NCLEX-RN
PRACTICE QUIZ TEST BANK () WITH NGN
3 LATEST VERSIONS 2026
EXPECTED 900+ QUESTIONS AND REVISED CORRECT ANSWERS.
WHAT’S INSIDE:
✓ NGN CLINICAL JUDGMENT CASE STUDIES
✓ NEW MULTIPLE RESPONSE
✓ NGN CASE-STUDY PACKS
✓ CLINICAL JUDGMENT MEASUREMENT MODEL (CJMM)
✓ BOW-TIE QUESTIONS
✓ MATRIX/GRID QUESTIONS
✓ FULL RATIONALES WITH CLINICAL REASONING EXPLANATIONS
https://www.stuvia.com/user/mboffin
,NCLEX-RN Practice Quiz Test Bank N G N (75 Questions)
NCLEXRN-03-001
Question Tag: Parkinson’s disease
Question Category: Safe and Effective Care Environment,
Management of Care
A patient with Parkinson’s disease has a nursing diagnosis
of Impaired Physical Mobility related to neuromuscular impairment.
You observe a nursing assistant performing all of these actions. For
which action must you intervene?
• A. The NA assists the patient to ambulate to the bathroom and
back to bed.
• B. The NA reminds the patient not to look at his feet when he is
walking.
• C. The NA performs the patient’s complete bath and oral care.
• D. The NA sets up the patient’s tray and encourages the
patient to feed himself.
Correct Answer: C. The NA performs the patient’s complete
bath and oral care.
The nursing assistant should assist the patient with morning care as
needed, but the goal is to keep this patient as independent and
mobile as possible.
•Option A: Assisting the patient to ambulate prevents
incidences of fall and injury.
• Option B: Reminding the patient not to look at his feet while
walking maintains the client’s independence while keeping him
safe.
• Option D: Encouraging the patient to feed himself is an
appropriate goal of maintaining independence.
NCLEXRN-03-002
Question Tag: low back pain
Question Category: Health Promotion and Maintenance
https://www.stuvia.com/user/mboffin
,The nurse is preparing to discharge a patient with chronic low back
pain. Which statement by the patient indicates that additional
teaching is necessary?
• A. “I will avoid exercise because the pain gets worse.”
• B. “I will use heat or ice to help control the pain.”
• C. “I will not wear high-heeled shoes at home or work.”
• D. “I will purchase a firm mattress to replace my old one.”
Correct Answer: A. “I will avoid exercise because the pain
gets worse.”
Exercises are used to strengthen the back, relieve pressure on
compressed nerves and protect the back from re-injury. Doing
exercises to strengthen the lower back can help alleviate and
prevent lower back pain. It can also strengthen the core, leg, and
arm muscles. According to researchers, exercise also increases
blood flow to the lower back area, which may reduce stiffness and
speed up the healing process.
•Option B: Ice and heat application are appropriate
interventions for back pain. Applying ice or a reusable gel pack
constricts blood vessels and reduces swelling around the
injury. This is particularly useful for conditions, like a sprained
ankle, that cause significant swelling. Heat has the opposite
effect, increasing blood flow to the area. This relaxes muscle
fibers, which can help when the client experiences spasms or
stiffness.
• Option C: People with chronic back pain should avoid wearing
high-heeled shoes at all times. The normal s-curve of the spine
acts as a cushion or spring, reducing stress on the vertebrae.
When wearing high heels, the shape of the spine is altered and
the client doesn’t get that same shock absorption as she
walks, which, over time, can lead to uneven wear on the
cartilage discs, joints and ligaments of the back.
• Option D: A firm mattress prevents lower back pain. Sleeping
on a mattress that is too firm can cause aches and pains on
pressure points. A medium-firm mattress may be more
comfortable because it allows the shoulder and hips to sink in
slightly. Patients who want a firmer mattress for back support
can get one with thicker padding for greater comfort.
NCLEXRN-03-003
Question Tag: Spinal cord injury
https://www.stuvia.com/user/mboffin
, Question Category: Physiological Integrity, Physiological
Adaptation
A patient with a spinal cord injury (SCI) complains about a severe
throbbing headache that suddenly started a short time ago.
Assessment of the patient reveals increased blood pressure (168/94)
and decreased heart rate (48/minute), diaphoresis, and flushing of
the face and neck. What action should you take first?
• A. Administer the ordered acetaminophen (Tylenol).
• B. Check the Foley tubing for kinks or obstruction.
• C. Adjust the temperature in the patient’s room.
• D. Notify the physician about the change in status.
Correct Answer: B. Check the Foley tubing for kinks or
obstruction.
These signs and symptoms are characteristic of autonomic
dysreflexia, a neurologic emergency that must be promptly treated
to prevent a hypertensive stroke. The cause of this syndrome is
noxious stimuli, most often a distended bladder or constipation, so
checking for poor catheter drainage, bladder distention, or fecal
impaction is the first action that should be taken.
•Option C: Adjusting the room temperature may be helpful,
since too cool a temperature in the room may contribute to the
problem.
• Option A: Tylenol will not decrease the autonomic dysreflexia
that is causing the patient’s headache.
• Option D: Notification of the physician may be necessary if
nursing actions do not resolve symptoms.
NCLEXRN-03-004
Question Tag: Neurologic unit
Question Category: Safe and Effective Care Environment,
Management of Care
Which patient should you, as charge nurse, assign to a new
graduate RN who is orienting to the neurologic unit?
• A. A 28-year-old newly admitted patient with spinal cord injury.
• B. A 67-year-old patient with a stroke 3 days ago and left-sided
weakness.
https://www.stuvia.com/user/mboffin
PRACTICE QUIZ TEST BANK () WITH NGN
3 LATEST VERSIONS 2026
EXPECTED 900+ QUESTIONS AND REVISED CORRECT ANSWERS.
WHAT’S INSIDE:
✓ NGN CLINICAL JUDGMENT CASE STUDIES
✓ NEW MULTIPLE RESPONSE
✓ NGN CASE-STUDY PACKS
✓ CLINICAL JUDGMENT MEASUREMENT MODEL (CJMM)
✓ BOW-TIE QUESTIONS
✓ MATRIX/GRID QUESTIONS
✓ FULL RATIONALES WITH CLINICAL REASONING EXPLANATIONS
https://www.stuvia.com/user/mboffin
,NCLEX-RN Practice Quiz Test Bank N G N (75 Questions)
NCLEXRN-03-001
Question Tag: Parkinson’s disease
Question Category: Safe and Effective Care Environment,
Management of Care
A patient with Parkinson’s disease has a nursing diagnosis
of Impaired Physical Mobility related to neuromuscular impairment.
You observe a nursing assistant performing all of these actions. For
which action must you intervene?
• A. The NA assists the patient to ambulate to the bathroom and
back to bed.
• B. The NA reminds the patient not to look at his feet when he is
walking.
• C. The NA performs the patient’s complete bath and oral care.
• D. The NA sets up the patient’s tray and encourages the
patient to feed himself.
Correct Answer: C. The NA performs the patient’s complete
bath and oral care.
The nursing assistant should assist the patient with morning care as
needed, but the goal is to keep this patient as independent and
mobile as possible.
•Option A: Assisting the patient to ambulate prevents
incidences of fall and injury.
• Option B: Reminding the patient not to look at his feet while
walking maintains the client’s independence while keeping him
safe.
• Option D: Encouraging the patient to feed himself is an
appropriate goal of maintaining independence.
NCLEXRN-03-002
Question Tag: low back pain
Question Category: Health Promotion and Maintenance
https://www.stuvia.com/user/mboffin
,The nurse is preparing to discharge a patient with chronic low back
pain. Which statement by the patient indicates that additional
teaching is necessary?
• A. “I will avoid exercise because the pain gets worse.”
• B. “I will use heat or ice to help control the pain.”
• C. “I will not wear high-heeled shoes at home or work.”
• D. “I will purchase a firm mattress to replace my old one.”
Correct Answer: A. “I will avoid exercise because the pain
gets worse.”
Exercises are used to strengthen the back, relieve pressure on
compressed nerves and protect the back from re-injury. Doing
exercises to strengthen the lower back can help alleviate and
prevent lower back pain. It can also strengthen the core, leg, and
arm muscles. According to researchers, exercise also increases
blood flow to the lower back area, which may reduce stiffness and
speed up the healing process.
•Option B: Ice and heat application are appropriate
interventions for back pain. Applying ice or a reusable gel pack
constricts blood vessels and reduces swelling around the
injury. This is particularly useful for conditions, like a sprained
ankle, that cause significant swelling. Heat has the opposite
effect, increasing blood flow to the area. This relaxes muscle
fibers, which can help when the client experiences spasms or
stiffness.
• Option C: People with chronic back pain should avoid wearing
high-heeled shoes at all times. The normal s-curve of the spine
acts as a cushion or spring, reducing stress on the vertebrae.
When wearing high heels, the shape of the spine is altered and
the client doesn’t get that same shock absorption as she
walks, which, over time, can lead to uneven wear on the
cartilage discs, joints and ligaments of the back.
• Option D: A firm mattress prevents lower back pain. Sleeping
on a mattress that is too firm can cause aches and pains on
pressure points. A medium-firm mattress may be more
comfortable because it allows the shoulder and hips to sink in
slightly. Patients who want a firmer mattress for back support
can get one with thicker padding for greater comfort.
NCLEXRN-03-003
Question Tag: Spinal cord injury
https://www.stuvia.com/user/mboffin
, Question Category: Physiological Integrity, Physiological
Adaptation
A patient with a spinal cord injury (SCI) complains about a severe
throbbing headache that suddenly started a short time ago.
Assessment of the patient reveals increased blood pressure (168/94)
and decreased heart rate (48/minute), diaphoresis, and flushing of
the face and neck. What action should you take first?
• A. Administer the ordered acetaminophen (Tylenol).
• B. Check the Foley tubing for kinks or obstruction.
• C. Adjust the temperature in the patient’s room.
• D. Notify the physician about the change in status.
Correct Answer: B. Check the Foley tubing for kinks or
obstruction.
These signs and symptoms are characteristic of autonomic
dysreflexia, a neurologic emergency that must be promptly treated
to prevent a hypertensive stroke. The cause of this syndrome is
noxious stimuli, most often a distended bladder or constipation, so
checking for poor catheter drainage, bladder distention, or fecal
impaction is the first action that should be taken.
•Option C: Adjusting the room temperature may be helpful,
since too cool a temperature in the room may contribute to the
problem.
• Option A: Tylenol will not decrease the autonomic dysreflexia
that is causing the patient’s headache.
• Option D: Notification of the physician may be necessary if
nursing actions do not resolve symptoms.
NCLEXRN-03-004
Question Tag: Neurologic unit
Question Category: Safe and Effective Care Environment,
Management of Care
Which patient should you, as charge nurse, assign to a new
graduate RN who is orienting to the neurologic unit?
• A. A 28-year-old newly admitted patient with spinal cord injury.
• B. A 67-year-old patient with a stroke 3 days ago and left-sided
weakness.
https://www.stuvia.com/user/mboffin
