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NGN Clinical Decision-Making Quiz + Rationales | 2025 Edition | Med-Surg Nursing

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This NGN Clinical Decision-Making Quiz is designed to strengthen your critical thinking and clinical judgment for Med-Surg nursing. Includes high-yield questions, stepwise rationales, and prioritization scenarios modeled on NCLEX Next-Gen standards. Perfect for exam prep, HESI review, and building confidence in real-life clinical decision-making.

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November 26, 2025
Number of pages
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Written in
2025/2026
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NGN Clinical Decision-Making Quiz — 2025 Edition
Focuses on prioritization, delegation, patient safety, and critical thinking in real-world scenarios




Enhance your next-gen nursing judgment — prioritize effectively,
delegate safely, and think like a confident nurse

, 1. Deep Overview
2. 25 NGN-Style Clinical Decision Questions
3. Quick Clinical Prioritization Reference
4. Free Nursing Study Tools



This quiz reinforces critical thinking and prioritization skills needed for NGN (Next-Gen NCLEX)
scenarios. Topics include patient assessment, delegation, time management, and safe interventions.




 NCLEX now emphasizes real-world clinical decision-making
 Nurses must make rapid, safe decisions when managing multiple patients
 Correct prioritization directly impacts patient safety and outcomes




1. Rapidly assess and identify high-risk patients
2. Prioritize interventions based on severity and urgency
3. Delegate appropriately while maintaining accountability
4. Anticipate potential complications
5. Document decisions accurately




Q1. Which patient should the nurse assess first?
✅ A. 65-year-old post-op with BP 85/50 and HR 125
B. 40-year-old receiving routine IV antibiotics
C. 25-year-old ready for discharge teaching
D. 50-year-old with stable chronic hypertension
Rationale: Hypotension and tachycardia indicate possible shock; life-threatening conditions take
priority.

Q2. Delegation to a CNA: which task is appropriate?
✅ A. Take vital signs on stable patients
B. Administer IV medications
C. Perform patient assessment
D. Teach medication administration
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Welcome to Belayhun’s Exam Prep & Summary Study Guides — where smart learning begins.

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