NGN - NCLEX PN EXAM NEWEST 2026
ACTUAL EXAM TEST BANK| NCLEX PN -
NGN EXAM WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
Initial Presentation:
A 72-year-old male patient is brought to the emergency department by
ambulance with chief complaints of substernal chest pressure radiating
to the left arm, shortness of breath, and diaphoresis. Symptoms began 45
minutes ago while he was walking his dog. The patient has a history of
hypertension, hyperlipidemia, and type 2 diabetes.
Scenario Information (Tab 1):
• Vital signs: BP 160/95, HR 110, RR 24, SpO₂ 91% on room air, T
37.2°C (99.0°F)
• Pain level: 7/10
• Skin: Cool, clammy, pale
• Lungs: Clear to auscultation bilaterally
• Heart: Regular, no murmurs
• Medications at home: Lisinopril 20 mg daily, atorvastatin 40 mg
daily, metformin 500 mg BID, baby aspirin 81 mg daily
, • Allergies: NKDA
Question 1 (Bow-tie / Drag-and-Drop)
Drag each intervention to the correct nursing action category
(Immediate, Delegate, or Delay/Not indicated).
Delegate Delay/Not
Intervention Immediate
to LPN indicated
Administer oxygen at 2
□ □ □
L/min via nasal cannula
Obtain a 12-lead ECG □ □ □
Check blood glucose □ □ □
Administer sublingual
nitroglycerin 0.4 mg
□ □ □
every 5 minutes x3 (if BP
permits)
Insert a Foley catheter □ □ □
Correct ,,,answer,,,:
Delegate Delay/Not
Intervention Immediate
to LPN indicated
Administer oxygen at 2
✓ □ □
L/min via nasal cannula
, Delegate Delay/Not
Intervention Immediate
to LPN indicated
Obtain a 12-lead ECG ✓ □ □
Check blood glucose □ ✓ □
Administer sublingual
nitroglycerin 0.4 mg
✓ □ □
every 5 minutes x3 (if BP
permits)
Insert a Foley catheter □ □ ✓
Rationale:
• Oxygen: Immediate to treat hypoxemia (SpO₂ 91%). Maintain
SpO₂ >90%.
• ECG: Immediate to assess for ST-segment elevation (STEMI) or
other ischemic changes.
• Blood glucose checking: Can be delegated to an LPN as it is a
routine, stable diagnostic test.
• Nitroglycerin: Immediate for chest pain (7/10), but must verify
BP (>90 mmHg systolic) before administration.
• Foley catheter: Not indicated in the immediate management of
chest pain; would delay critical interventions.
Question 2 (Multiple Response – Select all that apply)
, The nurse is preparing to administer sublingual nitroglycerin.
Which of the following assessment findings would require the nurse
to withhold the medication and notify the provider? (Select all that
apply.)
A) Blood pressure 88/56 mmHg
B) Heart rate 110 bpm
C) Oxygen saturation 92% on 2 L oxygen
D) Patient reports a headache
E) Patient reports severe dizziness
F) Systolic BP after first dose dropped from 160 to 95 mmHg
Correct ,,,answer,,,s: A, E
Rationale:
• A (BP 88/56): Nitroglycerin is a potent vasodilator. It should be
withheld if systolic BP is <90 mmHg or if the patient is
hypotensive.
• E (Severe dizziness): May indicate hypotension or cerebral
hypoperfusion; do not give further doses.
• B (HR 110): Tachycardia is common in acute MI; nitroglycerin is
not contraindicated.
• C (SpO₂ 92%): Acceptable on oxygen.
• D (Headache): A common side effect of nitroglycerin; it does not
require withholding unless severe.
• F (SBP drop from 160 to 95): This is an expected response;
reassess after each dose. No need to withhold unless SBP <90.
Question 3 (Fill-in-the-blank / Cloze)
ACTUAL EXAM TEST BANK| NCLEX PN -
NGN EXAM WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
Initial Presentation:
A 72-year-old male patient is brought to the emergency department by
ambulance with chief complaints of substernal chest pressure radiating
to the left arm, shortness of breath, and diaphoresis. Symptoms began 45
minutes ago while he was walking his dog. The patient has a history of
hypertension, hyperlipidemia, and type 2 diabetes.
Scenario Information (Tab 1):
• Vital signs: BP 160/95, HR 110, RR 24, SpO₂ 91% on room air, T
37.2°C (99.0°F)
• Pain level: 7/10
• Skin: Cool, clammy, pale
• Lungs: Clear to auscultation bilaterally
• Heart: Regular, no murmurs
• Medications at home: Lisinopril 20 mg daily, atorvastatin 40 mg
daily, metformin 500 mg BID, baby aspirin 81 mg daily
, • Allergies: NKDA
Question 1 (Bow-tie / Drag-and-Drop)
Drag each intervention to the correct nursing action category
(Immediate, Delegate, or Delay/Not indicated).
Delegate Delay/Not
Intervention Immediate
to LPN indicated
Administer oxygen at 2
□ □ □
L/min via nasal cannula
Obtain a 12-lead ECG □ □ □
Check blood glucose □ □ □
Administer sublingual
nitroglycerin 0.4 mg
□ □ □
every 5 minutes x3 (if BP
permits)
Insert a Foley catheter □ □ □
Correct ,,,answer,,,:
Delegate Delay/Not
Intervention Immediate
to LPN indicated
Administer oxygen at 2
✓ □ □
L/min via nasal cannula
, Delegate Delay/Not
Intervention Immediate
to LPN indicated
Obtain a 12-lead ECG ✓ □ □
Check blood glucose □ ✓ □
Administer sublingual
nitroglycerin 0.4 mg
✓ □ □
every 5 minutes x3 (if BP
permits)
Insert a Foley catheter □ □ ✓
Rationale:
• Oxygen: Immediate to treat hypoxemia (SpO₂ 91%). Maintain
SpO₂ >90%.
• ECG: Immediate to assess for ST-segment elevation (STEMI) or
other ischemic changes.
• Blood glucose checking: Can be delegated to an LPN as it is a
routine, stable diagnostic test.
• Nitroglycerin: Immediate for chest pain (7/10), but must verify
BP (>90 mmHg systolic) before administration.
• Foley catheter: Not indicated in the immediate management of
chest pain; would delay critical interventions.
Question 2 (Multiple Response – Select all that apply)
, The nurse is preparing to administer sublingual nitroglycerin.
Which of the following assessment findings would require the nurse
to withhold the medication and notify the provider? (Select all that
apply.)
A) Blood pressure 88/56 mmHg
B) Heart rate 110 bpm
C) Oxygen saturation 92% on 2 L oxygen
D) Patient reports a headache
E) Patient reports severe dizziness
F) Systolic BP after first dose dropped from 160 to 95 mmHg
Correct ,,,answer,,,s: A, E
Rationale:
• A (BP 88/56): Nitroglycerin is a potent vasodilator. It should be
withheld if systolic BP is <90 mmHg or if the patient is
hypotensive.
• E (Severe dizziness): May indicate hypotension or cerebral
hypoperfusion; do not give further doses.
• B (HR 110): Tachycardia is common in acute MI; nitroglycerin is
not contraindicated.
• C (SpO₂ 92%): Acceptable on oxygen.
• D (Headache): A common side effect of nitroglycerin; it does not
require withholding unless severe.
• F (SBP drop from 160 to 95): This is an expected response;
reassess after each dose. No need to withhold unless SBP <90.
Question 3 (Fill-in-the-blank / Cloze)
