RN COMPREHENSIVE PREDICTOR
NGN EXAMINATION
180 Questions | 4 Options Each | Detailed Rationales | Answer Key
SECTIONS COVERED
1. Management of Care (35 Questions)
2. Safety and Infection Control (20 Questions)
3. Health Promotion and Maintenance (15 Questions)
4. Psychosocial Integrity (20 Questions)
5. Reduction of Risk Potential (15 Questions)
6. Pharmacological and Parenteral Therapies (20 Questions)
7. Basic Care and Comfort (20 Questions)
8. Physiological Integrity: Adult Health (35 Questions)
This examination contains 180 questions designed for the Next Generation NCLEX format.
All questions include 4 answer options and detailed rationales.
, TABLE OF CONTENTS
1. Management of Care Questions 1-35
2. Safety and Infection Control Questions 36-55
3. Health Promotion and Maintenance Questions 56-70
4. Psychosocial Integrity Questions 71-90
5. Reduction of Risk Potential Questions 91-105
6. Pharmacological and Parenteral Therapies Questions 106-125
7. Basic Care and Comfort Questions 126-155
8. Physiological Integrity: Adult Health Questions 156-180
Answer Key Complete Answer Key with Rationales
, 1. Management of Care
Question 1
A client is admitted with acute chest pain and the nurse suspects a myocardial infarction. The healthcare
provider orders morphine, oxygen, nitroglycerin, and aspirin. The nurse recognizes that timely intervention is
critical. What is the priority nursing intervention?
A. A. Administer morphine intravenously to relieve pain
B. B. Administer supplemental oxygen and assess oxygen saturation
C. C. Administer chewable aspirin 325 mg immediately
D. D. Administer sublingual nitroglycerin to dilate coronary arteries
Correct Answer: B
Rationale: Oxygen administration is the priority because myocardial ischemia causes hypoxia, and improving
oxygenation reduces cardiac workload. While aspirin and nitroglycerin are important, oxygen is the first step in the
MONA protocol. Morphine is given after initial stabilization.
Question 2
A nurse is delegating tasks to a nursing assistant on a busy medical-surgical unit. The nurse must decide
which tasks are appropriate to delegate. Which task is appropriate for the nurse to delegate to the nursing
assistant?
A. A. Administering a scheduled dose of insulin to a diabetic client
B. B. Assisting a client with ambulation to the bathroom
C. C. Assessing a postoperative client for signs of bleeding
D. D. Teaching a newly diagnosed diabetic client about foot care
Correct Answer: B
Rationale: Ambulation assistance is within the scope of nursing assistant practice and does not require clinical judgment
or assessment. Insulin administration, postoperative assessment, and client education require the professional judgment
and accountability of a licensed nurse.
, 1. Management of Care (continued)
Question 3
A client with heart failure is being discharged home. The nurse is developing a comprehensive discharge plan.
What is the priority component of the discharge planning process?
A. A. Arranging home health services for wound care
B. B. Ensuring the client understands medication regimens and dietary restrictions
C. C. Scheduling a follow-up appointment in six months
D. D. Providing a list of local support groups for heart failure clients
Correct Answer: B
Rationale: Client education about medications and diet is the priority because non-adherence is a leading cause of heart
failure readmission. Home health services and support groups are valuable but secondary. Six-month follow-up is too
delayed for a condition requiring close monitoring.
Question 4
A nurse is leading an interdisciplinary team meeting for a client with complex healthcare needs. The team
includes a physician, physical therapist, social worker, and dietitian. What is the primary role of the nurse in this
interdisciplinary team?
A. A. To direct all team members in their specific duties
B. B. To coordinate care and ensure communication among all team members
C. C. To provide all direct care while others consult
D. D. To make all clinical decisions for the client
Correct Answer: B
Rationale: The nurse serves as the coordinator of care, facilitating communication among interdisciplinary team
members. The nurse does not direct all team members or make all clinical decisions, as each discipline has independent
expertise. Providing all direct care is not feasible in an interdisciplinary model.
NGN EXAMINATION
180 Questions | 4 Options Each | Detailed Rationales | Answer Key
SECTIONS COVERED
1. Management of Care (35 Questions)
2. Safety and Infection Control (20 Questions)
3. Health Promotion and Maintenance (15 Questions)
4. Psychosocial Integrity (20 Questions)
5. Reduction of Risk Potential (15 Questions)
6. Pharmacological and Parenteral Therapies (20 Questions)
7. Basic Care and Comfort (20 Questions)
8. Physiological Integrity: Adult Health (35 Questions)
This examination contains 180 questions designed for the Next Generation NCLEX format.
All questions include 4 answer options and detailed rationales.
, TABLE OF CONTENTS
1. Management of Care Questions 1-35
2. Safety and Infection Control Questions 36-55
3. Health Promotion and Maintenance Questions 56-70
4. Psychosocial Integrity Questions 71-90
5. Reduction of Risk Potential Questions 91-105
6. Pharmacological and Parenteral Therapies Questions 106-125
7. Basic Care and Comfort Questions 126-155
8. Physiological Integrity: Adult Health Questions 156-180
Answer Key Complete Answer Key with Rationales
, 1. Management of Care
Question 1
A client is admitted with acute chest pain and the nurse suspects a myocardial infarction. The healthcare
provider orders morphine, oxygen, nitroglycerin, and aspirin. The nurse recognizes that timely intervention is
critical. What is the priority nursing intervention?
A. A. Administer morphine intravenously to relieve pain
B. B. Administer supplemental oxygen and assess oxygen saturation
C. C. Administer chewable aspirin 325 mg immediately
D. D. Administer sublingual nitroglycerin to dilate coronary arteries
Correct Answer: B
Rationale: Oxygen administration is the priority because myocardial ischemia causes hypoxia, and improving
oxygenation reduces cardiac workload. While aspirin and nitroglycerin are important, oxygen is the first step in the
MONA protocol. Morphine is given after initial stabilization.
Question 2
A nurse is delegating tasks to a nursing assistant on a busy medical-surgical unit. The nurse must decide
which tasks are appropriate to delegate. Which task is appropriate for the nurse to delegate to the nursing
assistant?
A. A. Administering a scheduled dose of insulin to a diabetic client
B. B. Assisting a client with ambulation to the bathroom
C. C. Assessing a postoperative client for signs of bleeding
D. D. Teaching a newly diagnosed diabetic client about foot care
Correct Answer: B
Rationale: Ambulation assistance is within the scope of nursing assistant practice and does not require clinical judgment
or assessment. Insulin administration, postoperative assessment, and client education require the professional judgment
and accountability of a licensed nurse.
, 1. Management of Care (continued)
Question 3
A client with heart failure is being discharged home. The nurse is developing a comprehensive discharge plan.
What is the priority component of the discharge planning process?
A. A. Arranging home health services for wound care
B. B. Ensuring the client understands medication regimens and dietary restrictions
C. C. Scheduling a follow-up appointment in six months
D. D. Providing a list of local support groups for heart failure clients
Correct Answer: B
Rationale: Client education about medications and diet is the priority because non-adherence is a leading cause of heart
failure readmission. Home health services and support groups are valuable but secondary. Six-month follow-up is too
delayed for a condition requiring close monitoring.
Question 4
A nurse is leading an interdisciplinary team meeting for a client with complex healthcare needs. The team
includes a physician, physical therapist, social worker, and dietitian. What is the primary role of the nurse in this
interdisciplinary team?
A. A. To direct all team members in their specific duties
B. B. To coordinate care and ensure communication among all team members
C. C. To provide all direct care while others consult
D. D. To make all clinical decisions for the client
Correct Answer: B
Rationale: The nurse serves as the coordinator of care, facilitating communication among interdisciplinary team
members. The nurse does not direct all team members or make all clinical decisions, as each discipline has independent
expertise. Providing all direct care is not feasible in an interdisciplinary model.
