NCLEX NGN 2025 ACTUAL EXAM ALL 180 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREAD
This 2025 NCLEX Next Generation (NGN) exam resource includes all 180 actual exam
questions with correct, detailed answers and rationales. Structured according to the
latest NCLEX NGN format, it emphasizes clinical judgment, priority setting, patient
safety, and evidence-based nursing care across all client populations. This A+ graded
guide is ideal for students preparing to master real-world nursing scenarios and case-
based assessments.
A nurse reviewing the medical history of an infant experiencing
gastroesophageal reflux (GER) would expect to note
documentation of which other issue?
Refusal to suck
Frequent diarrhea
Recurrent otitis media
Inability to pass stools - correct answer..C
Vomiting or spitting up after a meal, hiccupping, and recurrent
otitis media resulting from pooling of secretions in the
nasopharynx during sleep are characteristics of all types of GER.
A nurse reviewing the record of a child with suspected acute
poststreptococcal glomerulonephritis notes that the child
recently had a streptococcal throat infection that was treated
with antibiotics. Which diagnostic test will confirm the presence
of acute poststreptococcal glomerulonephritis does the nurse
expect to find?
,Throat culture
Blood urea nitrogen (BUN)
Antistreptolysin (ASO) titer
White blood cell (WBC) count - correct answer..C
In caring for a child admitted to the hospital with Kawasaki
disease, the nurse should monitor the child most closely for
signs which complication?
Anemia
Renal failure
Thrombus formation
Gastrointestinal disturbances - correct answer..C
Kawasaki disease, also called mucocutaneous lymph node
syndrome, is an acute febrile exanthematous illness of children
with a generalized vasculitis of unknown origin. A generalized
immune response affects the smooth muscle cells of the vascular
walls. These vascular changes, along with the increase in
platelets that occurs as part of the disease, can cause thrombus
formation, myocardial infarction, and death in some children.
A nurse provides dietary instructions to the mother of a child
with iron-deficiency anemia. The nurse realizes the mother
understands the instructions if the mother states she will increase
which food in the child's diet?
Milk
Cheese
Orange juice
Cream of Wheat - correct answer..D
,A nurse provides home care instructions to an adolescent with
sickle cell disease about measures to prevent vaso-occlusive
crisis. The nurse should emphasize which priority instruction?
Restrict fluid intake
Contact your primary health care provider if you have a fever.
Take acetylsalicylic acid (aspirin) immediately if a fever
develops
Be sure to spend plenty of time in the fresh air and sun each day
- correct answer..B
Fevers can initiate a vaso-occlusive crisis. Others should also be
avoided.
A primary health care provider prescribes morphine sulfate, 2.5
mg intravenously stat, for a client with terminal cancer. The
medication ampule reads, "Morphine sulfate 10 mg/mL." How
many milliliters of medication does the nurse prepare to
administer the correct dose? Please enter the number only. -
correct answer..0.25
A nurse is caring for the client who is in bed and begins to
exhibit seizure activity. Which actions does the nurse implement
to care for the client? Select all that apply.
Observing and timing the seizure
Loosening any restrictive clothing
Turning the client's head to the side
Removing the pads on the side rails
Inserting an airway into the client's mouth
Removing objects that might injure the client from the vicinity -
correct answer..A, B, C, F
, The nurse is participating in a facility's planning committee to
deal with possible bioterrorism threats. The nurse should
recommend implementing which infection control measures to
be used for clients in whom smallpox is diagnosed? Select all
that apply.
Enteric
Droplet
Contact
Standard
Protective isolation - correct answer..B, C, D
Smallpox is transmitted from person to person in infected
aerosols and air droplets spread by way of face-to-face contact
with an infected person after fever has begun, especially if the
infected person is also coughing. The disease can also be
transmitted in contaminated clothes and bedding, although the
risk of infection from this source is much lower. Therefore
droplet and contact precautions are necessary. Standard
precautions are implemented for the care of all clients. Enteric
precautions are implemented if the infectious agent is
transmitted by way of contact with feces. Protective isolation is
implemented when the client is neutropenic and needs to be
protected from infection.
A nurse is caring for a client in labor who is receiving an
oxytocin infusion. The nurse notes that the client is experiencing
uterine hypertonicity. The nurse should take which action
immediately?
Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREAD
This 2025 NCLEX Next Generation (NGN) exam resource includes all 180 actual exam
questions with correct, detailed answers and rationales. Structured according to the
latest NCLEX NGN format, it emphasizes clinical judgment, priority setting, patient
safety, and evidence-based nursing care across all client populations. This A+ graded
guide is ideal for students preparing to master real-world nursing scenarios and case-
based assessments.
A nurse reviewing the medical history of an infant experiencing
gastroesophageal reflux (GER) would expect to note
documentation of which other issue?
Refusal to suck
Frequent diarrhea
Recurrent otitis media
Inability to pass stools - correct answer..C
Vomiting or spitting up after a meal, hiccupping, and recurrent
otitis media resulting from pooling of secretions in the
nasopharynx during sleep are characteristics of all types of GER.
A nurse reviewing the record of a child with suspected acute
poststreptococcal glomerulonephritis notes that the child
recently had a streptococcal throat infection that was treated
with antibiotics. Which diagnostic test will confirm the presence
of acute poststreptococcal glomerulonephritis does the nurse
expect to find?
,Throat culture
Blood urea nitrogen (BUN)
Antistreptolysin (ASO) titer
White blood cell (WBC) count - correct answer..C
In caring for a child admitted to the hospital with Kawasaki
disease, the nurse should monitor the child most closely for
signs which complication?
Anemia
Renal failure
Thrombus formation
Gastrointestinal disturbances - correct answer..C
Kawasaki disease, also called mucocutaneous lymph node
syndrome, is an acute febrile exanthematous illness of children
with a generalized vasculitis of unknown origin. A generalized
immune response affects the smooth muscle cells of the vascular
walls. These vascular changes, along with the increase in
platelets that occurs as part of the disease, can cause thrombus
formation, myocardial infarction, and death in some children.
A nurse provides dietary instructions to the mother of a child
with iron-deficiency anemia. The nurse realizes the mother
understands the instructions if the mother states she will increase
which food in the child's diet?
Milk
Cheese
Orange juice
Cream of Wheat - correct answer..D
,A nurse provides home care instructions to an adolescent with
sickle cell disease about measures to prevent vaso-occlusive
crisis. The nurse should emphasize which priority instruction?
Restrict fluid intake
Contact your primary health care provider if you have a fever.
Take acetylsalicylic acid (aspirin) immediately if a fever
develops
Be sure to spend plenty of time in the fresh air and sun each day
- correct answer..B
Fevers can initiate a vaso-occlusive crisis. Others should also be
avoided.
A primary health care provider prescribes morphine sulfate, 2.5
mg intravenously stat, for a client with terminal cancer. The
medication ampule reads, "Morphine sulfate 10 mg/mL." How
many milliliters of medication does the nurse prepare to
administer the correct dose? Please enter the number only. -
correct answer..0.25
A nurse is caring for the client who is in bed and begins to
exhibit seizure activity. Which actions does the nurse implement
to care for the client? Select all that apply.
Observing and timing the seizure
Loosening any restrictive clothing
Turning the client's head to the side
Removing the pads on the side rails
Inserting an airway into the client's mouth
Removing objects that might injure the client from the vicinity -
correct answer..A, B, C, F
, The nurse is participating in a facility's planning committee to
deal with possible bioterrorism threats. The nurse should
recommend implementing which infection control measures to
be used for clients in whom smallpox is diagnosed? Select all
that apply.
Enteric
Droplet
Contact
Standard
Protective isolation - correct answer..B, C, D
Smallpox is transmitted from person to person in infected
aerosols and air droplets spread by way of face-to-face contact
with an infected person after fever has begun, especially if the
infected person is also coughing. The disease can also be
transmitted in contaminated clothes and bedding, although the
risk of infection from this source is much lower. Therefore
droplet and contact precautions are necessary. Standard
precautions are implemented for the care of all clients. Enteric
precautions are implemented if the infectious agent is
transmitted by way of contact with feces. Protective isolation is
implemented when the client is neutropenic and needs to be
protected from infection.
A nurse is caring for a client in labor who is receiving an
oxytocin infusion. The nurse notes that the client is experiencing
uterine hypertonicity. The nurse should take which action
immediately?
Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
