Emergency Nursing Exam 2026/2027 | 100
NGN Practice Questions with Answers &
Rationales for NCLEX Prep
Description:
Master emergency nursing with 100 NGN-style questions for 2026/2027. Covers
EMTALA, triage, disasters, trauma, and special populations. Includes detailed answer
rationales.
Download the complete exam paper now and pass with confidence.
, Emergency Nursing Exam 2026/2027: 100 NGN Questions
Instructions: This examination consists of multiple-choice and next-generation style
questions. Select the best answer for each question. For Next Generation items, follow the
specific task instructions.
Section 1: Legal and Ethical Issues in Emergency Care
1. A newly licensed nurse working in the emergency department (ED) is learning about the
Emergency Medical Treatment and Active Labor Act (EMTALA). During a current disaster,
the ED is transferring some patients to another facility prior to the patients being stabilized.
Which statement by the nurse manager explains this to the newly licensed nurse?
A. “EMTALA prohibits all patient transfers until complete stabilization is achieved, even
during a disaster.”
B. “A provision of EMTALA permits the transfer of patients before they are completely
stabilized under specific disaster circumstances.”
C. “EMTALA only applies to patients with active labor, so disaster transfers are always
allowed.”
D. “The hospital waives all EMTALA requirements once a federal disaster is declared.”
Answer: B
Explanation: EMTALA includes provisions that allow for patient transfer before complete
stabilization if the patient requires specialized care unavailable at the original facility or
during declared disaster situations when the hospital’s capacity is overwhelmed. The transfer
must still follow appropriate protocols and be accepted by the receiving facility.
2. An ED nurse is reporting on a patient who is being transferred to the intensive care unit
(ICU). Which of the following sets of people are responsible for the transfer report?
A. The ED nurse and the ICU nurse
B. The ED physician and the ICU physician
C. The ED nurse and the ICU physician
D. The ED charge nurse and the ICU charge nurse
Answer: A
,Explanation: Safe handoff communication requires direct nurse-to-nurse report between the
transferring and receiving nurses. This ensures continuity of care, accurate information
transfer, and accountability at the bedside level.
3. A nurse is caring for a patient admitted to the ED following an injury. The nurse
demonstrates concern and involves the patient’s family in decision making. Which of the
following outcomes is the nurse’s primary goal from this interaction?
A. Reducing the patient’s length of stay in the ED
B. Documenting family consent for all procedures
C. Creating a trusting relationship
D. Decreasing the patient’s pain perception
Answer: C
Explanation: The primary goal of showing concern and involving family in decision making
is to establish a trusting therapeutic relationship. Trust enhances communication, improves
patient cooperation, reduces anxiety, and supports better clinical outcomes, especially in the
high-stress ED environment.
4. A newly licensed nurse is providing care to a patient admitted to the ED who is
experiencing heroin toxicity. The patient becomes violent and strikes the nurse. The nurse
speaks with the manager about violence in the ED. Which of the following statements
represents how the nurse manager should respond to the nurse?
A. “You should have called security before entering the room.”
B. “Patients may fear the possible outcome of their clinical situation, leading to stress and
aggression.”
C. “Violent patients should be restrained immediately regardless of their condition.”
D. “This incident must be reported to the police as a felony assault.”
Answer: B
Explanation: The manager should provide a context for understanding the patient’s behavior,
emphasizing that fear, altered mental status from drug toxicity, and perceived threats can lead
to violence. This approach supports the nurse’s emotional processing while maintaining a
patient-centered perspective, without excusing the behavior.
, 5. A nurse is caring for a 30-year-old patient who experienced sexual assault 2 days ago.
Which of the following is the most important to ask the patient?
A. “Do you know if you were exposed to HIV?”
B. “Have you bathed or changed your clothes since the assault?”
C. “Do you want to report this to the police?”
D. “Have you taken emergency contraception?”
Answer: A
Explanation: Assessing potential HIV exposure is critical to offer post-exposure prophylaxis
(PEP), which is most effective when started within 72 hours. The nurse should ask about
exposure risk and timing to initiate timely interventions. Forensic evidence collection may
still be possible even after 48-72 hours depending on the jurisdiction.
6. A preceptor in the critical care unit (CCU) is orienting a new nurse to the code chart. The
preceptor communicates to the new nurse that the code charts should be checked at which of
the following intervals?
A. Every 8 hours
B. Every 12 hours
C. Every 24 hours
D. Every shift
Answer: C
Explanation: Emergency equipment, including code charts (crash carts), should be checked
at least every 24 hours to ensure all supplies and medications are present, unexpired, and
functional. Some facilities require checks every shift, but every 24 hours is the standard
minimum interval.
7. A triage nurse is evaluating a patient who reports taking anticoagulation medication and
arrived at the ED with bleeding from both nares, which slowed after applying direct pressure
to the nose. Which of the following Emergency Severity Index (ESI) levels should the nurse
assign to this patient?
A. ESI level 1
B. ESI level 2
NGN Practice Questions with Answers &
Rationales for NCLEX Prep
Description:
Master emergency nursing with 100 NGN-style questions for 2026/2027. Covers
EMTALA, triage, disasters, trauma, and special populations. Includes detailed answer
rationales.
Download the complete exam paper now and pass with confidence.
, Emergency Nursing Exam 2026/2027: 100 NGN Questions
Instructions: This examination consists of multiple-choice and next-generation style
questions. Select the best answer for each question. For Next Generation items, follow the
specific task instructions.
Section 1: Legal and Ethical Issues in Emergency Care
1. A newly licensed nurse working in the emergency department (ED) is learning about the
Emergency Medical Treatment and Active Labor Act (EMTALA). During a current disaster,
the ED is transferring some patients to another facility prior to the patients being stabilized.
Which statement by the nurse manager explains this to the newly licensed nurse?
A. “EMTALA prohibits all patient transfers until complete stabilization is achieved, even
during a disaster.”
B. “A provision of EMTALA permits the transfer of patients before they are completely
stabilized under specific disaster circumstances.”
C. “EMTALA only applies to patients with active labor, so disaster transfers are always
allowed.”
D. “The hospital waives all EMTALA requirements once a federal disaster is declared.”
Answer: B
Explanation: EMTALA includes provisions that allow for patient transfer before complete
stabilization if the patient requires specialized care unavailable at the original facility or
during declared disaster situations when the hospital’s capacity is overwhelmed. The transfer
must still follow appropriate protocols and be accepted by the receiving facility.
2. An ED nurse is reporting on a patient who is being transferred to the intensive care unit
(ICU). Which of the following sets of people are responsible for the transfer report?
A. The ED nurse and the ICU nurse
B. The ED physician and the ICU physician
C. The ED nurse and the ICU physician
D. The ED charge nurse and the ICU charge nurse
Answer: A
,Explanation: Safe handoff communication requires direct nurse-to-nurse report between the
transferring and receiving nurses. This ensures continuity of care, accurate information
transfer, and accountability at the bedside level.
3. A nurse is caring for a patient admitted to the ED following an injury. The nurse
demonstrates concern and involves the patient’s family in decision making. Which of the
following outcomes is the nurse’s primary goal from this interaction?
A. Reducing the patient’s length of stay in the ED
B. Documenting family consent for all procedures
C. Creating a trusting relationship
D. Decreasing the patient’s pain perception
Answer: C
Explanation: The primary goal of showing concern and involving family in decision making
is to establish a trusting therapeutic relationship. Trust enhances communication, improves
patient cooperation, reduces anxiety, and supports better clinical outcomes, especially in the
high-stress ED environment.
4. A newly licensed nurse is providing care to a patient admitted to the ED who is
experiencing heroin toxicity. The patient becomes violent and strikes the nurse. The nurse
speaks with the manager about violence in the ED. Which of the following statements
represents how the nurse manager should respond to the nurse?
A. “You should have called security before entering the room.”
B. “Patients may fear the possible outcome of their clinical situation, leading to stress and
aggression.”
C. “Violent patients should be restrained immediately regardless of their condition.”
D. “This incident must be reported to the police as a felony assault.”
Answer: B
Explanation: The manager should provide a context for understanding the patient’s behavior,
emphasizing that fear, altered mental status from drug toxicity, and perceived threats can lead
to violence. This approach supports the nurse’s emotional processing while maintaining a
patient-centered perspective, without excusing the behavior.
, 5. A nurse is caring for a 30-year-old patient who experienced sexual assault 2 days ago.
Which of the following is the most important to ask the patient?
A. “Do you know if you were exposed to HIV?”
B. “Have you bathed or changed your clothes since the assault?”
C. “Do you want to report this to the police?”
D. “Have you taken emergency contraception?”
Answer: A
Explanation: Assessing potential HIV exposure is critical to offer post-exposure prophylaxis
(PEP), which is most effective when started within 72 hours. The nurse should ask about
exposure risk and timing to initiate timely interventions. Forensic evidence collection may
still be possible even after 48-72 hours depending on the jurisdiction.
6. A preceptor in the critical care unit (CCU) is orienting a new nurse to the code chart. The
preceptor communicates to the new nurse that the code charts should be checked at which of
the following intervals?
A. Every 8 hours
B. Every 12 hours
C. Every 24 hours
D. Every shift
Answer: C
Explanation: Emergency equipment, including code charts (crash carts), should be checked
at least every 24 hours to ensure all supplies and medications are present, unexpired, and
functional. Some facilities require checks every shift, but every 24 hours is the standard
minimum interval.
7. A triage nurse is evaluating a patient who reports taking anticoagulation medication and
arrived at the ED with bleeding from both nares, which slowed after applying direct pressure
to the nose. Which of the following Emergency Severity Index (ESI) levels should the nurse
assign to this patient?
A. ESI level 1
B. ESI level 2
