Latest NGN - NCLEX PN EXAM NEWEST 2026
ACTUAL EXAM TEST BANK WITH VERIFIED
ANSWERS PLUS RATIONALES
Core Domains:
Management of Care and Delegation Principles
Safety and Infection Prevention and Control
Health Promotion and Maintenance across the Lifespan
Psychosocial Integrity and Therapeutic Communication
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation and Clinical Judgment
Legal and Ethical Issues in Nursing Practice
Fluid, Electrolyte, and Acid-Base Balance
Caring for Clients with Acute and Chronic Conditions
This comprehensive test bank is designed to prepare practical nursing
candidates for the Next Generation NCLEX-PN (NGN) Examination.
The 2026 NCLEX-PN test plan retains its core structure, Client Needs
categories, and percentage distribution while incorporating refinements
that emphasize health equity, client dignity, the rights of delegation, and
point-of-care testing . Questions reflect the current emphasis on clinical
judgment within the NCSBN Clinical Judgment Measurement Model
(NCJMM) . Each item includes a verified correct answer accompanied
by a detailed rationale to reinforce learning and support exam
preparation.
SECTION ONE: QUESTIONS 1 – 100
,Question 1
The practical nurse is reinforcing teaching about hand hygiene. Which
statement by a client indicates understanding?
A. "I should wash my hands for at least 10 seconds."
B. "I can use hand sanitizer if my hands are visibly dirty."
C. "I should rub my hands until the sanitizer is completely dry."
D. "Soap and water are less effective than alcohol-based rubs."
C. "I should rub my hands until the sanitizer is completely dry."
RATIONALE: Hand sanitizer must be rubbed until completely dry
(approximately 20 seconds) for effectiveness . Hand washing requires at
least 20 seconds; sanitizer is not effective for visible soil; soap and water
are equally or more effective in some situations. Understanding proper
hand hygiene is fundamental to infection prevention and control .
Question 2
A client with a nasogastric (NG) tube attached to low intermittent
suction reports nausea. What should the PN do FIRST?
A. Irrigate the NG tube with 30 mL sterile water.
B. Check the tube for placement and patency.
C. Reposition the client to the left side.
D. Increase the suction pressure.
B. Check the tube for placement and patency.
RATIONALE: The first action is to verify tube placement and
patency, as kinking or displacement can cause nausea . Irrigation may
follow but is not the first intervention. Increasing suction risks mucosal
injury. The nursing process requires assessment before intervention.
,Question 3
The practical nurse is reinforcing discharge instructions for a client
prescribed warfarin. Which statement requires immediate follow-up?
A. "I will eat more leafy green vegetables."
B. "I will use an electric razor to shave."
C. "I will avoid drinking alcohol."
D. "I will report any bruising to my provider."
A. "I will eat more leafy green vegetables."
RATIONALE: Leafy green vegetables are high in vitamin K, which
antagonizes warfarin's anticoagulant effect and can decrease the INR .
Consistent intake is recommended, but a sudden increase requires
follow-up. Electric razors, avoiding alcohol, and reporting bruising are
appropriate actions.
Question 4
A client's pulse oximetry reading is 89% on room air. What is the PN's
priority action?
A. Apply oxygen at 2 L/min via nasal cannula.
B. Notify the registered nurse immediately.
C. Check the client's respiratory rate and effort.
D. Reposition the probe to a different finger.
C. Check the client's respiratory rate and effort.
RATIONALE: The priority is to assess the client (respiratory rate
and work of breathing) to confirm accuracy and determine the severity
of the condition before intervening . Applying oxygen without
assessment could mask underlying problems. Repositioning the probe
may be necessary but should follow clinical assessment.
, Question 5
The practical nurse is preparing to measure blood pressure using a
manual cuff. Which action is correct?
A. Wrap the cuff snugly with the bladder centered over the brachial
artery.
B. Place the client's arm above the level of the heart.
C. Deflate the cuff at 5-10 mm Hg per second.
D. Use the palpatory method to estimate diastolic pressure.
A. Wrap the cuff snugly with the bladder centered over the brachial
artery.
RATIONALE: The cuff bladder must be centered over the brachial
artery for accurate measurement . The arm should be at heart level (not
above). Deflation should be at 2-3 mm Hg per second for accuracy. The
palpatory method estimates systolic pressure only.
Question 6
A client reports pain 8/10 after abdominal surgery. Which non-
pharmacologic intervention can the PN implement independently?
A. Administer morphine sulfate 2 mg IV.
B. Reposition the client with pillows.
C. Call the provider for a pain consult.
D. Apply a heating pad to the incision.
B. Reposition the client with pillows.
RATIONALE: Repositioning is an independent nursing action that
does not require a provider's order . Medication administration requires
an order. Applying heat to a fresh incision requires a provider's order.
ACTUAL EXAM TEST BANK WITH VERIFIED
ANSWERS PLUS RATIONALES
Core Domains:
Management of Care and Delegation Principles
Safety and Infection Prevention and Control
Health Promotion and Maintenance across the Lifespan
Psychosocial Integrity and Therapeutic Communication
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation and Clinical Judgment
Legal and Ethical Issues in Nursing Practice
Fluid, Electrolyte, and Acid-Base Balance
Caring for Clients with Acute and Chronic Conditions
This comprehensive test bank is designed to prepare practical nursing
candidates for the Next Generation NCLEX-PN (NGN) Examination.
The 2026 NCLEX-PN test plan retains its core structure, Client Needs
categories, and percentage distribution while incorporating refinements
that emphasize health equity, client dignity, the rights of delegation, and
point-of-care testing . Questions reflect the current emphasis on clinical
judgment within the NCSBN Clinical Judgment Measurement Model
(NCJMM) . Each item includes a verified correct answer accompanied
by a detailed rationale to reinforce learning and support exam
preparation.
SECTION ONE: QUESTIONS 1 – 100
,Question 1
The practical nurse is reinforcing teaching about hand hygiene. Which
statement by a client indicates understanding?
A. "I should wash my hands for at least 10 seconds."
B. "I can use hand sanitizer if my hands are visibly dirty."
C. "I should rub my hands until the sanitizer is completely dry."
D. "Soap and water are less effective than alcohol-based rubs."
C. "I should rub my hands until the sanitizer is completely dry."
RATIONALE: Hand sanitizer must be rubbed until completely dry
(approximately 20 seconds) for effectiveness . Hand washing requires at
least 20 seconds; sanitizer is not effective for visible soil; soap and water
are equally or more effective in some situations. Understanding proper
hand hygiene is fundamental to infection prevention and control .
Question 2
A client with a nasogastric (NG) tube attached to low intermittent
suction reports nausea. What should the PN do FIRST?
A. Irrigate the NG tube with 30 mL sterile water.
B. Check the tube for placement and patency.
C. Reposition the client to the left side.
D. Increase the suction pressure.
B. Check the tube for placement and patency.
RATIONALE: The first action is to verify tube placement and
patency, as kinking or displacement can cause nausea . Irrigation may
follow but is not the first intervention. Increasing suction risks mucosal
injury. The nursing process requires assessment before intervention.
,Question 3
The practical nurse is reinforcing discharge instructions for a client
prescribed warfarin. Which statement requires immediate follow-up?
A. "I will eat more leafy green vegetables."
B. "I will use an electric razor to shave."
C. "I will avoid drinking alcohol."
D. "I will report any bruising to my provider."
A. "I will eat more leafy green vegetables."
RATIONALE: Leafy green vegetables are high in vitamin K, which
antagonizes warfarin's anticoagulant effect and can decrease the INR .
Consistent intake is recommended, but a sudden increase requires
follow-up. Electric razors, avoiding alcohol, and reporting bruising are
appropriate actions.
Question 4
A client's pulse oximetry reading is 89% on room air. What is the PN's
priority action?
A. Apply oxygen at 2 L/min via nasal cannula.
B. Notify the registered nurse immediately.
C. Check the client's respiratory rate and effort.
D. Reposition the probe to a different finger.
C. Check the client's respiratory rate and effort.
RATIONALE: The priority is to assess the client (respiratory rate
and work of breathing) to confirm accuracy and determine the severity
of the condition before intervening . Applying oxygen without
assessment could mask underlying problems. Repositioning the probe
may be necessary but should follow clinical assessment.
, Question 5
The practical nurse is preparing to measure blood pressure using a
manual cuff. Which action is correct?
A. Wrap the cuff snugly with the bladder centered over the brachial
artery.
B. Place the client's arm above the level of the heart.
C. Deflate the cuff at 5-10 mm Hg per second.
D. Use the palpatory method to estimate diastolic pressure.
A. Wrap the cuff snugly with the bladder centered over the brachial
artery.
RATIONALE: The cuff bladder must be centered over the brachial
artery for accurate measurement . The arm should be at heart level (not
above). Deflation should be at 2-3 mm Hg per second for accuracy. The
palpatory method estimates systolic pressure only.
Question 6
A client reports pain 8/10 after abdominal surgery. Which non-
pharmacologic intervention can the PN implement independently?
A. Administer morphine sulfate 2 mg IV.
B. Reposition the client with pillows.
C. Call the provider for a pain consult.
D. Apply a heating pad to the incision.
B. Reposition the client with pillows.
RATIONALE: Repositioning is an independent nursing action that
does not require a provider's order . Medication administration requires
an order. Applying heat to a fresh incision requires a provider's order.
