NCLEX-RN NGN 2026 Practice Questions with Correct Answers & Detailed Rationales | Latest Update

NCLEX-RN NGN 2026 Practice Questions with Correct
Answers & Detailed Rationales | Latest Update
1. Priority

A client with chest pain, diaphoresis, and nausea arrives in the ER. What is the priority
action?

A. Obtain ECG

B. Give antacid

C. Take full history

D. Encourage rest

✔ Answer: A

Rationale: Suspected MI → ECG first to confirm ischemia.

2. Airway

Which client is at highest risk for airway obstruction?

A. Asthma with wheezing

B. Stable COPD

C. Pneumonia with productive cough

D. Mild flu

✔ Answer: A

Wheezing indicates narrowed airway → immediate risk.

3. Hypoglycemia

Which symptom is expected?

A. Fruity breath

B. Sweating and tremors

C. Deep breathing

D. Dry skin

,✔ Answer: B

Sympathetic activation = sweating, shaking.

4. Infection control

Which requires airborne precautions?

A. TB

B. MRSA

C. Influenza

D. Hepatitis B

✔ Answer: A

5. Delegation

Which task can be given to UAP?

A. Assess pain

B. Give insulin

C. Assist with feeding

D. Evaluate wound

✔ Answer: C

6. Post-op complication

Sudden shortness of breath after surgery suggests:

A. Infection

B. Pulmonary embolism

C. Anxiety

D. Hypoglycemia

✔ Answer: B

7. Medication safety

Before giving digoxin, nurse should check:

, A. Blood glucose

B. Heart rate

C. Temperature

D. Oxygen level

✔ Answer: B

8. DKA

Which finding confirms DKA?

A. Low glucose

B. Fruity breath

C. Bradycardia

D. Fluid overload

✔ Answer: B

9. Shock

Early sign of shock:

A. Hypotension

B. Tachycardia

C. Cyanosis

D. Organ failure

✔ Answer: B

10. Stroke

FAST acronym includes:

A. Fever

B. Arm weakness

C. Abdominal pain

D. Chest pain

✔ Answer: B