NCLEX-RN 2026 NGN COMPREHENSIVE
EXAM QUESTIONS AND VERIFIED
ANSWERS | ACTUAL EXAM STYLE
REVIEW | WITH RATIONALES | A+
GRADED
1. A nurse is caring for a client with heart failure. Which
assessment finding requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lung bases
C. Blood pressure 138/88 mm Hg
D. Heart rate 88/min
Correct Answer: B
Rationale
Crackles indicate fluid accumulation in the lungs and worsening heart failure requiring
immediate intervention.
2. Which client should the nurse assess first?
A. Client with diabetes reporting blurred vision
B. Client with asthma using accessory muscles
C. Client with a fractured arm reporting pain 7/10
D. Client requesting assistance to the bathroom
Correct Answer: B
Rationale
Airway and breathing take priority. Use of accessory muscles indicates respiratory distress.
Page 1 of 13
, 3. A nurse administers insulin lispro. When should the client
eat?
A. 30 minutes after injection
B. Immediately after injection
C. 2 hours after injection
D. Before bedtime
Correct Answer: B
Rationale
Insulin lispro is rapid acting and should be followed by food immediately to prevent
hypoglycemia.
4. Which laboratory value should the nurse report
immediately?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Calcium 9.2 mg/dL
D. Hemoglobin 13 g/dL
Correct Answer: A
Rationale
A potassium level of 2.9 mEq/L indicates hypokalemia and increases the risk for dysrhythmias.
5. A client receiving morphine develops respiratory
depression. Which medication should the nurse prepare to
administer?
A. Flumazenil
B. Naloxone
C. Epinephrine
D. Atropine
Page 2 of 13
EXAM QUESTIONS AND VERIFIED
ANSWERS | ACTUAL EXAM STYLE
REVIEW | WITH RATIONALES | A+
GRADED
1. A nurse is caring for a client with heart failure. Which
assessment finding requires immediate intervention?
A. Weight gain of 1 lb in 24 hours
B. Crackles in bilateral lung bases
C. Blood pressure 138/88 mm Hg
D. Heart rate 88/min
Correct Answer: B
Rationale
Crackles indicate fluid accumulation in the lungs and worsening heart failure requiring
immediate intervention.
2. Which client should the nurse assess first?
A. Client with diabetes reporting blurred vision
B. Client with asthma using accessory muscles
C. Client with a fractured arm reporting pain 7/10
D. Client requesting assistance to the bathroom
Correct Answer: B
Rationale
Airway and breathing take priority. Use of accessory muscles indicates respiratory distress.
Page 1 of 13
, 3. A nurse administers insulin lispro. When should the client
eat?
A. 30 minutes after injection
B. Immediately after injection
C. 2 hours after injection
D. Before bedtime
Correct Answer: B
Rationale
Insulin lispro is rapid acting and should be followed by food immediately to prevent
hypoglycemia.
4. Which laboratory value should the nurse report
immediately?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Calcium 9.2 mg/dL
D. Hemoglobin 13 g/dL
Correct Answer: A
Rationale
A potassium level of 2.9 mEq/L indicates hypokalemia and increases the risk for dysrhythmias.
5. A client receiving morphine develops respiratory
depression. Which medication should the nurse prepare to
administer?
A. Flumazenil
B. Naloxone
C. Epinephrine
D. Atropine
Page 2 of 13
