NCLEX-RN Next Generation (NGN) Exam Questions &
Answers 2026 | Verified Solutions | Complete Study Guide
1.
A patient with pneumonia has a respiratory rate of 28/min, oxygen saturation of 88%, and
cyanosis of lips. What is the priority action?
Answer: Administer oxygen immediately
Rationale: Hypoxia is life-threatening; oxygen is the first intervention.
2.
Which finding indicates early hypovolemic shock?
Answer: Tachycardia
Rationale: Heart rate increases to maintain cardiac output.
3.
A nurse is assessing a post-op patient. Which finding requires immediate intervention?
Answer: Sudden chest pain and dyspnea
Rationale: Indicates possible pulmonary embolism.
4.
Which electrolyte imbalance causes muscle twitching and tetany?
Answer: Hypocalcemia
Rationale: Low calcium increases neuromuscular excitability.
5.
A diabetic patient is confused, sweaty, and shaky. What is the first action?
Answer: Check blood glucose
Rationale: Symptoms suggest hypoglycemia.
6.
Which position is best for a patient with respiratory distress?
Answer: High Fowler’s position
,Rationale: Maximizes lung expansion.
7.
Which lab value indicates kidney failure?
Answer: Increased creatinine
Rationale: Creatinine rises when renal function declines.
8.
A patient receiving morphine develops respiratory depression. What is the antidote?
Answer: Naloxone
Rationale: Reverses opioid effects.
9.
Which symptom is most consistent with stroke?
Answer: Sudden facial drooping
Rationale: FAST signs indicate stroke.
10.
Priority nursing action for active bleeding?
Answer: Apply direct pressure
Rationale: Controls hemorrhage immediately.
11.
Which sign indicates dehydration in children?
Answer: Sunken eyes
Rationale: Classic pediatric dehydration sign.
12.
Which medication requires monitoring for ototoxicity?
Answer: Gentamicin
Rationale: Aminoglycosides can damage hearing.
13.
, A patient with heart failure should be positioned how?
Answer: Semi-Fowler’s
Rationale: Reduces venous return and improves breathing.
14.
Which symptom indicates hyperkalemia?
Answer: Tall peaked T waves
Rationale: ECG change due to high potassium.
15.
What is the first action for a fire in a hospital room?
Answer: Remove the patient
Rationale: Rescue comes first in RACE protocol.
16.
Which condition requires airborne precautions?
Answer: Tuberculosis
Rationale: TB spreads via airborne droplets.
17.
Which finding indicates digoxin toxicity?
Answer: Yellow-green visual halos
Rationale: Classic toxicity sign.
18.
Best site for intramuscular injection in adults?
Answer: Deltoid muscle
Rationale: Safe for small-volume IM injections.
19.
Which condition causes Kussmaul respirations?
Answer: Diabetic ketoacidosis
Answers 2026 | Verified Solutions | Complete Study Guide
1.
A patient with pneumonia has a respiratory rate of 28/min, oxygen saturation of 88%, and
cyanosis of lips. What is the priority action?
Answer: Administer oxygen immediately
Rationale: Hypoxia is life-threatening; oxygen is the first intervention.
2.
Which finding indicates early hypovolemic shock?
Answer: Tachycardia
Rationale: Heart rate increases to maintain cardiac output.
3.
A nurse is assessing a post-op patient. Which finding requires immediate intervention?
Answer: Sudden chest pain and dyspnea
Rationale: Indicates possible pulmonary embolism.
4.
Which electrolyte imbalance causes muscle twitching and tetany?
Answer: Hypocalcemia
Rationale: Low calcium increases neuromuscular excitability.
5.
A diabetic patient is confused, sweaty, and shaky. What is the first action?
Answer: Check blood glucose
Rationale: Symptoms suggest hypoglycemia.
6.
Which position is best for a patient with respiratory distress?
Answer: High Fowler’s position
,Rationale: Maximizes lung expansion.
7.
Which lab value indicates kidney failure?
Answer: Increased creatinine
Rationale: Creatinine rises when renal function declines.
8.
A patient receiving morphine develops respiratory depression. What is the antidote?
Answer: Naloxone
Rationale: Reverses opioid effects.
9.
Which symptom is most consistent with stroke?
Answer: Sudden facial drooping
Rationale: FAST signs indicate stroke.
10.
Priority nursing action for active bleeding?
Answer: Apply direct pressure
Rationale: Controls hemorrhage immediately.
11.
Which sign indicates dehydration in children?
Answer: Sunken eyes
Rationale: Classic pediatric dehydration sign.
12.
Which medication requires monitoring for ototoxicity?
Answer: Gentamicin
Rationale: Aminoglycosides can damage hearing.
13.
, A patient with heart failure should be positioned how?
Answer: Semi-Fowler’s
Rationale: Reduces venous return and improves breathing.
14.
Which symptom indicates hyperkalemia?
Answer: Tall peaked T waves
Rationale: ECG change due to high potassium.
15.
What is the first action for a fire in a hospital room?
Answer: Remove the patient
Rationale: Rescue comes first in RACE protocol.
16.
Which condition requires airborne precautions?
Answer: Tuberculosis
Rationale: TB spreads via airborne droplets.
17.
Which finding indicates digoxin toxicity?
Answer: Yellow-green visual halos
Rationale: Classic toxicity sign.
18.
Best site for intramuscular injection in adults?
Answer: Deltoid muscle
Rationale: Safe for small-volume IM injections.
19.
Which condition causes Kussmaul respirations?
Answer: Diabetic ketoacidosis
