RN Comprehensive Online Practice 2025/2026 B
NGN-Based Exam | Verified Correct Answers & Rationales | 100% Accuracy | A+
Graded Resource
Introduction
This resource includes verified exam questions and correct answers from the RN
Comprehensive Online Practice B for the 2025/2026 exam cycle. Questions are fully updated
to align with Next Generation NCLEX (NGN) criteria and include rationales to reinforce
clinical reasoning and safe nursing practice.
Answer Format
Correct answers are clearly marked in bold and green to support efficient studying. Each
question is followed by a detailed rationale for comprehensive review.
RN Comprehensive Online Practice 2025/2026 B (NGN-Based)
Question 1
A nurse is caring for a client with a new prescription for enoxaparin following a total knee
replacement. Which client statement indicates understanding of the teaching?
A. "I will massage the injection site after administration."
B. "I will inject the medication into my abdomen."
C. "I can take ibuprofen for pain relief."
D. "I will store the medication in the refrigerator."
Answer: "I will inject the medication into my abdomen."
Rationale: Enoxaparin is administered subcutaneously in the abdomen, avoiding a 2-inch
radius around the umbilicus. Massaging increases bleeding risk, ibuprofen is contraindicated,
and refrigeration is unnecessary.
Question 2
A client with heart failure reports a 2 kg weight gain in 24 hours and dyspnea. What is the
priority nursing action?
A. Administer oxygen at 2 L/min
B. Assess fluid status
C. Measure blood pressure
D. Check blood glucose levels
Answer: Assess fluid status
,Rationale: Rapid weight gain and dyspnea suggest fluid overload, requiring immediate fluid
status assessment.
Question 3
A nurse is caring for a client with type 1 diabetes mellitus who reports shakiness and
sweating. What is the priority nursing action?
A. Administer insulin
B. Check blood glucose levels
C. Provide a high-protein snack
D. Monitor vital signs
Answer: Check blood glucose levels
Rationale: Shakiness and sweating indicate possible hypoglycemia, requiring glucose
assessment before intervention.
Question 4
A client with atrial fibrillation is prescribed amiodarone. What should the nurse monitor?
A. Blood glucose levels
B. Pulmonary function
C. Urine output
D. Blood pressure
Answer: Pulmonary function
Rationale: Amiodarone can cause pulmonary toxicity, requiring monitoring for cough or
dyspnea.
Question 5
A nurse is teaching a client with COPD about salmeterol. Which statement indicates
understanding?
A. "I will use this inhaler when I feel short of breath."
B. "I will use this inhaler twice daily."
C. "I should rinse my mouth after each use."
D. "This inhaler will reduce my sputum production."
Answer: "I will use this inhaler twice daily."
Rationale: Salmeterol is a long-acting bronchodilator used twice daily for COPD
maintenance.
,Question 6
A client with a new colostomy reports a pale, dusky stoma. What is the priority nursing
action?
A. Document as a normal finding
B. Notify the healthcare provider
C. Apply a warm compress
D. Change the ostomy appliance
Answer: Notify the healthcare provider
Rationale: A pale, dusky stoma indicates possible ischemia, requiring immediate provider
evaluation.
Question 7
A nurse is caring for a client at 18 weeks gestation who reports vaginal bleeding. What is the
priority nursing action?
A. Encourage bed rest
B. Notify the healthcare provider
C. Monitor fetal heart tones
D. Administer fluids
Answer: Notify the healthcare provider
Rationale: Vaginal bleeding in pregnancy may indicate complications like placenta previa,
requiring urgent provider evaluation.
Question 8
A client with rheumatoid arthritis is prescribed adalimumab. What should the nurse teach?
A. Take with meals
B. Report signs of infection
C. Avoid physical activity
D. Monitor blood pressure daily
Answer: Report signs of infection
Rationale: Adalimumab increases infection risk due to immunosuppression, requiring
monitoring for fever or chills.
Question 9
A nurse is assessing a client with chronic kidney disease who reports muscle cramps. What
should the nurse assess first?
, A. Blood glucose levels
B. Electrolyte levels
C. Blood pressure
D. Respiratory rate
Answer: Electrolyte levels
Rationale: Muscle cramps in CKD suggest electrolyte imbalances like hypocalcemia or
hyperkalemia.
Question 10
A client with a new prescription for furosemide reports dizziness. What should the nurse
assess first?
A. Blood glucose levels
B. Blood pressure
C. Respiratory rate
D. Urine output
Answer: Blood pressure
Rationale: Furosemide can cause hypotension, leading to dizziness, requiring blood pressure
assessment.
Question 11
A nurse is caring for a client post-stroke with difficulty swallowing. What is the priority
nursing action?
A. Encourage oral feeding
B. Consult a speech therapist
C. Administer thickened liquids
D. Monitor vital signs
Answer: Consult a speech therapist
Rationale: A speech therapist assesses swallowing to prevent aspiration in clients with
dysphagia.
Question 12
A client with hyperthyroidism is prescribed propylthiouracil. What should the nurse teach?
A. Take with meals
B. Report sore throat or fever
C. Stop if palpitations resolve
NGN-Based Exam | Verified Correct Answers & Rationales | 100% Accuracy | A+
Graded Resource
Introduction
This resource includes verified exam questions and correct answers from the RN
Comprehensive Online Practice B for the 2025/2026 exam cycle. Questions are fully updated
to align with Next Generation NCLEX (NGN) criteria and include rationales to reinforce
clinical reasoning and safe nursing practice.
Answer Format
Correct answers are clearly marked in bold and green to support efficient studying. Each
question is followed by a detailed rationale for comprehensive review.
RN Comprehensive Online Practice 2025/2026 B (NGN-Based)
Question 1
A nurse is caring for a client with a new prescription for enoxaparin following a total knee
replacement. Which client statement indicates understanding of the teaching?
A. "I will massage the injection site after administration."
B. "I will inject the medication into my abdomen."
C. "I can take ibuprofen for pain relief."
D. "I will store the medication in the refrigerator."
Answer: "I will inject the medication into my abdomen."
Rationale: Enoxaparin is administered subcutaneously in the abdomen, avoiding a 2-inch
radius around the umbilicus. Massaging increases bleeding risk, ibuprofen is contraindicated,
and refrigeration is unnecessary.
Question 2
A client with heart failure reports a 2 kg weight gain in 24 hours and dyspnea. What is the
priority nursing action?
A. Administer oxygen at 2 L/min
B. Assess fluid status
C. Measure blood pressure
D. Check blood glucose levels
Answer: Assess fluid status
,Rationale: Rapid weight gain and dyspnea suggest fluid overload, requiring immediate fluid
status assessment.
Question 3
A nurse is caring for a client with type 1 diabetes mellitus who reports shakiness and
sweating. What is the priority nursing action?
A. Administer insulin
B. Check blood glucose levels
C. Provide a high-protein snack
D. Monitor vital signs
Answer: Check blood glucose levels
Rationale: Shakiness and sweating indicate possible hypoglycemia, requiring glucose
assessment before intervention.
Question 4
A client with atrial fibrillation is prescribed amiodarone. What should the nurse monitor?
A. Blood glucose levels
B. Pulmonary function
C. Urine output
D. Blood pressure
Answer: Pulmonary function
Rationale: Amiodarone can cause pulmonary toxicity, requiring monitoring for cough or
dyspnea.
Question 5
A nurse is teaching a client with COPD about salmeterol. Which statement indicates
understanding?
A. "I will use this inhaler when I feel short of breath."
B. "I will use this inhaler twice daily."
C. "I should rinse my mouth after each use."
D. "This inhaler will reduce my sputum production."
Answer: "I will use this inhaler twice daily."
Rationale: Salmeterol is a long-acting bronchodilator used twice daily for COPD
maintenance.
,Question 6
A client with a new colostomy reports a pale, dusky stoma. What is the priority nursing
action?
A. Document as a normal finding
B. Notify the healthcare provider
C. Apply a warm compress
D. Change the ostomy appliance
Answer: Notify the healthcare provider
Rationale: A pale, dusky stoma indicates possible ischemia, requiring immediate provider
evaluation.
Question 7
A nurse is caring for a client at 18 weeks gestation who reports vaginal bleeding. What is the
priority nursing action?
A. Encourage bed rest
B. Notify the healthcare provider
C. Monitor fetal heart tones
D. Administer fluids
Answer: Notify the healthcare provider
Rationale: Vaginal bleeding in pregnancy may indicate complications like placenta previa,
requiring urgent provider evaluation.
Question 8
A client with rheumatoid arthritis is prescribed adalimumab. What should the nurse teach?
A. Take with meals
B. Report signs of infection
C. Avoid physical activity
D. Monitor blood pressure daily
Answer: Report signs of infection
Rationale: Adalimumab increases infection risk due to immunosuppression, requiring
monitoring for fever or chills.
Question 9
A nurse is assessing a client with chronic kidney disease who reports muscle cramps. What
should the nurse assess first?
, A. Blood glucose levels
B. Electrolyte levels
C. Blood pressure
D. Respiratory rate
Answer: Electrolyte levels
Rationale: Muscle cramps in CKD suggest electrolyte imbalances like hypocalcemia or
hyperkalemia.
Question 10
A client with a new prescription for furosemide reports dizziness. What should the nurse
assess first?
A. Blood glucose levels
B. Blood pressure
C. Respiratory rate
D. Urine output
Answer: Blood pressure
Rationale: Furosemide can cause hypotension, leading to dizziness, requiring blood pressure
assessment.
Question 11
A nurse is caring for a client post-stroke with difficulty swallowing. What is the priority
nursing action?
A. Encourage oral feeding
B. Consult a speech therapist
C. Administer thickened liquids
D. Monitor vital signs
Answer: Consult a speech therapist
Rationale: A speech therapist assesses swallowing to prevent aspiration in clients with
dysphagia.
Question 12
A client with hyperthyroidism is prescribed propylthiouracil. What should the nurse teach?
A. Take with meals
B. Report sore throat or fever
C. Stop if palpitations resolve
