NCLEX-PN® Examination
Next Generation NCLEX NGN | 2026/2027
150 Questions & Answers with Rationales
Guaranteed Pass | Best For FALL 2026 & SPRING 2027
, NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@2027
Q1. A practical nurse is caring for a client who has just been admitted with active pulmonary
tuberculosis. Which type of isolation precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions [CORRECT]
D. Standard precautions only
Correct Answer: C
Rationale: Correct because pulmonary tuberculosis requires airborne precautions with a
negative-pressure room and N95 respirator. This matches the CDC transmission-based
precaution guidelines for airborne diseases.
Q2. A client is prescribed furosemide 40 mg orally daily. The nurse should monitor which
laboratory value most closely?
A. Serum potassium [CORRECT]
B. Serum calcium
C. Serum magnesium
D. Serum phosphorus
Correct Answer: A
Rationale: Correct because furosemide is a loop diuretic that causes potassium loss. Priority is
monitoring serum potassium to prevent hypokalemia and cardiac dysrhythmias.
Q3. The nurse is collecting data on a client who reports difficulty sleeping for the past two
weeks. Which question should the nurse ask first?
A. "Do you drink caffeine in the evening?"
B. "What is your usual bedtime routine?" [CORRECT]
C. "Have you tried sleeping pills?"
D. "How many hours did you sleep last night?"
Correct Answer: B
Rationale: Correct because the nurse should first gather data about the client's baseline sleep
habits and routine. This matches the practical nurse's role of data collection before intervention.
,Q4. A client with heart failure has gained 3 pounds in two days. Which finding should the nurse
report to the registered nurse immediately?
A. Blood pressure 118/76 mm Hg
B. Heart rate 88 beats per minute
C. Bilateral crackles in lung bases [CORRECT]
D. Urine output of 40 mL/hour
Correct Answer: C
Rationale: Correct because new crackles indicate fluid accumulation in the lungs, suggesting
worsening heart failure. Priority is reporting signs of respiratory compromise immediately.
Q5. The nurse is preparing to administer digoxin to a client. The apical pulse is 52 beats per
minute. What action should the nurse take?
A. Administer the medication as prescribed
B. Hold the medication and notify the registered nurse [CORRECT]
C. Give half the prescribed dose
D. Recheck the pulse in 15 minutes
Correct Answer: B
Rationale: Correct because digoxin should be withheld when the apical pulse is below 60 beats
per minute in adults. This matches the safety protocol for digoxin administration to prevent
toxicity.
Q6. A client is scheduled for surgery and asks the nurse about advance directives. Which
statement by the nurse is most appropriate?
A. "You don't need to worry about that right now."
B. "Advance directives allow you to state your wishes for care." [CORRECT]
C. "Only the doctor can discuss that with you."
D. "You should wait until after surgery to decide."
Correct Answer: B
Rationale: Correct because the nurse should provide accurate information about advance
directives as part of client rights. This matches the practical nurse's role in supporting informed
decision-making.
, Q7. The nurse is caring for a client in restraints. Which action should the nurse take?
A. Remove restraints every 4 hours for range of motion [CORRECT]
B. Secure restraints to the side rails
C. Apply restraints tightly to prevent movement
D. Document restraint use once per shift
Correct Answer: A
Rationale: Correct because restraints must be removed every 2 hours for assessment and range of
motion. This matches the standard of care for restraint monitoring and client safety.
Q8. A new mother asks the nurse when her newborn should receive the first hepatitis B vaccine.
The nurse should respond that it is given:
A. At 2 months of age
B. Within 24 hours of birth [CORRECT]
C. At the first well-child visit
D. Before hospital discharge but after 48 hours
Correct Answer: B
Rationale: Correct because the hepatitis B vaccine is administered within 24 hours of birth to
prevent perinatal transmission. This matches the CDC immunization schedule for newborns.
Q9. A client with depression tells the nurse, "I don't see the point in getting out of bed anymore."
Which response by the nurse is most therapeutic?
A. "You should try to stay positive."
B. "Tell me more about how you're feeling." [CORRECT]
C. "Things will get better soon."
D. "Why do you feel that way?"
Correct Answer: B
Rationale: Correct because using open-ended statements encourages the client to express feelings
without judgment. This matches therapeutic communication principles for psychosocial support.
Next Generation NCLEX NGN | 2026/2027
150 Questions & Answers with Rationales
Guaranteed Pass | Best For FALL 2026 & SPRING 2027
, NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@2027
Q1. A practical nurse is caring for a client who has just been admitted with active pulmonary
tuberculosis. Which type of isolation precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions [CORRECT]
D. Standard precautions only
Correct Answer: C
Rationale: Correct because pulmonary tuberculosis requires airborne precautions with a
negative-pressure room and N95 respirator. This matches the CDC transmission-based
precaution guidelines for airborne diseases.
Q2. A client is prescribed furosemide 40 mg orally daily. The nurse should monitor which
laboratory value most closely?
A. Serum potassium [CORRECT]
B. Serum calcium
C. Serum magnesium
D. Serum phosphorus
Correct Answer: A
Rationale: Correct because furosemide is a loop diuretic that causes potassium loss. Priority is
monitoring serum potassium to prevent hypokalemia and cardiac dysrhythmias.
Q3. The nurse is collecting data on a client who reports difficulty sleeping for the past two
weeks. Which question should the nurse ask first?
A. "Do you drink caffeine in the evening?"
B. "What is your usual bedtime routine?" [CORRECT]
C. "Have you tried sleeping pills?"
D. "How many hours did you sleep last night?"
Correct Answer: B
Rationale: Correct because the nurse should first gather data about the client's baseline sleep
habits and routine. This matches the practical nurse's role of data collection before intervention.
,Q4. A client with heart failure has gained 3 pounds in two days. Which finding should the nurse
report to the registered nurse immediately?
A. Blood pressure 118/76 mm Hg
B. Heart rate 88 beats per minute
C. Bilateral crackles in lung bases [CORRECT]
D. Urine output of 40 mL/hour
Correct Answer: C
Rationale: Correct because new crackles indicate fluid accumulation in the lungs, suggesting
worsening heart failure. Priority is reporting signs of respiratory compromise immediately.
Q5. The nurse is preparing to administer digoxin to a client. The apical pulse is 52 beats per
minute. What action should the nurse take?
A. Administer the medication as prescribed
B. Hold the medication and notify the registered nurse [CORRECT]
C. Give half the prescribed dose
D. Recheck the pulse in 15 minutes
Correct Answer: B
Rationale: Correct because digoxin should be withheld when the apical pulse is below 60 beats
per minute in adults. This matches the safety protocol for digoxin administration to prevent
toxicity.
Q6. A client is scheduled for surgery and asks the nurse about advance directives. Which
statement by the nurse is most appropriate?
A. "You don't need to worry about that right now."
B. "Advance directives allow you to state your wishes for care." [CORRECT]
C. "Only the doctor can discuss that with you."
D. "You should wait until after surgery to decide."
Correct Answer: B
Rationale: Correct because the nurse should provide accurate information about advance
directives as part of client rights. This matches the practical nurse's role in supporting informed
decision-making.
, Q7. The nurse is caring for a client in restraints. Which action should the nurse take?
A. Remove restraints every 4 hours for range of motion [CORRECT]
B. Secure restraints to the side rails
C. Apply restraints tightly to prevent movement
D. Document restraint use once per shift
Correct Answer: A
Rationale: Correct because restraints must be removed every 2 hours for assessment and range of
motion. This matches the standard of care for restraint monitoring and client safety.
Q8. A new mother asks the nurse when her newborn should receive the first hepatitis B vaccine.
The nurse should respond that it is given:
A. At 2 months of age
B. Within 24 hours of birth [CORRECT]
C. At the first well-child visit
D. Before hospital discharge but after 48 hours
Correct Answer: B
Rationale: Correct because the hepatitis B vaccine is administered within 24 hours of birth to
prevent perinatal transmission. This matches the CDC immunization schedule for newborns.
Q9. A client with depression tells the nurse, "I don't see the point in getting out of bed anymore."
Which response by the nurse is most therapeutic?
A. "You should try to stay positive."
B. "Tell me more about how you're feeling." [CORRECT]
C. "Things will get better soon."
D. "Why do you feel that way?"
Correct Answer: B
Rationale: Correct because using open-ended statements encourages the client to express feelings
without judgment. This matches therapeutic communication principles for psychosocial support.
