NCLEX-RN Next Generation (NGN)
Complete Practice Exam 2026 | Questions
And Answers Plus Rationales | Instant Pdf
Download
Question 1
A nurse is assessing a client with dehydration. Which finding indicates fluid
volume deficit?
A. Bounding pulse
B. Neck vein distention
C. Dry mucous membranes
D. Peripheral edema
Correct Answer: C. Dry mucous membranes
Rationale: Dry mucous membranes are a classic sign of fluid volume
deficit. Bounding pulses, neck vein distention, and edema are associated
with fluid volume excess.
Question 2
A client with heart failure reports shortness of breath while lying flat. What
term describes this symptom?
,A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hypoxia
Correct Answer: B. Orthopnea
Rationale: Orthopnea is difficulty breathing when lying flat and is
commonly associated with heart failure.
Question 3
The nurse is caring for a client receiving warfarin therapy. Which laboratory
value should be monitored?
A. Hemoglobin A1C
B. INR
C. Troponin
D. Creatinine
Correct Answer: B. INR
Rationale: International Normalized Ratio (INR) is used to monitor the
effectiveness and safety of warfarin therapy.
Question 4
A client with diabetes reports shakiness and sweating. What is the nurse's
priority action?
,A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict fluids
Correct Answer: B. Check blood glucose level
Rationale: Shakiness and sweating are signs of hypoglycemia. The nurse
should assess blood glucose immediately before intervening.
Question 5
Which electrolyte imbalance is most likely in a client experiencing prolonged
vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Correct Answer: B. Hypokalemia
Rationale: Prolonged vomiting causes potassium loss, leading to
hypokalemia.
Question 6
A nurse is teaching a client about a low-sodium diet. Which food should the
client avoid?
, A. Fresh apples
B. Grilled chicken
C. Canned soup
D. Brown rice
Correct Answer: C. Canned soup
Rationale: Canned soups are often high in sodium and should be limited on
a low-sodium diet.
Question 7
A client develops sudden chest pain and shortness of breath after surgery. What
complication should the nurse suspect?
A. Stroke
B. Pulmonary embolism
C. Hypoglycemia
D. Appendicitis
Correct Answer: B. Pulmonary embolism
Rationale: Sudden chest pain and dyspnea following surgery are hallmark
signs of pulmonary embolism.
Question 8
Which assessment finding is expected in a client with iron-deficiency anemia?
Complete Practice Exam 2026 | Questions
And Answers Plus Rationales | Instant Pdf
Download
Question 1
A nurse is assessing a client with dehydration. Which finding indicates fluid
volume deficit?
A. Bounding pulse
B. Neck vein distention
C. Dry mucous membranes
D. Peripheral edema
Correct Answer: C. Dry mucous membranes
Rationale: Dry mucous membranes are a classic sign of fluid volume
deficit. Bounding pulses, neck vein distention, and edema are associated
with fluid volume excess.
Question 2
A client with heart failure reports shortness of breath while lying flat. What
term describes this symptom?
,A. Dyspnea
B. Orthopnea
C. Tachypnea
D. Hypoxia
Correct Answer: B. Orthopnea
Rationale: Orthopnea is difficulty breathing when lying flat and is
commonly associated with heart failure.
Question 3
The nurse is caring for a client receiving warfarin therapy. Which laboratory
value should be monitored?
A. Hemoglobin A1C
B. INR
C. Troponin
D. Creatinine
Correct Answer: B. INR
Rationale: International Normalized Ratio (INR) is used to monitor the
effectiveness and safety of warfarin therapy.
Question 4
A client with diabetes reports shakiness and sweating. What is the nurse's
priority action?
,A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict fluids
Correct Answer: B. Check blood glucose level
Rationale: Shakiness and sweating are signs of hypoglycemia. The nurse
should assess blood glucose immediately before intervening.
Question 5
Which electrolyte imbalance is most likely in a client experiencing prolonged
vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Correct Answer: B. Hypokalemia
Rationale: Prolonged vomiting causes potassium loss, leading to
hypokalemia.
Question 6
A nurse is teaching a client about a low-sodium diet. Which food should the
client avoid?
, A. Fresh apples
B. Grilled chicken
C. Canned soup
D. Brown rice
Correct Answer: C. Canned soup
Rationale: Canned soups are often high in sodium and should be limited on
a low-sodium diet.
Question 7
A client develops sudden chest pain and shortness of breath after surgery. What
complication should the nurse suspect?
A. Stroke
B. Pulmonary embolism
C. Hypoglycemia
D. Appendicitis
Correct Answer: B. Pulmonary embolism
Rationale: Sudden chest pain and dyspnea following surgery are hallmark
signs of pulmonary embolism.
Question 8
Which assessment finding is expected in a client with iron-deficiency anemia?
