activities
b. The body should be examined monthly for any lesions that appear suspicious
c. A hat, opaque clothing, and sunglasses should be worn when in the sun
d. Avoid sun exposure after 3pm
.
☑ correct answersd. Avoid sun exposure after 3pm
Rationale: The sun's rays are most intense between 11 am and 3 pm (not just after 3 pm).
Patients should avoid peak sun exposure during these midday hours and use protective
measures year-round.
.
Substance Abuse / Sexual Health
5. You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient on sexual
dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability
b. Alcohol abuse leads to headaches and too-tired syndrome
c. Alcohol abuse leads to hyperarousal and premature ejaculation
d. Alcohol abuse decreases desire and ability to perform
.
☑ correct answersd. Alcohol abuse decreases desire and ability to perform
, Rationale: Chronic alcohol abuse leads to decreased libido, erectile dysfunction in men, and
decreased vaginal lubrication/orgasm difficulty in women. While small amounts of alcohol may
lower inhibitions, abuse has clear negative effects on sexual function.
.
Pharmacology / Calculation
6. You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15
drops per 1 mL. You prepare to set the flow rate at how many drops per minute?
a. 15 drops/minute
b. 17 drops/minute
c. 21 drops/minute
d. 23 drops/minute
.
☑ correct answersc. 21 drops/minute
Formula: (Volume in mL × Drop factor) ÷ Time in minutes = drops/min
(1000 mL × 15 gtt/mL) ÷ (12 hours × 60 minutes) = 15,000 ÷ 720 = 20.8 ≈ 21 gtt/min
.
Pharmacology / Dosage Calculation
7. You are preparing to administer an intravenous dose of 400,000 units of penicillin G
benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per
mL. You prepare to administer how much of the medication?
a. 1.3 mL
b. 1.5 mL
in Next Generation Format Includes Standalone
Questions, Case Studies, Bow-Tie, Matrix, Drag-and-
Drop, and Detailed Rationales
Respiratory / Postoperative Care
1. You are encouraging your postoperative patient to cough and take deep breaths. The
patient questions why it is so important to do this. Your response would include the
understanding that retaining pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d. Pneumonia
.
☑ correct answersd. Pneumonia
Rationale: Retained pulmonary secretions provide a medium for bacterial growth, leading to
postoperative pneumonia. Deep breathing and coughing help mobilize secretions, maintain
alveolar expansion, and prevent atelectasis.
.
Infectious Disease / Immunology
2. Which of the following would you want to include in an education session to staff on HIV
and AIDS?
a. Newborn infants of HIV-positive mothers usually test positive
b. The hematological system is usually attacked by HIV
,c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells
d. T lymphocytes are destroyed because the virus attacks the immune system
.
☑ correct answersd. T lymphocytes are destroyed because the virus attacks the
immune system
Rationale: HIV specifically targets and destroys CD4+ T lymphocytes (T helper cells), leading to
progressive immune deficiency. This depletion makes the patient susceptible to opportunistic
infections.
Pediatric Communicable Diseases
3. You are conducting a teaching session for mothers at a local school on rubeola (measles).
Which of the following would you NOT want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet
d. The communicable period usually ranges from 10 to 15 days after the rash appears
.
☑ correct answersd. The communicable period usually ranges from 10 to 15 days after
the rash appears
Rationale: The communicable period for rubeola is 4 to 5 days before the rash appears to 4 to 5
days after rash onset (not 10-15 days). The incubation period is 10-15 days. Koplik's spots (blue-
white spots with red base in the mouth) are characteristic of rubeola.
Health Promotion / Skin Cancer Prevention
,4. You are providing a teaching session to a group of patients regarding skin cancer. Which of
the following statements would you NOT want to include?
a. Wear sunscreen when engaged in outdoor activities
b. The body should be examined monthly for any lesions that appear suspicious
c. A hat, opaque clothing, and sunglasses should be worn when in the sun
d. Avoid sun exposure after 3pm
.
☑ correct answersd. Avoid sun exposure after 3pm
Rationale: The sun's rays are most intense between 11 am and 3 pm (not just after 3 pm).
Patients should avoid peak sun exposure during these midday hours and use protective
measures year-round.
.
Substance Abuse / Sexual Health
5. You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient on sexual
dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability
b. Alcohol abuse leads to headaches and too-tired syndrome
c. Alcohol abuse leads to hyperarousal and premature ejaculation
d. Alcohol abuse decreases desire and ability to perform
.
☑ correct answersd. Alcohol abuse decreases desire and ability to perform
, Rationale: Chronic alcohol abuse leads to decreased libido, erectile dysfunction in men, and
decreased vaginal lubrication/orgasm difficulty in women. While small amounts of alcohol may
lower inhibitions, abuse has clear negative effects on sexual function.
.
Pharmacology / Calculation
6. You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15
drops per 1 mL. You prepare to set the flow rate at how many drops per minute?
a. 15 drops/minute
b. 17 drops/minute
c. 21 drops/minute
d. 23 drops/minute
.
☑ correct answersc. 21 drops/minute
Formula: (Volume in mL × Drop factor) ÷ Time in minutes = drops/min
(1000 mL × 15 gtt/mL) ÷ (12 hours × 60 minutes) = 15,000 ÷ 720 = 20.8 ≈ 21 gtt/min
.
Pharmacology / Dosage Calculation
7. You are preparing to administer an intravenous dose of 400,000 units of penicillin G
benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per
mL. You prepare to administer how much of the medication?
a. 1.3 mL
b. 1.5 mL
