2025/2026 NGN CASE STUDIES, SATA QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Fundamentals of nursing
Pharmacology
Adult medical-surgical nursing
Maternal-newborn and women’s health
Pediatric nursing
Mental health nursing
Leadership and management
Community and public health
Next Generation NCLEX clinical judgment
Legal, ethical, and professional practice
Introduction
This exam is designed to evaluate readiness for advanced nursing practice by measuring knowledge, clinical reasoning, and safe decision-making
across major nursing domains. It combines multiple-choice and scenario-based items to assess both foundational concepts and real-world
application in patient care. The questions emphasize prioritization, delegation, safety, pharmacology, ethics, legal compliance, and evidence-based
interventions. NGN-style case studies and select-all-that-apply items strengthen critical thinking by requiring interpretation of patient data,
recognition of cues, and appropriate action. The overall purpose is to reflect professional nursing judgment in situations that mirror clinical
practice and licensure-level expectations.
,1. A nurse is preparing to administer an oral medication to a patient who asks, “What is this for?” What is the nurse’s best response?
A. “You need to take it because the provider ordered it.”
B. “It is for your blood pressure, and you should not worry about details.”
C. “I need to check the medication label first.”
🟢 D. “This medication helps lower your blood pressure.”
🔴 RATIONALE: Patients have the right to know the purpose of medications. Clear education supports informed participation and safe care.
2. Which action best demonstrates standard infection control?
🟢 A. Performing hand hygiene before patient contact
B. Wearing sterile gloves for all patient care
C. Using a mask for every interaction
D. Cleaning equipment only after visible contamination
🔴 RATIONALE: Hand hygiene is the most effective and required standard infection control measure before patient contact.
3. A patient with shortness of breath is sitting upright and anxious. Which action should the nurse take first?
A. Obtain a full history
🟢 B. Apply oxygen as prescribed
C. Assist the patient to walk
D. Offer oral fluids
🔴 RATIONALE: Breathing has priority over other needs. Supporting oxygenation is the immediate nursing action.
4. Which assessment finding requires the nurse to notify the provider immediately?
A. Mild postoperative pain
B. Urine output of 45 mL/hr
🟢 C. New unilateral facial droop
D. Slight fatigue after activity
🔴 RATIONALE: Sudden facial droop may indicate stroke and requires urgent intervention.
5. A nurse is reinforcing discharge teaching about a prescribed antibiotic. Which statement shows understanding?
A. “I will stop it when I feel better.”
B. “I can take extra doses if I miss one.”
🟢 C. “I will finish the entire course as prescribed.”
D. “I will save the rest for next time.”
🔴 RATIONALE: Completing the full antibiotic course helps prevent resistance and treatment failure.
, 6. Which patient should the nurse assess first?
A. A patient requesting a blanket
B. A patient with a temperature of 100.4 F
🟢 C. A patient reporting chest pain and diaphoresis
D. A patient waiting for transport
🔴 RATIONALE: Chest pain with diaphoresis may indicate myocardial ischemia and is a priority.
7. A nurse hears a colleague discussing a patient in the elevator. Which ethical principle is at risk?
A. Autonomy
B. Justice
🟢 C. Confidentiality
D. Veracity
🔴 RATIONALE: Discussing patient information in public violates confidentiality and privacy standards.
8. Which task is appropriate for the nurse to delegate to a nursing assistant?
A. Teaching incentive spirometry
B. Assessing pain
C. Evaluating wound healing
🟢 D. Assisting a stable patient with bathing
🔴 RATIONALE: Basic activities of daily living for stable patients can be delegated to assistive personnel.
9. Which dietary choice is best for a patient with hypertension?
A. Canned soup
🟢 B. Fresh fruit and unsalted vegetables
C. Processed cheese
D. Deli meat sandwich
🔴 RATIONALE: Fresh foods are typically lower in sodium and support blood pressure control.
0. A patient becomes pale and sweaty after receiving insulin. What should the nurse do first?
A. Document the episode
🟢 B. Check the blood glucose level
C. Encourage ambulation
D. Notify dietary services
🔴 RATIONALE: The symptoms suggest hypoglycemia, so glucose should be assessed immediately.