KAPLAN NGN (NEXT GENERATION NCLEX) ASSESSMENT A PRACTICE TEST QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
### Core Domains
- Clinical Judgment and Decision-Making
- Patient Safety and Risk Reduction
Nursing Fundamentals and Basic Care
Pharmacology and Medication Management
Ethics and Professional Standards
Regulatory and Legal Compliance
Acute and Chronic Care Management
Infection Control and Prevention
Communication and Documentation
Health Promotion and Maintenance
### Introduction
This practice assessment is designed to prepare nursing candidates for the Next Generation NCLEX (NGN) by evaluating critical clinical judgment
skills, professional knowledge, and real-world decision-making abilities. The exam consists of 100 multiple-choice questions structured around
scenario-based clinical situations that reflect the complexity of modern healthcare practice. Each question assesses your ability to recognize cues,
analyze information, prioritize interventions, and evaluate outcomes—core components of the NCSBN Clinical Judgment Measurement Model. The
test emphasizes applied knowledge over theoretical recall, ensuring you can translate nursing principles into effective patient care. Success on this
assessment indicates readiness for the clinical reasoning demands of the NGN NCLEX and professional nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient with type 2 diabetes who reports feeling shaky, sweaty, and confused 2 hours after receiving insulin. What is the
nurse's FIRST action?
, A. Administer 15 grams of rapid-acting carbohydrate
B. Check the patient's blood glucose level
C. Call the healthcare provider immediately
D. Place the patient in supine position
🟢 Correct answer: B
🔴 RATIONALE: The patient is exhibiting classic signs of hypoglycemia. The first action is to confirm hypoglycemia by checking blood glucose
before administering treatment. Confirming the diagnosis guides appropriate intervention and prevents unnecessary carbohydrate administration if
glucose is actually normal.
Question 2
Which nursing action best demonstrates adherence to the principle of "least restrictive environment" for a patient with suicidal ideation?
A.placing the patient in a locked seclusion room
B. Implementing 15-minute observation checks
C. Assigning a sitter for continuous 1:1 monitoring
D. Adminizing benzodiazepines for sedation
🟢 Correct answer: B
🔴 RATIONALE: 15-minute observation checks provide safety monitoring while maintaining the least restrictive environment. Continuous 1:1
monitoring and seclusion are more restrictive and should only be used when less restrictive measures fail. Medication for sedation is not a safety
intervention for suicidal ideation.
Question 3
A patient with COPD has an oxygen saturation of 88% on room air. The nurse administers oxygen at 2 L/min via nasal cannula. What is the priority
monitoring parameter?
A. Respiratory rate
B. Heart rate
C. Blood pressure
D. Urine output
🟢 Correct answer: A
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
### Core Domains
- Clinical Judgment and Decision-Making
- Patient Safety and Risk Reduction
Nursing Fundamentals and Basic Care
Pharmacology and Medication Management
Ethics and Professional Standards
Regulatory and Legal Compliance
Acute and Chronic Care Management
Infection Control and Prevention
Communication and Documentation
Health Promotion and Maintenance
### Introduction
This practice assessment is designed to prepare nursing candidates for the Next Generation NCLEX (NGN) by evaluating critical clinical judgment
skills, professional knowledge, and real-world decision-making abilities. The exam consists of 100 multiple-choice questions structured around
scenario-based clinical situations that reflect the complexity of modern healthcare practice. Each question assesses your ability to recognize cues,
analyze information, prioritize interventions, and evaluate outcomes—core components of the NCSBN Clinical Judgment Measurement Model. The
test emphasizes applied knowledge over theoretical recall, ensuring you can translate nursing principles into effective patient care. Success on this
assessment indicates readiness for the clinical reasoning demands of the NGN NCLEX and professional nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient with type 2 diabetes who reports feeling shaky, sweaty, and confused 2 hours after receiving insulin. What is the
nurse's FIRST action?
, A. Administer 15 grams of rapid-acting carbohydrate
B. Check the patient's blood glucose level
C. Call the healthcare provider immediately
D. Place the patient in supine position
🟢 Correct answer: B
🔴 RATIONALE: The patient is exhibiting classic signs of hypoglycemia. The first action is to confirm hypoglycemia by checking blood glucose
before administering treatment. Confirming the diagnosis guides appropriate intervention and prevents unnecessary carbohydrate administration if
glucose is actually normal.
Question 2
Which nursing action best demonstrates adherence to the principle of "least restrictive environment" for a patient with suicidal ideation?
A.placing the patient in a locked seclusion room
B. Implementing 15-minute observation checks
C. Assigning a sitter for continuous 1:1 monitoring
D. Adminizing benzodiazepines for sedation
🟢 Correct answer: B
🔴 RATIONALE: 15-minute observation checks provide safety monitoring while maintaining the least restrictive environment. Continuous 1:1
monitoring and seclusion are more restrictive and should only be used when less restrictive measures fail. Medication for sedation is not a safety
intervention for suicidal ideation.
Question 3
A patient with COPD has an oxygen saturation of 88% on room air. The nurse administers oxygen at 2 L/min via nasal cannula. What is the priority
monitoring parameter?
A. Respiratory rate
B. Heart rate
C. Blood pressure
D. Urine output
🟢 Correct answer: A
