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NGN NCLEX /NCLEX NGN RN ACTUAL EXAM LATEST TEST
BANK 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |AGRADE
Question 1
A nurse is caring for a client with heart failure who reports shortness
of breath when lying flat. Which action should the nurse take first?
A. Administer prescribed antibiotics
B. Place the client in high-Fowler’s position
C. Encourage oral fluids
D. Obtain a urine specimen
Answer: B. Place the client in high-Fowler’s position
Rationale: Positioning improves lung expansion and decreases work of
breathing.
Question 2
A client with diabetes mellitus becomes diaphoretic and confused.
Which action should the nurse take first?
A. Administer regular insulin
B. Check the client’s blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
Answer: B. Check the client’s blood glucose level
pg. 1
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Rationale: Symptoms suggest hypoglycemia, and blood glucose
assessment is the priority.
Question 3
A nurse is teaching a client about warfarin therapy. Which statement
by the client indicates understanding?
A. “I will eat more green leafy vegetables.”
B. “I should report unusual bruising.”
C. “I can stop the medication if I feel better.”
D. “I do not need regular blood tests.”
Answer: B. “I should report unusual bruising.”
Rationale: Bruising may indicate bleeding complications from
anticoagulant therapy.
Question 4
A postoperative client suddenly develops chest pain and dyspnea.
Which complication should the nurse suspect?
A. Pneumonia
B. Pulmonary embolism
C. Urinary retention
D. Wound infection
Answer: B. Pulmonary embolism
pg. 2
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Rationale: Sudden chest pain and shortness of breath are classic signs
of pulmonary embolism.
Question 5
A nurse is assessing a client with dehydration. Which finding should
the nurse expect?
A. Bradycardia
B. Bounding pulses
C. Decreased skin turgor
D. Weight gain
Answer: C. Decreased skin turgor
Rationale: Dehydration commonly causes poor skin elasticity.
Question 6
A client receiving morphine becomes difficult to arouse with a
respiratory rate of 8/min. Which medication should the nurse
anticipate administering?
A. Flumazenil
B. Naloxone
C. Epinephrine
D. Atropine
Answer: B. Naloxone
Rationale: Naloxone reverses opioid-induced respiratory depression.
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Question 7
A nurse is caring for a client with a potassium level of 2.9 mEq/L.
Which finding is expected?
A. Muscle weakness
B. Bradycardia
C. Hyperactive reflexes
D. Hypertension
Answer: A. Muscle weakness
Rationale: Hypokalemia commonly causes muscle weakness and
fatigue.
Question 8
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen. Which finding requires immediate intervention?
A. Oxygen saturation 91%
B. Respiratory rate 20/min
C. Drowsiness and confusion
D. Productive cough
Answer: C. Drowsiness and confusion
Rationale: Changes in mental status may indicate carbon dioxide
retention.
pg. 4
NGN NCLEX /NCLEX NGN RN ACTUAL EXAM LATEST TEST
BANK 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |AGRADE
Question 1
A nurse is caring for a client with heart failure who reports shortness
of breath when lying flat. Which action should the nurse take first?
A. Administer prescribed antibiotics
B. Place the client in high-Fowler’s position
C. Encourage oral fluids
D. Obtain a urine specimen
Answer: B. Place the client in high-Fowler’s position
Rationale: Positioning improves lung expansion and decreases work of
breathing.
Question 2
A client with diabetes mellitus becomes diaphoretic and confused.
Which action should the nurse take first?
A. Administer regular insulin
B. Check the client’s blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
Answer: B. Check the client’s blood glucose level
pg. 1
,2|Page
Rationale: Symptoms suggest hypoglycemia, and blood glucose
assessment is the priority.
Question 3
A nurse is teaching a client about warfarin therapy. Which statement
by the client indicates understanding?
A. “I will eat more green leafy vegetables.”
B. “I should report unusual bruising.”
C. “I can stop the medication if I feel better.”
D. “I do not need regular blood tests.”
Answer: B. “I should report unusual bruising.”
Rationale: Bruising may indicate bleeding complications from
anticoagulant therapy.
Question 4
A postoperative client suddenly develops chest pain and dyspnea.
Which complication should the nurse suspect?
A. Pneumonia
B. Pulmonary embolism
C. Urinary retention
D. Wound infection
Answer: B. Pulmonary embolism
pg. 2
,3|Page
Rationale: Sudden chest pain and shortness of breath are classic signs
of pulmonary embolism.
Question 5
A nurse is assessing a client with dehydration. Which finding should
the nurse expect?
A. Bradycardia
B. Bounding pulses
C. Decreased skin turgor
D. Weight gain
Answer: C. Decreased skin turgor
Rationale: Dehydration commonly causes poor skin elasticity.
Question 6
A client receiving morphine becomes difficult to arouse with a
respiratory rate of 8/min. Which medication should the nurse
anticipate administering?
A. Flumazenil
B. Naloxone
C. Epinephrine
D. Atropine
Answer: B. Naloxone
Rationale: Naloxone reverses opioid-induced respiratory depression.
pg. 3
, 4|Page
Question 7
A nurse is caring for a client with a potassium level of 2.9 mEq/L.
Which finding is expected?
A. Muscle weakness
B. Bradycardia
C. Hyperactive reflexes
D. Hypertension
Answer: A. Muscle weakness
Rationale: Hypokalemia commonly causes muscle weakness and
fatigue.
Question 8
A client with chronic obstructive pulmonary disease (COPD) is
receiving oxygen. Which finding requires immediate intervention?
A. Oxygen saturation 91%
B. Respiratory rate 20/min
C. Drowsiness and confusion
D. Productive cough
Answer: C. Drowsiness and confusion
Rationale: Changes in mental status may indicate carbon dioxide
retention.
pg. 4
