The Ultimate NCLEX NGN RN Practice Exam 2: All 150
Questions Formatted for Success 150 NCLEX NGN RN
Questions Covering Management of Care, Safety,
Pharmacology, and NGN Case Studies
SECTION 1: MANAGEMENT OF CARE (Questions 1-15)
Question 1
The nurse receives handoff report on four clients. Which client should the nurse
assess FIRST?
• A) A client with COPD on 2 L/min oxygen with SpO2 of 92%
• B) A client with type 2 diabetes requesting a bedtime snack
• C) A client post-cardiac catheterization whose pedal pulse is diminished
compared to baseline
• D) A client with a stage 2 pressure injury requiring a dressing change
☑ correct answers: C
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate
arterial occlusion or hematoma formation—a vascular emergency requiring
immediate assessment.
Question 2
The charge nurse is making assignments for the oncoming shift. The team includes
an RN, an LPN/LVN, and a UAP. Which client should be assigned to the
LPN/LVN?
• A) A client newly admitted with chest pain and dyspnea
, • B) A client receiving a blood transfusion for the first time
• C) A client with a stable colostomy requiring routine pouch change
• D) A client requiring initial admission assessment and care plan
development
☑ correct answers: C
Rationale: Stable clients with predictable outcomes and routine procedures are
appropriate for LPN/LVN assignment.
Question 3
A nurse is caring for a client who has a DNR order and begins to have a respiratory
arrest. The client's family member says, "Do everything you can to save him!"
Which action should the nurse take?
• A) Begin CPR while asking another nurse to contact the HCP
• B) Honor the family's request and initiate resuscitation
• C) Provide comfort measures and support the family
• D) Ask the family if they want the DNR honored
☑ correct answers: C
Rationale: A valid DNR order must be honored. The nurse's role shifts to
providing comfort, dignity, and family support.
Question 4
The nurse is preparing to witness a client sign an informed consent. Which action
is appropriate?
• A) Explain the risks and benefits of the procedure
, • B) Witness the client's signature and verify voluntariness
• C) Describe alternative treatments to surgery
• D) ☑ correct answers detailed questions about the surgical
technique
☑ correct answers: B
Rationale: The provider performing the procedure is legally responsible for
obtaining informed consent. The nurse witnesses the signature and confirms the
patient's understanding and voluntariness.
Question 5
A nurse suspects a child is being physically abused. Which action should the nurse
take FIRST?
• A) Confront the parents about the suspicions
• B) Document findings objectively and report to Child Protective Services
• C) Ask the child directly if they are being abused
• D) Report the findings to the child's school nurse
☑ correct answers: B
Rationale: Nurses are mandated reporters. The legal duty is to report suspicion to
appropriate authorities (CPS).
Question 6
The nurse is caring for a client who has just been diagnosed with a terminal illness.
The client states, "I have nothing to live for. I just cannot go on." Which response
should the nurse make?
• A) "You have so much to live for; don't give up."
, • B) "Tell me more about how you're feeling right now."
• C) "You should speak with a chaplain about this."
• D) "Things will get better; just give it time."
☑ correct answers: B
Rationale: Open-ended statements encourage the client to express feelings and
concerns. This is therapeutic communication.
Question 7
A nurse enters a client's room and sees smoke coming from a wastebasket. Which
action should the nurse take FIRST?
• A) Activate the fire alarm
• B) Extinguish the fire with an extinguisher
• C) Assist the client to a nearby safe area
• D) Close all doors and windows
☑ correct answers: C
Rationale: Following the RACE fire safety protocol (Rescue, Alarm, Contain,
Extinguish), the first priority is rescuing/removing clients from immediate danger.
Question 8
The nurse is communicating with a client who speaks a different language. What is
the BEST action?
• A) Speak in a louder voice
• B) Use a professional medical interpreter
• C) Ask a family member to translate
Questions Formatted for Success 150 NCLEX NGN RN
Questions Covering Management of Care, Safety,
Pharmacology, and NGN Case Studies
SECTION 1: MANAGEMENT OF CARE (Questions 1-15)
Question 1
The nurse receives handoff report on four clients. Which client should the nurse
assess FIRST?
• A) A client with COPD on 2 L/min oxygen with SpO2 of 92%
• B) A client with type 2 diabetes requesting a bedtime snack
• C) A client post-cardiac catheterization whose pedal pulse is diminished
compared to baseline
• D) A client with a stage 2 pressure injury requiring a dressing change
☑ correct answers: C
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate
arterial occlusion or hematoma formation—a vascular emergency requiring
immediate assessment.
Question 2
The charge nurse is making assignments for the oncoming shift. The team includes
an RN, an LPN/LVN, and a UAP. Which client should be assigned to the
LPN/LVN?
• A) A client newly admitted with chest pain and dyspnea
, • B) A client receiving a blood transfusion for the first time
• C) A client with a stable colostomy requiring routine pouch change
• D) A client requiring initial admission assessment and care plan
development
☑ correct answers: C
Rationale: Stable clients with predictable outcomes and routine procedures are
appropriate for LPN/LVN assignment.
Question 3
A nurse is caring for a client who has a DNR order and begins to have a respiratory
arrest. The client's family member says, "Do everything you can to save him!"
Which action should the nurse take?
• A) Begin CPR while asking another nurse to contact the HCP
• B) Honor the family's request and initiate resuscitation
• C) Provide comfort measures and support the family
• D) Ask the family if they want the DNR honored
☑ correct answers: C
Rationale: A valid DNR order must be honored. The nurse's role shifts to
providing comfort, dignity, and family support.
Question 4
The nurse is preparing to witness a client sign an informed consent. Which action
is appropriate?
• A) Explain the risks and benefits of the procedure
, • B) Witness the client's signature and verify voluntariness
• C) Describe alternative treatments to surgery
• D) ☑ correct answers detailed questions about the surgical
technique
☑ correct answers: B
Rationale: The provider performing the procedure is legally responsible for
obtaining informed consent. The nurse witnesses the signature and confirms the
patient's understanding and voluntariness.
Question 5
A nurse suspects a child is being physically abused. Which action should the nurse
take FIRST?
• A) Confront the parents about the suspicions
• B) Document findings objectively and report to Child Protective Services
• C) Ask the child directly if they are being abused
• D) Report the findings to the child's school nurse
☑ correct answers: B
Rationale: Nurses are mandated reporters. The legal duty is to report suspicion to
appropriate authorities (CPS).
Question 6
The nurse is caring for a client who has just been diagnosed with a terminal illness.
The client states, "I have nothing to live for. I just cannot go on." Which response
should the nurse make?
• A) "You have so much to live for; don't give up."
, • B) "Tell me more about how you're feeling right now."
• C) "You should speak with a chaplain about this."
• D) "Things will get better; just give it time."
☑ correct answers: B
Rationale: Open-ended statements encourage the client to express feelings and
concerns. This is therapeutic communication.
Question 7
A nurse enters a client's room and sees smoke coming from a wastebasket. Which
action should the nurse take FIRST?
• A) Activate the fire alarm
• B) Extinguish the fire with an extinguisher
• C) Assist the client to a nearby safe area
• D) Close all doors and windows
☑ correct answers: C
Rationale: Following the RACE fire safety protocol (Rescue, Alarm, Contain,
Extinguish), the first priority is rescuing/removing clients from immediate danger.
Question 8
The nurse is communicating with a client who speaks a different language. What is
the BEST action?
• A) Speak in a louder voice
• B) Use a professional medical interpreter
• C) Ask a family member to translate
