NCLEX-RN Next Generation Exam 2026 | Complete Q&A
Bank with Rationales | Test Success Bundle
1. Priority (ABCs)
A client is gasping for air and has cyanosis. What is the first action?
A. Take vital signs
B. Apply oxygen
C. Call provider
D. Start IV fluids
Answer: B
Rationale: Airway/breathing comes first—oxygen is immediate priority.
2. Medication Safety
Before giving morphine, the nurse should assess:
A. Blood pressure and respiratory rate
B. Temperature
C. Pupils only
D. Urine output only
Answer: A
Rationale: Morphine can cause respiratory depression and hypotension.
3. Infection Control
Which requires airborne precautions?
A. Tuberculosis
B. HIV
C. MRSA
D. Hepatitis B
Answer: A
Rationale: TB spreads via airborne droplets.
, 4. Hypoglycemia
A diabetic client is confused and sweaty. Next action?
A. Give insulin
B. Give orange juice
C. Check urine ketones
D. Restrict food
Answer: B
Rationale: Treat hypoglycemia immediately with fast glucose.
5. NGN Trend
RR: 18 → 20 → 26 → 30
SpO₂: 97% → 94% → 90% → 88%
Interpretation?
A. Improving
B. Stable
C. Deteriorating respiratory status
D. Normal variation
Answer: C
Rationale: Worsening oxygenation trend.
6. Post-op care
First priority after surgery:
A. Pain control
B. Airway patency
C. Nutrition
D. Ambulation
Answer: B
7. Electrolytes
, Low potassium (K⁺ 2.9) causes:
A. Bradycardia risk
B. Muscle weakness and arrhythmias
C. Hypertension only
D. Increased reflexes
Answer: B
8. SATA
Which are signs of infection? (Select all)
A. Fever
B. Redness
C. Low WBC
D. Swelling
E. Purulent drainage
Answer: A, B, D, E
Rationale: Classic infection signs.
9. Priority Patient
Who is seen first?
A. Stable COPD
B. Chest pain patient
C. Discharge patient
D. Mild headache
Answer: B
10. Heart failure
Best position for dyspnea:
A. Flat supine
B. Trendelenburg
Bank with Rationales | Test Success Bundle
1. Priority (ABCs)
A client is gasping for air and has cyanosis. What is the first action?
A. Take vital signs
B. Apply oxygen
C. Call provider
D. Start IV fluids
Answer: B
Rationale: Airway/breathing comes first—oxygen is immediate priority.
2. Medication Safety
Before giving morphine, the nurse should assess:
A. Blood pressure and respiratory rate
B. Temperature
C. Pupils only
D. Urine output only
Answer: A
Rationale: Morphine can cause respiratory depression and hypotension.
3. Infection Control
Which requires airborne precautions?
A. Tuberculosis
B. HIV
C. MRSA
D. Hepatitis B
Answer: A
Rationale: TB spreads via airborne droplets.
, 4. Hypoglycemia
A diabetic client is confused and sweaty. Next action?
A. Give insulin
B. Give orange juice
C. Check urine ketones
D. Restrict food
Answer: B
Rationale: Treat hypoglycemia immediately with fast glucose.
5. NGN Trend
RR: 18 → 20 → 26 → 30
SpO₂: 97% → 94% → 90% → 88%
Interpretation?
A. Improving
B. Stable
C. Deteriorating respiratory status
D. Normal variation
Answer: C
Rationale: Worsening oxygenation trend.
6. Post-op care
First priority after surgery:
A. Pain control
B. Airway patency
C. Nutrition
D. Ambulation
Answer: B
7. Electrolytes
, Low potassium (K⁺ 2.9) causes:
A. Bradycardia risk
B. Muscle weakness and arrhythmias
C. Hypertension only
D. Increased reflexes
Answer: B
8. SATA
Which are signs of infection? (Select all)
A. Fever
B. Redness
C. Low WBC
D. Swelling
E. Purulent drainage
Answer: A, B, D, E
Rationale: Classic infection signs.
9. Priority Patient
Who is seen first?
A. Stable COPD
B. Chest pain patient
C. Discharge patient
D. Mild headache
Answer: B
10. Heart failure
Best position for dyspnea:
A. Flat supine
B. Trendelenburg
