ATI PN NEXT GENERATION NCLEX (NGN) PRACTICE QUESTIONS AND ANSWERS ALREADY
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Management of Care
Safety and Infection Control
Pharmacological and Parenteral Therapies
Basic Care and Comfort
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Adaptation
Reduction of Risk Potential
Maternal and Newborn Care
Pediatric Nursing Care
Introduction:
,This comprehensive examination assesses the practical nurse's mastery of Next Generation NCLEX
(NGN) concepts essential for safe, effective clinical judgment and decision-making. The assessment
evaluates knowledge across management of care, safety, pharmacology, basic care, health
promotion, psychosocial integrity, physiological adaptation, risk reduction, maternal newborn, and
pediatric nursing. Questions are structured in NGN formats including multiple-choice, select-all-
that-apply, matrix/grid, bow-tie, highlight, drop-down, and extended multiple response to simulate
real-world clinical situations. Emphasis is placed on clinical judgment, prioritization, and
application of evidence-based practice. Successful completion demonstrates readiness to deliver
competent, compassionate nursing care in diverse healthcare settings while adhering to
professional standards and regulatory requirements.
Section One: Questions 1–70
Question 1 (Multiple Choice)
A PN is caring for a client who is 1 day postoperative following abdominal surgery. The client
reports pain at the incision site. Which action should the PN take first?
A. Administer the prescribed opioid analgesic
B. Assess the client's pain using OLDCARTS
C. Reposition the client for comfort
D. Document the client's pain level
,🟢 B. Assess the client's pain using OLDCARTS
🔴 RATIONALE: The nursing process requires assessment before intervention. The PN should
first assess the pain using OLDCARTS to determine the appropriate intervention.
Question 2 (Select All That Apply)
A PN is assessing a client who has heart failure. Which findings should the PN report to the
provider? (Select all that apply.)
A. Weight gain of 2 kg in 24 hours
B. Oxygen saturation of 94% on room air
C. Crackles in the lung bases
D. Heart rate of 72 beats/min
E. New onset of confusion
🟢 A, C, E
🔴 RATIONALE: Weight gain of 2 kg in 24 hours indicates fluid retention. Crackles indicate
pulmonary edema. New onset of confusion may indicate decreased cerebral perfusion.
Question 3 (Matrix/Grid)
, A PN is assessing a client who is receiving a blood transfusion. For each finding, indicate
whether it is an expected finding or requires immediate intervention.
Finding Expected Requires Intervention
Temperature increase of 1°C ☐ ☐
Urticaria and itching ☐ ☐
Mild fatigue ☐ ☐
Flank pain and dark urine ☐ ☐
🟢 Temperature increase of 1°C: Requires Intervention
🟢 Urticaria and itching: Requires Intervention
🟢 Mild fatigue: Expected
🟢 Flank pain and dark urine: Requires Intervention
🔴 RATIONALE: Fever, urticaria, and flank pain with dark urine indicate transfusion reactions.
Mild fatigue is an expected finding during transfusion.
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Management of Care
Safety and Infection Control
Pharmacological and Parenteral Therapies
Basic Care and Comfort
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Adaptation
Reduction of Risk Potential
Maternal and Newborn Care
Pediatric Nursing Care
Introduction:
,This comprehensive examination assesses the practical nurse's mastery of Next Generation NCLEX
(NGN) concepts essential for safe, effective clinical judgment and decision-making. The assessment
evaluates knowledge across management of care, safety, pharmacology, basic care, health
promotion, psychosocial integrity, physiological adaptation, risk reduction, maternal newborn, and
pediatric nursing. Questions are structured in NGN formats including multiple-choice, select-all-
that-apply, matrix/grid, bow-tie, highlight, drop-down, and extended multiple response to simulate
real-world clinical situations. Emphasis is placed on clinical judgment, prioritization, and
application of evidence-based practice. Successful completion demonstrates readiness to deliver
competent, compassionate nursing care in diverse healthcare settings while adhering to
professional standards and regulatory requirements.
Section One: Questions 1–70
Question 1 (Multiple Choice)
A PN is caring for a client who is 1 day postoperative following abdominal surgery. The client
reports pain at the incision site. Which action should the PN take first?
A. Administer the prescribed opioid analgesic
B. Assess the client's pain using OLDCARTS
C. Reposition the client for comfort
D. Document the client's pain level
,🟢 B. Assess the client's pain using OLDCARTS
🔴 RATIONALE: The nursing process requires assessment before intervention. The PN should
first assess the pain using OLDCARTS to determine the appropriate intervention.
Question 2 (Select All That Apply)
A PN is assessing a client who has heart failure. Which findings should the PN report to the
provider? (Select all that apply.)
A. Weight gain of 2 kg in 24 hours
B. Oxygen saturation of 94% on room air
C. Crackles in the lung bases
D. Heart rate of 72 beats/min
E. New onset of confusion
🟢 A, C, E
🔴 RATIONALE: Weight gain of 2 kg in 24 hours indicates fluid retention. Crackles indicate
pulmonary edema. New onset of confusion may indicate decreased cerebral perfusion.
Question 3 (Matrix/Grid)
, A PN is assessing a client who is receiving a blood transfusion. For each finding, indicate
whether it is an expected finding or requires immediate intervention.
Finding Expected Requires Intervention
Temperature increase of 1°C ☐ ☐
Urticaria and itching ☐ ☐
Mild fatigue ☐ ☐
Flank pain and dark urine ☐ ☐
🟢 Temperature increase of 1°C: Requires Intervention
🟢 Urticaria and itching: Requires Intervention
🟢 Mild fatigue: Expected
🟢 Flank pain and dark urine: Requires Intervention
🔴 RATIONALE: Fever, urticaria, and flank pain with dark urine indicate transfusion reactions.
Mild fatigue is an expected finding during transfusion.
