1
NEXT GEN NCLEX® PRACTICE EXAM 2026-27
VERSION JUST RELEASED INSTANT
DOWNLOAD PDF
100 Questions | Answers & Rationales
Focus: NGN clinical judgment, prioritization, SATA, safety
Difficulty: NCLEX-RN (2026)
Q1
A nurse prepares to administer IV potassium chloride. Which
action is most important?
A. Administer by IV push
B. Dilute and infuse using a pump
C. Give with dextrose solution only
D. Warm solution before use
Correct Answer: B
Rationale: Potassium must never be given IV push. Controlled
infusion prevents fatal dysrhythmias.
Q2
Which client is at greatest risk for aspiration?
,2
A. Client with hypertension
B. Client with dysphagia after stroke
C. Client with diabetes
D. Client with asthma
Correct Answer: B
Rationale: Stroke can impair swallowing, increasing aspiration
risk.
Q3 (SATA)
Which actions follow standard precautions?
☑ Hand hygiene before and after care
☑ Gloves when contact with blood is expected
☑ Mask for all patient interactions
☑ Proper disposal of sharps
Correct Answers: Hand hygiene, Gloves, Proper disposal
Rationale: Masks are used when splashes or droplet exposure
is expected, not universally.
Q4
A confused client attempts to climb out of bed. What is the best
nursing action?
,3
A. Apply restraints immediately
B. Place the bed in the lowest position
C. Administer sedatives
D. Leave the client alone
Correct Answer: B
Rationale: Least restrictive interventions are used first to
promote safety.
Q5
Which finding indicates hypovolemia?
A. Bounding pulses
B. Decreased blood pressure
C. Crackles in lungs
D. Peripheral edema
Correct Answer: B
Rationale: Fluid loss leads to low circulating volume and
hypotension.
Q6
Which action demonstrates correct patient identification?
A. Checking room number
B. Asking family member
, 4
C. Using two identifiers
D. Asking patient’s diagnosis
Correct Answer: C
Rationale: Two identifiers (name, DOB) are required for safety.
Q7
Which client should the nurse assess first?
A. Client with nausea
B. Client with chest tightness
C. Client with constipation
D. Client awaiting discharge
Correct Answer: B
Rationale: Chest tightness may indicate cardiac ischemia.
Q8
Which task can the nurse delegate to a UAP?
A. Perform wound assessment
B. Assist with toileting
C. Administer insulin
D. Teach incentive spirometry
Correct Answer: B
Rationale: UAPs perform routine, non-clinical tasks.
NEXT GEN NCLEX® PRACTICE EXAM 2026-27
VERSION JUST RELEASED INSTANT
DOWNLOAD PDF
100 Questions | Answers & Rationales
Focus: NGN clinical judgment, prioritization, SATA, safety
Difficulty: NCLEX-RN (2026)
Q1
A nurse prepares to administer IV potassium chloride. Which
action is most important?
A. Administer by IV push
B. Dilute and infuse using a pump
C. Give with dextrose solution only
D. Warm solution before use
Correct Answer: B
Rationale: Potassium must never be given IV push. Controlled
infusion prevents fatal dysrhythmias.
Q2
Which client is at greatest risk for aspiration?
,2
A. Client with hypertension
B. Client with dysphagia after stroke
C. Client with diabetes
D. Client with asthma
Correct Answer: B
Rationale: Stroke can impair swallowing, increasing aspiration
risk.
Q3 (SATA)
Which actions follow standard precautions?
☑ Hand hygiene before and after care
☑ Gloves when contact with blood is expected
☑ Mask for all patient interactions
☑ Proper disposal of sharps
Correct Answers: Hand hygiene, Gloves, Proper disposal
Rationale: Masks are used when splashes or droplet exposure
is expected, not universally.
Q4
A confused client attempts to climb out of bed. What is the best
nursing action?
,3
A. Apply restraints immediately
B. Place the bed in the lowest position
C. Administer sedatives
D. Leave the client alone
Correct Answer: B
Rationale: Least restrictive interventions are used first to
promote safety.
Q5
Which finding indicates hypovolemia?
A. Bounding pulses
B. Decreased blood pressure
C. Crackles in lungs
D. Peripheral edema
Correct Answer: B
Rationale: Fluid loss leads to low circulating volume and
hypotension.
Q6
Which action demonstrates correct patient identification?
A. Checking room number
B. Asking family member
, 4
C. Using two identifiers
D. Asking patient’s diagnosis
Correct Answer: C
Rationale: Two identifiers (name, DOB) are required for safety.
Q7
Which client should the nurse assess first?
A. Client with nausea
B. Client with chest tightness
C. Client with constipation
D. Client awaiting discharge
Correct Answer: B
Rationale: Chest tightness may indicate cardiac ischemia.
Q8
Which task can the nurse delegate to a UAP?
A. Perform wound assessment
B. Assist with toileting
C. Administer insulin
D. Teach incentive spirometry
Correct Answer: B
Rationale: UAPs perform routine, non-clinical tasks.
