NCLEX-PN® Examination
Next Generation NCLEX NGN | 2027
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
, NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@2027
Q1. A practical nurse is caring for a client who has just been diagnosed with active shingles
(herpes zoster). Which type of isolation precautions should the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions only [CORRECT]
Correct Answer: D
Rationale: Correct because herpes zoster requires standard precautions unless disseminated. This
matches the CDC isolation guideline for localized shingles.
Q2. A client is prescribed metoprolol succinate. Which laboratory value should the nurse monitor
most closely?
A. Serum potassium
B. Heart rate [CORRECT]
C. Serum sodium
D. Serum calcium
Correct Answer: B
Rationale: Correct because metoprolol is a beta-blocker that slows heart rate. Priority is
monitoring for bradycardia.
Q3. The nurse is collecting data on a client who reports chronic pain. Which question should the
nurse ask first?
A. "What medications have you tried?"
B. "Can you describe the pain for me?" [CORRECT]
C. "How long have you had this pain?"
D. "Does the pain interfere with sleep?"
Correct Answer: B
Rationale: Correct because the nurse should first characterize the pain before exploring other
aspects. This matches the practical nurse's role in comprehensive data collection.
,Q4. A client with chronic kidney disease has a potassium level of 6.2 mEq/L. 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. Tall peaked T waves on ECG [CORRECT]
D. Urine output of 40 mL/hour
Correct Answer: C
Rationale: Correct because tall peaked T waves indicate hyperkalemia and risk for cardiac arrest.
Priority is reporting signs of life-threatening dysrhythmia immediately.
Q5. The nurse is preparing to administer epoetin alfa to a client. Which laboratory value should
the nurse check before administration?
A. Hemoglobin [CORRECT]
B. White blood cell count
C. Platelet count
D. Serum creatinine
Correct Answer: A
Rationale: Correct because epoetin alfa stimulates red blood cell production and is used to treat
anemia. Priority is verifying hemoglobin level before administration.
Q6. A client is scheduled for surgery and asks the nurse about a durable power of attorney for
healthcare. Which statement by the nurse is most appropriate?
A. "It allows you to appoint someone to make medical decisions for you." [CORRECT]
B. "It distributes your assets after death."
C. "It is the same as a living will."
D. "Only the doctor can discuss that with you."
Correct Answer: A
Rationale: Correct because a durable power of attorney for healthcare designates a healthcare
proxy. This matches the definition of advance directives.
, Q7. The nurse is caring for a client in four-point restraints. Which action should the nurse take?
A. Assess circulation every 15 minutes [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 circulation checks are required every 15 minutes for extremity
restraints. This matches the standard of care for restraint monitoring.
Q8. A new mother asks the nurse when her newborn should receive the first dose of the measles,
mumps, and rubella (MMR) vaccine. The nurse should respond that it is given:
A. At birth
B. At 2 months of age
C. At 12 to 15 months of age [CORRECT]
D. At 4 to 6 years of age
Correct Answer: C
Rationale: Correct because the first MMR vaccine is administered at 12 to 15 months. This
matches the CDC immunization schedule for children.
Q9. A client with anxiety tells the nurse, "I feel like I'm going to lose control." Which response
by the nurse is most therapeutic?
A. "You need to calm down."
B. "I will stay with you until you feel safe." [CORRECT]
C. "There is nothing to worry about."
D. "Why do you feel that way?"
Correct Answer: B
Rationale: Correct because staying with the client provides reassurance and safety. This matches
therapeutic communication for acute anxiety.
Next Generation NCLEX NGN | 2027
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
, NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@2027
Q1. A practical nurse is caring for a client who has just been diagnosed with active shingles
(herpes zoster). Which type of isolation precautions should the nurse implement?
A. Contact precautions
B. Airborne precautions
C. Droplet precautions
D. Standard precautions only [CORRECT]
Correct Answer: D
Rationale: Correct because herpes zoster requires standard precautions unless disseminated. This
matches the CDC isolation guideline for localized shingles.
Q2. A client is prescribed metoprolol succinate. Which laboratory value should the nurse monitor
most closely?
A. Serum potassium
B. Heart rate [CORRECT]
C. Serum sodium
D. Serum calcium
Correct Answer: B
Rationale: Correct because metoprolol is a beta-blocker that slows heart rate. Priority is
monitoring for bradycardia.
Q3. The nurse is collecting data on a client who reports chronic pain. Which question should the
nurse ask first?
A. "What medications have you tried?"
B. "Can you describe the pain for me?" [CORRECT]
C. "How long have you had this pain?"
D. "Does the pain interfere with sleep?"
Correct Answer: B
Rationale: Correct because the nurse should first characterize the pain before exploring other
aspects. This matches the practical nurse's role in comprehensive data collection.
,Q4. A client with chronic kidney disease has a potassium level of 6.2 mEq/L. 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. Tall peaked T waves on ECG [CORRECT]
D. Urine output of 40 mL/hour
Correct Answer: C
Rationale: Correct because tall peaked T waves indicate hyperkalemia and risk for cardiac arrest.
Priority is reporting signs of life-threatening dysrhythmia immediately.
Q5. The nurse is preparing to administer epoetin alfa to a client. Which laboratory value should
the nurse check before administration?
A. Hemoglobin [CORRECT]
B. White blood cell count
C. Platelet count
D. Serum creatinine
Correct Answer: A
Rationale: Correct because epoetin alfa stimulates red blood cell production and is used to treat
anemia. Priority is verifying hemoglobin level before administration.
Q6. A client is scheduled for surgery and asks the nurse about a durable power of attorney for
healthcare. Which statement by the nurse is most appropriate?
A. "It allows you to appoint someone to make medical decisions for you." [CORRECT]
B. "It distributes your assets after death."
C. "It is the same as a living will."
D. "Only the doctor can discuss that with you."
Correct Answer: A
Rationale: Correct because a durable power of attorney for healthcare designates a healthcare
proxy. This matches the definition of advance directives.
, Q7. The nurse is caring for a client in four-point restraints. Which action should the nurse take?
A. Assess circulation every 15 minutes [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 circulation checks are required every 15 minutes for extremity
restraints. This matches the standard of care for restraint monitoring.
Q8. A new mother asks the nurse when her newborn should receive the first dose of the measles,
mumps, and rubella (MMR) vaccine. The nurse should respond that it is given:
A. At birth
B. At 2 months of age
C. At 12 to 15 months of age [CORRECT]
D. At 4 to 6 years of age
Correct Answer: C
Rationale: Correct because the first MMR vaccine is administered at 12 to 15 months. This
matches the CDC immunization schedule for children.
Q9. A client with anxiety tells the nurse, "I feel like I'm going to lose control." Which response
by the nurse is most therapeutic?
A. "You need to calm down."
B. "I will stay with you until you feel safe." [CORRECT]
C. "There is nothing to worry about."
D. "Why do you feel that way?"
Correct Answer: B
Rationale: Correct because staying with the client provides reassurance and safety. This matches
therapeutic communication for acute anxiety.
