NCLEX NGN PRE-TEST LATEST 2026 ACTUAL EXAM
TEST BANK| 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS
WITH WELL ELABORATED RATIONAILES) GRADED A+|
NCLEX- PN NGN EXAM (BRAND NEW!!)
1. A patient with acute pancreatitis has a calcium level of 6.5
mg/dL. Which assessment does the nurse perform
immediately?
A. Chvostek’s sign
B. Orthostatic blood pressure
C. Bowel sounds
D. Pupillary response
Answer: A
Rationale: Severe hypocalcemia causes tetany. Chvostek’s (facial
twitching with tap over facial nerve) and Trousseau’s (carpal
spasm with BP cuff) assess for tetany.
1
,2. A client with heart failure has a morning weight gain of 2.2
kg (4.8 lbs) since yesterday. What is the nurse’s priority
action?
A. Restrict fluids to 1 L/day
B. Administer PRN furosemide as ordered
C. Encourage the client to ambulate
D. Notify the provider immediately
Answer: D
Rationale: A 2.2 kg gain in 24 hours indicates about 2 liters of
fluid retention, suggesting worsening heart failure. The provider
needs notification for possible diuretic adjustment.
3. A postoperative client reports sudden chest pain and
dyspnea. HR 110, RR 28, O2 sat 89% on room air. What is the
nurse’s first action?
2
,A. Apply oxygen at 4 L/min via nasal cannula
B. Elevate the head of the bed to high-Fowler’s
C. Administer sublingual nitroglycerin
D. Prepare for chest tube insertion
Answer: B
Rationale: High-Fowler’s position improves ventilation and
reduces preload. Oxygen should be applied simultaneously, but
positioning is a rapid, no-equipment intervention.
4. A client with type 2 diabetes has a blood glucose of 45
mg/dL and is awake but confused. What should the nurse
administer first?
A. 1 ampule of 50% dextrose IV push
B. 1 mg glucagon IM
C. 4 oz of orange juice with 1 tsp of sugar
D. 15 grams of glucose gel orally
3
, Answer: D
Rationale: The client is conscious and can swallow safely. The
"Rule of 15" uses 15g of fast-acting carbohydrate. IV dextrose is
for unconscious or severe cases.
5. A nurse is caring for a client with C. difficile. Which action
by the UAP requires immediate intervention?
A. Wearing a gown and gloves before entering the room
B. Using alcohol-based hand rub after removing gloves
C. Disinfecting the stethoscope with bleach wipes
D. Placing the client in a private room with a dedicated
commode
Answer: B
Rationale: Alcohol-based hand rub does not kill C. difficile
spores. The UAP must wash hands with soap and water after
glove removal.
4
TEST BANK| 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS
WITH WELL ELABORATED RATIONAILES) GRADED A+|
NCLEX- PN NGN EXAM (BRAND NEW!!)
1. A patient with acute pancreatitis has a calcium level of 6.5
mg/dL. Which assessment does the nurse perform
immediately?
A. Chvostek’s sign
B. Orthostatic blood pressure
C. Bowel sounds
D. Pupillary response
Answer: A
Rationale: Severe hypocalcemia causes tetany. Chvostek’s (facial
twitching with tap over facial nerve) and Trousseau’s (carpal
spasm with BP cuff) assess for tetany.
1
,2. A client with heart failure has a morning weight gain of 2.2
kg (4.8 lbs) since yesterday. What is the nurse’s priority
action?
A. Restrict fluids to 1 L/day
B. Administer PRN furosemide as ordered
C. Encourage the client to ambulate
D. Notify the provider immediately
Answer: D
Rationale: A 2.2 kg gain in 24 hours indicates about 2 liters of
fluid retention, suggesting worsening heart failure. The provider
needs notification for possible diuretic adjustment.
3. A postoperative client reports sudden chest pain and
dyspnea. HR 110, RR 28, O2 sat 89% on room air. What is the
nurse’s first action?
2
,A. Apply oxygen at 4 L/min via nasal cannula
B. Elevate the head of the bed to high-Fowler’s
C. Administer sublingual nitroglycerin
D. Prepare for chest tube insertion
Answer: B
Rationale: High-Fowler’s position improves ventilation and
reduces preload. Oxygen should be applied simultaneously, but
positioning is a rapid, no-equipment intervention.
4. A client with type 2 diabetes has a blood glucose of 45
mg/dL and is awake but confused. What should the nurse
administer first?
A. 1 ampule of 50% dextrose IV push
B. 1 mg glucagon IM
C. 4 oz of orange juice with 1 tsp of sugar
D. 15 grams of glucose gel orally
3
, Answer: D
Rationale: The client is conscious and can swallow safely. The
"Rule of 15" uses 15g of fast-acting carbohydrate. IV dextrose is
for unconscious or severe cases.
5. A nurse is caring for a client with C. difficile. Which action
by the UAP requires immediate intervention?
A. Wearing a gown and gloves before entering the room
B. Using alcohol-based hand rub after removing gloves
C. Disinfecting the stethoscope with bleach wipes
D. Placing the client in a private room with a dedicated
commode
Answer: B
Rationale: Alcohol-based hand rub does not kill C. difficile
spores. The UAP must wash hands with soap and water after
glove removal.
4
