NCLEX-RN® Examination
Next Generation NCLEX NGN | 2027
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
,Q1: The nurse is assessing a client who is 24 hours postoperative from a total hip replacement.
Which finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Pain rated 4/10 at the surgical site
C. Sudden shortness of breath and chest pain
D. Temperature of 99.2°F
Correct Answer: C
Rationale: Sudden shortness of breath and chest pain after hip replacement surgery suggests a
pulmonary embolism, which is a life-threatening emergency requiring immediate intervention.
Q2: The nurse is preparing to administer warfarin to a client. Which laboratory value should be
reviewed before administration?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Correct Answer: B
Rationale: Warfarin therapy is monitored using the INR. Therapeutic range is typically 2.0–3.0.
Q3: The nurse is caring for a client with Clostridioides difficile infection. Which precaution is
required?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Correct Answer: B
Rationale: C. diff requires contact precautions. Soap and water handwashing is required because
alcohol does not kill C. diff spores.
,Q4: The nurse is assessing a client with a stage 4 pressure injury. Which description best
characterizes this stage?
A. Non-blanchable redness of intact skin
B. Partial-thickness skin loss with exposed dermis
C. Full-thickness skin loss with visible subcutaneous fat
D. Full-thickness skin and tissue loss with exposed bone, tendon, or muscle
Correct Answer: D
Rationale: Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed
palpable muscle, tendon, ligament, or bone.
Q5: The nurse is teaching a client about a new prescription for atorvastatin. Which instruction is
correct?
A. Take the medication in the morning
B. Report unexplained muscle pain
C. Double the dose if a dose is missed
D. Take with grapefruit juice
Correct Answer: B
Rationale: Statins can cause rhabdomyolysis. Clients should report unexplained muscle pain or
weakness immediately.
Q6: The nurse is preparing to administer a tuberculin skin test. When should the nurse instruct
the client to return for reading?
A. 12 hours
B. 24 hours
C. 48–72 hours
D. 1 week
Correct Answer: C
Rationale: Tuberculin skin tests are read 48–72 hours after administration.
, Q7: The nurse is assessing a client with a suspected tension pneumothorax. Which finding is
most concerning?
A. Tracheal deviation toward the unaffected side
B. Mild chest discomfort
C. Respiratory rate of 20 breaths/min
D. Oxygen saturation of 94%
Correct Answer: A
Rationale: Tracheal deviation toward the unaffected side indicates tension pneumothorax, a life-
threatening emergency.
Q8: The nurse is teaching a client about a new prescription for metoprolol. Which instruction is
correct?
A. Take the medication with grapefruit juice
B. Check your pulse before taking the medication
C. Double the dose if you miss one
D. Stop taking the medication if you feel tired
Correct Answer: B
Rationale: Beta-blockers require pulse checks. Hold if heart rate is below 60 beats/min.
Q9: The nurse is caring for a client with a new ileal conduit. Which finding indicates a
complication?
A. Pink, moist stoma
B. Dark, dusky stoma
C. Urine output of 30 mL/hr
D. Small amount of mucus in the urine
Correct Answer: B
Rationale: A dark, dusky stoma indicates ischemia and requires immediate provider notification.
Next Generation NCLEX NGN | 2027
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
,Q1: The nurse is assessing a client who is 24 hours postoperative from a total hip replacement.
Which finding requires immediate intervention?
A. Serosanguineous drainage on the dressing
B. Pain rated 4/10 at the surgical site
C. Sudden shortness of breath and chest pain
D. Temperature of 99.2°F
Correct Answer: C
Rationale: Sudden shortness of breath and chest pain after hip replacement surgery suggests a
pulmonary embolism, which is a life-threatening emergency requiring immediate intervention.
Q2: The nurse is preparing to administer warfarin to a client. Which laboratory value should be
reviewed before administration?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
Correct Answer: B
Rationale: Warfarin therapy is monitored using the INR. Therapeutic range is typically 2.0–3.0.
Q3: The nurse is caring for a client with Clostridioides difficile infection. Which precaution is
required?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
Correct Answer: B
Rationale: C. diff requires contact precautions. Soap and water handwashing is required because
alcohol does not kill C. diff spores.
,Q4: The nurse is assessing a client with a stage 4 pressure injury. Which description best
characterizes this stage?
A. Non-blanchable redness of intact skin
B. Partial-thickness skin loss with exposed dermis
C. Full-thickness skin loss with visible subcutaneous fat
D. Full-thickness skin and tissue loss with exposed bone, tendon, or muscle
Correct Answer: D
Rationale: Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed
palpable muscle, tendon, ligament, or bone.
Q5: The nurse is teaching a client about a new prescription for atorvastatin. Which instruction is
correct?
A. Take the medication in the morning
B. Report unexplained muscle pain
C. Double the dose if a dose is missed
D. Take with grapefruit juice
Correct Answer: B
Rationale: Statins can cause rhabdomyolysis. Clients should report unexplained muscle pain or
weakness immediately.
Q6: The nurse is preparing to administer a tuberculin skin test. When should the nurse instruct
the client to return for reading?
A. 12 hours
B. 24 hours
C. 48–72 hours
D. 1 week
Correct Answer: C
Rationale: Tuberculin skin tests are read 48–72 hours after administration.
, Q7: The nurse is assessing a client with a suspected tension pneumothorax. Which finding is
most concerning?
A. Tracheal deviation toward the unaffected side
B. Mild chest discomfort
C. Respiratory rate of 20 breaths/min
D. Oxygen saturation of 94%
Correct Answer: A
Rationale: Tracheal deviation toward the unaffected side indicates tension pneumothorax, a life-
threatening emergency.
Q8: The nurse is teaching a client about a new prescription for metoprolol. Which instruction is
correct?
A. Take the medication with grapefruit juice
B. Check your pulse before taking the medication
C. Double the dose if you miss one
D. Stop taking the medication if you feel tired
Correct Answer: B
Rationale: Beta-blockers require pulse checks. Hold if heart rate is below 60 beats/min.
Q9: The nurse is caring for a client with a new ileal conduit. Which finding indicates a
complication?
A. Pink, moist stoma
B. Dark, dusky stoma
C. Urine output of 30 mL/hr
D. Small amount of mucus in the urine
Correct Answer: B
Rationale: A dark, dusky stoma indicates ischemia and requires immediate provider notification.
