NCLEX-PN® Examination
Next Generation NCLEX NGN | 2027/2028
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
,NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@NCSBN
2027/2028
Q1. A nurse is reviewing a client's clear liquid diet tray. Which item should the nurse remove?
A. Milk [CORRECT]
B. Apple juice
C. Gelatin
D. Broth
Correct Answer: A
Rationale: Correct because milk is not a clear liquid; it is a full liquid. Clear liquids include apple
juice, gelatin, and broth.
Q2. A nurse is preparing to administer a subcutaneous injection of insulin. Which site should the
nurse select?
A. Deltoid
B. Abdomen [CORRECT]
C. Ventrogluteal
D. Dorsogluteal
Correct Answer: B
Rationale: Correct because the abdomen is the preferred site for subcutaneous insulin injection
due to consistent absorption.
Q3. A client with heart failure is prescribed furosemide. Which laboratory value should the nurse
monitor?
A. Serum calcium
B. Serum sodium
C. Serum potassium [CORRECT]
D. Serum magnesium
Correct Answer: C
Rationale: Correct because furosemide is a loop diuretic that can cause hypokalemia.
,Q4. A nurse is assessing a client who has been taking prednisone for 2 weeks. Which finding
should the nurse report to the provider?
A. Weight loss
B. Hypoglycemia
C. Hypotension
D. Hyperglycemia [CORRECT]
Correct Answer: D
Rationale: Correct because prednisone can cause hyperglycemia, especially in clients with
diabetes.
Q5. A nurse is teaching a client about a new prescription for warfarin. Which statement by the
client indicates understanding?
A. "I will avoid eating large amounts of spinach." [CORRECT]
B. "I will take aspirin for headaches."
C. "I will double my dose if I miss one."
D. "I will use a hard toothbrush."
Correct Answer: A
Rationale: Correct because spinach is high in vitamin K, which antagonizes warfarin.
Q6. A nurse is caring for a client who has a new colostomy. Which finding should the nurse
report immediately?
A. Stoma is pink and moist.
B. Small amount of bleeding at the stoma.
C. Stoma is dark and dusky. [CORRECT]
D. Output is liquid.
Correct Answer: C
Rationale: Correct because a dark, dusky stoma indicates ischemia and requires immediate
intervention.
, Q7. A nurse is preparing to administer an intramuscular injection to an adult. Which site is
preferred?
A. Deltoid
B. Ventrogluteal [CORRECT]
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: Correct because the ventrogluteal site is the preferred site for IM injections in adults
due to fewer nerves and blood vessels.
Q8. A client with a history of falls is admitted. Which action should the nurse take first?
A. Apply a fall risk bracelet.
B. Place the bed in the lowest position.
C. Provide a call light within reach.
D. Orient the client to the environment. [CORRECT]
Correct Answer: D
Rationale: Correct because orientation to the environment is the first step in fall prevention.
Q9. A nurse is monitoring a client receiving a blood transfusion. Which finding indicates a
hemolytic reaction?
A. Chills and flank pain [CORRECT]
B. Urticaria and itching
C. Mild fever
D. Bradycardia
Correct Answer: A
Rationale: Correct because chills and flank pain are classic signs of a hemolytic transfusion
reaction.
Next Generation NCLEX NGN | 2027/2028
150 Questions & Answers with Rationales
Guaranteed Pass | Brand New | Graded A+
,NCLEX-PN Exam | Next Generation NCLEX (NGN) cc@NCSBN
2027/2028
Q1. A nurse is reviewing a client's clear liquid diet tray. Which item should the nurse remove?
A. Milk [CORRECT]
B. Apple juice
C. Gelatin
D. Broth
Correct Answer: A
Rationale: Correct because milk is not a clear liquid; it is a full liquid. Clear liquids include apple
juice, gelatin, and broth.
Q2. A nurse is preparing to administer a subcutaneous injection of insulin. Which site should the
nurse select?
A. Deltoid
B. Abdomen [CORRECT]
C. Ventrogluteal
D. Dorsogluteal
Correct Answer: B
Rationale: Correct because the abdomen is the preferred site for subcutaneous insulin injection
due to consistent absorption.
Q3. A client with heart failure is prescribed furosemide. Which laboratory value should the nurse
monitor?
A. Serum calcium
B. Serum sodium
C. Serum potassium [CORRECT]
D. Serum magnesium
Correct Answer: C
Rationale: Correct because furosemide is a loop diuretic that can cause hypokalemia.
,Q4. A nurse is assessing a client who has been taking prednisone for 2 weeks. Which finding
should the nurse report to the provider?
A. Weight loss
B. Hypoglycemia
C. Hypotension
D. Hyperglycemia [CORRECT]
Correct Answer: D
Rationale: Correct because prednisone can cause hyperglycemia, especially in clients with
diabetes.
Q5. A nurse is teaching a client about a new prescription for warfarin. Which statement by the
client indicates understanding?
A. "I will avoid eating large amounts of spinach." [CORRECT]
B. "I will take aspirin for headaches."
C. "I will double my dose if I miss one."
D. "I will use a hard toothbrush."
Correct Answer: A
Rationale: Correct because spinach is high in vitamin K, which antagonizes warfarin.
Q6. A nurse is caring for a client who has a new colostomy. Which finding should the nurse
report immediately?
A. Stoma is pink and moist.
B. Small amount of bleeding at the stoma.
C. Stoma is dark and dusky. [CORRECT]
D. Output is liquid.
Correct Answer: C
Rationale: Correct because a dark, dusky stoma indicates ischemia and requires immediate
intervention.
, Q7. A nurse is preparing to administer an intramuscular injection to an adult. Which site is
preferred?
A. Deltoid
B. Ventrogluteal [CORRECT]
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B
Rationale: Correct because the ventrogluteal site is the preferred site for IM injections in adults
due to fewer nerves and blood vessels.
Q8. A client with a history of falls is admitted. Which action should the nurse take first?
A. Apply a fall risk bracelet.
B. Place the bed in the lowest position.
C. Provide a call light within reach.
D. Orient the client to the environment. [CORRECT]
Correct Answer: D
Rationale: Correct because orientation to the environment is the first step in fall prevention.
Q9. A nurse is monitoring a client receiving a blood transfusion. Which finding indicates a
hemolytic reaction?
A. Chills and flank pain [CORRECT]
B. Urticaria and itching
C. Mild fever
D. Bradycardia
Correct Answer: A
Rationale: Correct because chills and flank pain are classic signs of a hemolytic transfusion
reaction.
