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NCLEX-RN Actual Exam
Questions 2025/2026 | Next Generation
NGN Test Bank with Verified Rationales |
Pass Guarantee
FUNDAMENTAL SKILLS & BASIC CARE (15)
1. The PN obtains an axillary temp on an adult. To ensure accuracy the
thermometer probe should remain in place for:
A. 15 s B. 30 s C. 3 min D. 5 min
Answer: C. Axillary needs ≈3 min for full equilibration. (Assessment)
2. While performing PM care the PN notices a 2-cm reddened area on the
client’s sacrum. The PN’s first action is to:
A. Massage the area with lotion B. Apply a heating pad C. Reposition
the client D. Document only
Answer: C. Off-load pressure immediately. (Implementation/Safety)
3. A post-op client suddenly vomits. Which action protects the client’s airway
best?
A. Raise knee gatch B. Turn head to side C. Apply oxygen mask D.
Offer emesis basin
Answer: B. Lateral position prevents aspiration. (Safety)
4. Correct order for donning sterile gloves (first → last):
A. Gown first, then gloves B. Clean hand→dirty hand glove C. Dirty
hand→clean hand glove D. No order needed
Answer: B. “Clean to cleaner” prevents contamination. (Safety)
5. A client uses a cane. The PN teaches the client to advance the cane and:
A. Stronger leg B. Weaker leg C. Both legs D. Faster pace
Answer: B. Cane & weaker leg move together, then stronger leg. (Teaching)
, 2
6. The PN hears a fire alarm on the unit. First action is to:
A. Extinguish fire B. Rescue clients in danger C. Activate EMS D.
Close doors
Answer: B. R = Rescue per RACE. (Safety)
7. Which bath approach best prevents chill in an older adult?
A. Complete bed bath B. Bag bath with warm packs C. Shower D. Tub
bath
Answer: B. Bag bath limits exposed skin time. (Basic Care)
8. The PN notes a pulse oximeter reading of 86 % on a COPD client receiving
2 L O₂ nasal cannula. Best action?
A. Increase O₂ to 6 L B. Notify RN/physician C. Reposition probe D.
Encourage deep breaths
Answer: B. Hypoxia needs rapid evaluation. (Analysis)
9. When performing oral suction, the PN should apply suction:
A. While inserting catheter B. During withdrawal only C. Continuously
for 30 s D. Intermittently during insertion
Answer: B. Preairs mucosal trauma. (Implementation)
10.A client’s indwelling catheter is not draining. First check:
A. Kinks in tubing B. Amount in bag C. Client’s I&O sheet D. Balloon
inflation
Answer: A. Mechanical obstruction most common. (Analysis)
11.Which finding indicates effective CPR?
A. Dilated pupils B. Sternal crepitus C. Palpable carotid pulse D. BP
60/40
Answer: C. Adequate perfusion. (Evaluation)
12.The PN is to apply restraints. Before securing, the PN must:
A. Get provider order B. Tie quick-release knot C. Pad bony
prominences D. All of the above
Answer: D. All are required. (Safety)
NCLEX-RN Actual Exam
Questions 2025/2026 | Next Generation
NGN Test Bank with Verified Rationales |
Pass Guarantee
FUNDAMENTAL SKILLS & BASIC CARE (15)
1. The PN obtains an axillary temp on an adult. To ensure accuracy the
thermometer probe should remain in place for:
A. 15 s B. 30 s C. 3 min D. 5 min
Answer: C. Axillary needs ≈3 min for full equilibration. (Assessment)
2. While performing PM care the PN notices a 2-cm reddened area on the
client’s sacrum. The PN’s first action is to:
A. Massage the area with lotion B. Apply a heating pad C. Reposition
the client D. Document only
Answer: C. Off-load pressure immediately. (Implementation/Safety)
3. A post-op client suddenly vomits. Which action protects the client’s airway
best?
A. Raise knee gatch B. Turn head to side C. Apply oxygen mask D.
Offer emesis basin
Answer: B. Lateral position prevents aspiration. (Safety)
4. Correct order for donning sterile gloves (first → last):
A. Gown first, then gloves B. Clean hand→dirty hand glove C. Dirty
hand→clean hand glove D. No order needed
Answer: B. “Clean to cleaner” prevents contamination. (Safety)
5. A client uses a cane. The PN teaches the client to advance the cane and:
A. Stronger leg B. Weaker leg C. Both legs D. Faster pace
Answer: B. Cane & weaker leg move together, then stronger leg. (Teaching)
, 2
6. The PN hears a fire alarm on the unit. First action is to:
A. Extinguish fire B. Rescue clients in danger C. Activate EMS D.
Close doors
Answer: B. R = Rescue per RACE. (Safety)
7. Which bath approach best prevents chill in an older adult?
A. Complete bed bath B. Bag bath with warm packs C. Shower D. Tub
bath
Answer: B. Bag bath limits exposed skin time. (Basic Care)
8. The PN notes a pulse oximeter reading of 86 % on a COPD client receiving
2 L O₂ nasal cannula. Best action?
A. Increase O₂ to 6 L B. Notify RN/physician C. Reposition probe D.
Encourage deep breaths
Answer: B. Hypoxia needs rapid evaluation. (Analysis)
9. When performing oral suction, the PN should apply suction:
A. While inserting catheter B. During withdrawal only C. Continuously
for 30 s D. Intermittently during insertion
Answer: B. Preairs mucosal trauma. (Implementation)
10.A client’s indwelling catheter is not draining. First check:
A. Kinks in tubing B. Amount in bag C. Client’s I&O sheet D. Balloon
inflation
Answer: A. Mechanical obstruction most common. (Analysis)
11.Which finding indicates effective CPR?
A. Dilated pupils B. Sternal crepitus C. Palpable carotid pulse D. BP
60/40
Answer: C. Adequate perfusion. (Evaluation)
12.The PN is to apply restraints. Before securing, the PN must:
A. Get provider order B. Tie quick-release knot C. Pad bony
prominences D. All of the above
Answer: D. All are required. (Safety)
