NCLEX-RN® Examination
Next Generation NCLEX NGN | 2026-2027
150 Questions & Answers with Rationales
Guaranteed Pass | Perfect for FALL 2026 & SPRING 2027
,Q1: The nurse is caring for a client who has a living will stating no heroic measures. The client
is found unresponsive and pulseless. Which action should the nurse take?
A. Begin CPR immediately
B. Check the client's code status and honor the living will
C. Call a code and start compressions
D. Ask the family what to do
Correct Answer: B
Rationale: A living will is a legal advance directive. The nurse must verify and honor the client's
wishes. If the living will specifies no CPR, resuscitation should not be initiated.
Q2: The nurse is preparing to administer digoxin to a client. Which action is the priority?
A. Check the apical pulse for 1 full minute
B. Check the radial pulse for 15 seconds
C. Administer the medication with food
D. Check the blood pressure
Correct Answer: A
Rationale: Digoxin slows the heart rate. The apical pulse must be checked for 1 full minute. Hold
if heart rate is below 60 beats/min.
Q3: The nurse is teaching a client about immunizations. Which vaccine is contraindicated during
pregnancy?
A. Influenza (inactivated)
B. Tetanus toxoid
C. MMR
D. Hepatitis B
Correct Answer: C
Rationale: MMR is a live attenuated vaccine and is contraindicated in pregnancy due to the
theoretical risk of transmission to the fetus.
Q4: The nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral medications
B. Assessing a client's pain level
C. Assisting a stable client with ambulation
D. Teaching a client about insulin injection
,Correct Answer: C
Rationale: UAPs can assist stable clients with ambulation. Medication administration,
assessment, and teaching are RN responsibilities.
Q5: The nurse is administering heparin to a client. Which laboratory value should be monitored?
A. PT/INR
B. aPTT
C. Platelet count
D. Hemoglobin
Correct Answer: B
Rationale: Heparin therapy is monitored using aPTT. Warfarin therapy is monitored using
PT/INR.
Q6: The nurse is assessing a 6-month-old infant. Which finding indicates an expected
developmental milestone?
A. Sitting without support
B. Rolling over
C. Walking independently
D. Speaking in sentences
Correct Answer: B
Rationale: Rolling over is an expected 6-month milestone. Sitting without support typically
occurs around 8 months.
Q7: The nurse is preparing to administer amoxicillin to a client who has a documented allergy to
penicillin. Which action should the nurse take?
A. Administer the medication as ordered
B. Hold the medication and notify the provider
C. Administer with an antihistamine
D. Ask the client if they want the medication
Correct Answer: B
Rationale: Amoxicillin is a penicillin-based antibiotic. The nurse must hold the medication and
notify the provider due to the cross-sensitivity.
, Q8: The nurse is preparing to administer IV potassium chloride. Which action is correct?
A. Give as IV push
B. Give rapidly over 10 minutes
C. Dilute and give slowly via infusion pump
D. Give undiluted
Correct Answer: C
Rationale: IV potassium chloride must always be diluted and infused slowly via pump. IV push
is lethal and can cause cardiac arrest.
Q9: The nurse is caring for a client on airborne precautions. Which PPE is required upon
entering the room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
Correct Answer: B
Rationale: Airborne precautions require an N95 respirator, negative pressure room, and the door
must remain closed.
Q10: The nurse is teaching a pregnant client about prenatal care. Which instruction is most
important?
A. Avoid all physical activity
B. Take folic acid daily
C. Double caffeine intake
D. Skip prenatal vitamins
Correct Answer: B
Rationale: Folic acid prevents neural tube defects and is essential in prenatal care.
Q11: The nurse is administering vancomycin to a client. Which adverse effect should the nurse
monitor for?
A. Red Man Syndrome
B. Serotonin syndrome
C. Neuroleptic malignant syndrome
D. Hypertensive crisis
Next Generation NCLEX NGN | 2026-2027
150 Questions & Answers with Rationales
Guaranteed Pass | Perfect for FALL 2026 & SPRING 2027
,Q1: The nurse is caring for a client who has a living will stating no heroic measures. The client
is found unresponsive and pulseless. Which action should the nurse take?
A. Begin CPR immediately
B. Check the client's code status and honor the living will
C. Call a code and start compressions
D. Ask the family what to do
Correct Answer: B
Rationale: A living will is a legal advance directive. The nurse must verify and honor the client's
wishes. If the living will specifies no CPR, resuscitation should not be initiated.
Q2: The nurse is preparing to administer digoxin to a client. Which action is the priority?
A. Check the apical pulse for 1 full minute
B. Check the radial pulse for 15 seconds
C. Administer the medication with food
D. Check the blood pressure
Correct Answer: A
Rationale: Digoxin slows the heart rate. The apical pulse must be checked for 1 full minute. Hold
if heart rate is below 60 beats/min.
Q3: The nurse is teaching a client about immunizations. Which vaccine is contraindicated during
pregnancy?
A. Influenza (inactivated)
B. Tetanus toxoid
C. MMR
D. Hepatitis B
Correct Answer: C
Rationale: MMR is a live attenuated vaccine and is contraindicated in pregnancy due to the
theoretical risk of transmission to the fetus.
Q4: The nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Administering oral medications
B. Assessing a client's pain level
C. Assisting a stable client with ambulation
D. Teaching a client about insulin injection
,Correct Answer: C
Rationale: UAPs can assist stable clients with ambulation. Medication administration,
assessment, and teaching are RN responsibilities.
Q5: The nurse is administering heparin to a client. Which laboratory value should be monitored?
A. PT/INR
B. aPTT
C. Platelet count
D. Hemoglobin
Correct Answer: B
Rationale: Heparin therapy is monitored using aPTT. Warfarin therapy is monitored using
PT/INR.
Q6: The nurse is assessing a 6-month-old infant. Which finding indicates an expected
developmental milestone?
A. Sitting without support
B. Rolling over
C. Walking independently
D. Speaking in sentences
Correct Answer: B
Rationale: Rolling over is an expected 6-month milestone. Sitting without support typically
occurs around 8 months.
Q7: The nurse is preparing to administer amoxicillin to a client who has a documented allergy to
penicillin. Which action should the nurse take?
A. Administer the medication as ordered
B. Hold the medication and notify the provider
C. Administer with an antihistamine
D. Ask the client if they want the medication
Correct Answer: B
Rationale: Amoxicillin is a penicillin-based antibiotic. The nurse must hold the medication and
notify the provider due to the cross-sensitivity.
, Q8: The nurse is preparing to administer IV potassium chloride. Which action is correct?
A. Give as IV push
B. Give rapidly over 10 minutes
C. Dilute and give slowly via infusion pump
D. Give undiluted
Correct Answer: C
Rationale: IV potassium chloride must always be diluted and infused slowly via pump. IV push
is lethal and can cause cardiac arrest.
Q9: The nurse is caring for a client on airborne precautions. Which PPE is required upon
entering the room?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
Correct Answer: B
Rationale: Airborne precautions require an N95 respirator, negative pressure room, and the door
must remain closed.
Q10: The nurse is teaching a pregnant client about prenatal care. Which instruction is most
important?
A. Avoid all physical activity
B. Take folic acid daily
C. Double caffeine intake
D. Skip prenatal vitamins
Correct Answer: B
Rationale: Folic acid prevents neural tube defects and is essential in prenatal care.
Q11: The nurse is administering vancomycin to a client. Which adverse effect should the nurse
monitor for?
A. Red Man Syndrome
B. Serotonin syndrome
C. Neuroleptic malignant syndrome
D. Hypertensive crisis
