NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
A nurse is assigned to care for a client with chronic renal
failure who is undergoing hemodialysis through an internal AV
fistula in the RA. Which intervention should the nurse
implement in caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three
each shift
e. Placing a pressure dressing over the site after each dialysis
treatment
f. Administering IV fluids through the venous site of the AV
fistula as needed - Correct Answers ✅A, B, C, D
A nurse is evaluating outcomes for a client with Guillain-Barre
syndrome. Which outcome does the nurse recognize as
optimal respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
e. pO2 of 85 mmHg and pCO2 of 40 mmHg - Correct
Answers ✅D, E
,NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
A nurse of the telemetry unit is caring for a client who has
had a MI and is now attached to a cardiac monitor. The nurse
is monitoring the client's cardiac rhythm and nots ventricular
fibrillation. Which nursing intervention should the nurse take
first?
a. Calling the rapid response team
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem - Correct Answers ✅A
The pattern of ventricular fibrillation is identified and can be a
result after a patient with an MI. VF makes the patient feel
faint, then loses consciousness and becomes pulseless and
apneic (BP and heart sounds absent). Treatment is to
terminate VF and covert it into a rhythm via defibrillation->
call a rapid and initiate CPR. Cardioversion is used for
ventricular or supraventricular tachydysrhythmias.
A nurse developing a plan of care for a client with a spinal
cord injury includes measures to prevent autonomic
dysreflexia (hyperreflexia). Which intervention does the nurse
incorporate into the plan to prevent this complication?
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal
suppositories - Correct Answers ✅B
,NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
The most frequent cause of autonomic dysreflexias are a
distended bladder and impacted feces. Other causes include
stimulation of the skin by tactile, thermal, or painful stimuli.
The nurse renders care in such a way as to minimize these
risks.
A nurse provides home care instructions to a client who has
been fitted with a halo device to treat a cervical fracture.
Which statement by the client indicates the need for further
teaching?
a. I need to get more fluids and fiber into my diet
b. I should cut my food into small pieces before I eat
c. I need to put powder under the vest twice a day to prevent
sweating
d. I have to check the pin sites everyday and watch for signs
of infection - Correct Answers ✅C
Cleanse the skin under the wool liner each day to prevent
rashes and soars.
A nurse is caring for a client with increased intracranial
pressure. In which position should the nurse maintain the
client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the side
, NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
d. Head midline and elevated 30-45 degrees - Correct
Answers ✅D
Proper positioning promotes venous drainage from the
cranium to minimize ICP.
A client with a basilar skull fracture has clear fluid leaking
from the ears. The nurse should take which action first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for
rupture - Correct Answers ✅B
CSF contains glucose not protein.
A nurse is caring for a client who has just undergone
cardioversion. Which intervention is the nurse's priority after
this procedure.
a. Administer oxygen
b. Monitoring the BP
c. Administering antidysrhythmic medications
d. Monitoring the client's LOC - Correct Answers ✅A
ABC's of nursing. All other choices are correct, but not
priority.
Answers (Top Grade Assured) 2026
Update
A nurse is assigned to care for a client with chronic renal
failure who is undergoing hemodialysis through an internal AV
fistula in the RA. Which intervention should the nurse
implement in caring for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three
each shift
e. Placing a pressure dressing over the site after each dialysis
treatment
f. Administering IV fluids through the venous site of the AV
fistula as needed - Correct Answers ✅A, B, C, D
A nurse is evaluating outcomes for a client with Guillain-Barre
syndrome. Which outcome does the nurse recognize as
optimal respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
e. pO2 of 85 mmHg and pCO2 of 40 mmHg - Correct
Answers ✅D, E
,NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
A nurse of the telemetry unit is caring for a client who has
had a MI and is now attached to a cardiac monitor. The nurse
is monitoring the client's cardiac rhythm and nots ventricular
fibrillation. Which nursing intervention should the nurse take
first?
a. Calling the rapid response team
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem - Correct Answers ✅A
The pattern of ventricular fibrillation is identified and can be a
result after a patient with an MI. VF makes the patient feel
faint, then loses consciousness and becomes pulseless and
apneic (BP and heart sounds absent). Treatment is to
terminate VF and covert it into a rhythm via defibrillation->
call a rapid and initiate CPR. Cardioversion is used for
ventricular or supraventricular tachydysrhythmias.
A nurse developing a plan of care for a client with a spinal
cord injury includes measures to prevent autonomic
dysreflexia (hyperreflexia). Which intervention does the nurse
incorporate into the plan to prevent this complication?
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal
suppositories - Correct Answers ✅B
,NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
The most frequent cause of autonomic dysreflexias are a
distended bladder and impacted feces. Other causes include
stimulation of the skin by tactile, thermal, or painful stimuli.
The nurse renders care in such a way as to minimize these
risks.
A nurse provides home care instructions to a client who has
been fitted with a halo device to treat a cervical fracture.
Which statement by the client indicates the need for further
teaching?
a. I need to get more fluids and fiber into my diet
b. I should cut my food into small pieces before I eat
c. I need to put powder under the vest twice a day to prevent
sweating
d. I have to check the pin sites everyday and watch for signs
of infection - Correct Answers ✅C
Cleanse the skin under the wool liner each day to prevent
rashes and soars.
A nurse is caring for a client with increased intracranial
pressure. In which position should the nurse maintain the
client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the side
, NCLEX NGN Pre-Test Questions and
Answers (Top Grade Assured) 2026
Update
d. Head midline and elevated 30-45 degrees - Correct
Answers ✅D
Proper positioning promotes venous drainage from the
cranium to minimize ICP.
A client with a basilar skull fracture has clear fluid leaking
from the ears. The nurse should take which action first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for
rupture - Correct Answers ✅B
CSF contains glucose not protein.
A nurse is caring for a client who has just undergone
cardioversion. Which intervention is the nurse's priority after
this procedure.
a. Administer oxygen
b. Monitoring the BP
c. Administering antidysrhythmic medications
d. Monitoring the client's LOC - Correct Answers ✅A
ABC's of nursing. All other choices are correct, but not
priority.
