NCLEX-RN NEXT GENERATION NGN COMPREHENSIVE EXAM 2026/2027 - 350
HIGH-YIELD QUESTIONS WITH RATIONALES | A+
Course: NCLEX-RN NGN Comprehensive Predictor 2026/2027 | 350 Questions
About: Ultimate NCLEX-RN NGN 2026/2027: Clinical Judgment Measurement Model CJMM, bow-tie, matrix, case studies, 6 cognitive
skills.
Original content created for 2026/2027 academic year based on HESI, ATI, NCSBN NGN standards, Lewis, Saunders. Not copied from official exams.
[1] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant?
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[2] Bow-tie question: Central line infection - actions and parameters to monitor?
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[3] Matrix NGN: Diabetes foot ulcer - which interventions appropriate?
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[4] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 4 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[5] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 5 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[6] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 6 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
,[7] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 7 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[8] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 8 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[9] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 9 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[10] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 10 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[11] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 11 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[12] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 12 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[13] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 13 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
,[14] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 14 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[15] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 15 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[16] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 16 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[17] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 17 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[18] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 18 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[19] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 19 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[20] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 20 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
, [21] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 21 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[22] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 22 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[23] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 23 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[24] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 24 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[25] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 25 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[26] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 26 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[27] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 27 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
HIGH-YIELD QUESTIONS WITH RATIONALES | A+
Course: NCLEX-RN NGN Comprehensive Predictor 2026/2027 | 350 Questions
About: Ultimate NCLEX-RN NGN 2026/2027: Clinical Judgment Measurement Model CJMM, bow-tie, matrix, case studies, 6 cognitive
skills.
Original content created for 2026/2027 academic year based on HESI, ATI, NCSBN NGN standards, Lewis, Saunders. Not copied from official exams.
[1] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant?
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[2] Bow-tie question: Central line infection - actions and parameters to monitor?
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[3] Matrix NGN: Diabetes foot ulcer - which interventions appropriate?
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[4] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 4 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[5] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 5 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[6] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 6 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
,[7] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 7 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[8] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 8 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[9] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 9 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[10] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 10 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[11] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 11 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[12] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 12 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[13] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 13 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
,[14] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 14 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[15] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 15 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[16] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 16 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[17] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 17 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[18] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 18 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[19] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 19 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[20] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 20 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
, [21] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 21 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[22] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 22 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[23] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 23 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[24] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 24 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
[25] NGN CJMM: Recognize cues - client with sepsis, which cues are relevant? - Variant Case 25 2026/2027
Fever, tachycardia, hypotension, elevated lactate, decreased UO
Normal temp
Increased appetite
Weight gain
Answer: A
Rationale: Sepsis cues: fever/hypothermia, tachycardia, tachypnea, hypotension, altered LOC, elevated lactate, decreased UO, warm
flushed then cool.
[26] Bow-tie question: Central line infection - actions and parameters to monitor? - Variant Case 26 2026/2027
Actions: remove line, cultures, antibiotics, fluids | Monitor: temp, WBC, BP, lactate
Do nothing
Give oral meds only
Discharge
Answer: A
Rationale: Central line infection: source control, blood cultures before ABX, broad-spectrum ABX, fluids, monitor temp, WBC, BP, lactate,
UO.
[27] Matrix NGN: Diabetes foot ulcer - which interventions appropriate? - Variant Case 27 2026/2027
Daily inspection, offloading, glycemic control, protein/Vit C/Zinc, no barefoot
Soak in hot water
Apply tight dressing
No inspection
Answer: A
Rationale: Diabetic foot: daily inspection, offloading pressure, glycemic control, adequate protein, Vit C, Zinc, no barefoot, closed shoes, no
heating pad.
