NCLEX-RN TEST BANK WITH NGN QUESTIONS
2026 | ACTUAL EXAM PREPARATION
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
SAMPLE NCLEX-RN NGN PRACTICE QUESTIONS (Questions 1-50)
Safe and Effective Care Environment
1. A nurse is preparing to delegate tasks to assistive personnel (AP). Which
task is appropriate to delegate?
A. Assessing a newly admitted client's pain level
B. Teaching a client how to use an incentive spirometer
C. Ambulating a stable client who had a stroke 3 days ago
D. Evaluating a client's response to a diuretic medication
Correct Answer: C
Rationale: Delegation requires assigning routine tasks with predictable
outcomes that do not require nursing judgment. Ambulating a stable client is
appropriate for AP. Assessment, teaching, and evaluation require licensed
nurse clinical judgment.
---
,2. A charge nurse is making room assignments for multiple clients. Which pair
of client assignments to a shared room is appropriate?
A. Client with pneumonia and client with heart failure
B. Client who had a bowel resection 1 day ago and client with asthma
exacerbation
C. Client with MRSA infection and client with surgical wound
D. Client with active tuberculosis and client with COPD
Correct Answer: B
Rationale: Clients with similar acuity levels and no infectious risks can be
roomed together. The postoperative client and the asthma client both require
monitoring but do not pose infection risks to each other.
---
3. A nurse is caring for a client with a chest tube following a thoracotomy. The
nurse notes continuous bubbling in the water seal chamber. What is the
priority action?
A. Clamp the chest tube near the insertion site
B. Notify the healthcare provider
C. Assess the chest tube system for an air leak
D. Increase wall suction to -40 cm H₂O
Correct Answer: C
Rationale: Continuous bubbling in the water seal chamber indicates an air
leak. The nurse should first systematically assess for the source by checking
all connections and the insertion site dressing. Clamping a chest tube is
dangerous and should only be done with a provider's order.
, ---
4. A client on a heparin infusion develops a sudden drop in blood pressure and
abdominal pain. What is the nurse's priority action?
A. Draw a PTT level
B. Administer protamine sulfate
C. Stop the heparin infusion
D. Notify the provider immediately
Correct Answer: C
Rationale: Suspect heparin-induced thrombocytopenia (HIT) or bleeding. Stop
the infusion first to prevent further harm, then notify the provider and draw
labs.
---
5. Which task can the nurse appropriately delegate to an LPN/LVN?
A. Initial admission assessment of a postoperative client
B. Administer IV push morphine to a client with 10/10 pain
C. Insert a straight urinary catheter for a urine culture
D. Teach a diabetic client how to administer insulin
Correct Answer: C
Rationale: LPN/LVNs can perform sterile procedures like catheterization.
Assessment, IV push narcotics, and patient teaching are RN responsibilities.
2026 | ACTUAL EXAM PREPARATION
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES
SAMPLE NCLEX-RN NGN PRACTICE QUESTIONS (Questions 1-50)
Safe and Effective Care Environment
1. A nurse is preparing to delegate tasks to assistive personnel (AP). Which
task is appropriate to delegate?
A. Assessing a newly admitted client's pain level
B. Teaching a client how to use an incentive spirometer
C. Ambulating a stable client who had a stroke 3 days ago
D. Evaluating a client's response to a diuretic medication
Correct Answer: C
Rationale: Delegation requires assigning routine tasks with predictable
outcomes that do not require nursing judgment. Ambulating a stable client is
appropriate for AP. Assessment, teaching, and evaluation require licensed
nurse clinical judgment.
---
,2. A charge nurse is making room assignments for multiple clients. Which pair
of client assignments to a shared room is appropriate?
A. Client with pneumonia and client with heart failure
B. Client who had a bowel resection 1 day ago and client with asthma
exacerbation
C. Client with MRSA infection and client with surgical wound
D. Client with active tuberculosis and client with COPD
Correct Answer: B
Rationale: Clients with similar acuity levels and no infectious risks can be
roomed together. The postoperative client and the asthma client both require
monitoring but do not pose infection risks to each other.
---
3. A nurse is caring for a client with a chest tube following a thoracotomy. The
nurse notes continuous bubbling in the water seal chamber. What is the
priority action?
A. Clamp the chest tube near the insertion site
B. Notify the healthcare provider
C. Assess the chest tube system for an air leak
D. Increase wall suction to -40 cm H₂O
Correct Answer: C
Rationale: Continuous bubbling in the water seal chamber indicates an air
leak. The nurse should first systematically assess for the source by checking
all connections and the insertion site dressing. Clamping a chest tube is
dangerous and should only be done with a provider's order.
, ---
4. A client on a heparin infusion develops a sudden drop in blood pressure and
abdominal pain. What is the nurse's priority action?
A. Draw a PTT level
B. Administer protamine sulfate
C. Stop the heparin infusion
D. Notify the provider immediately
Correct Answer: C
Rationale: Suspect heparin-induced thrombocytopenia (HIT) or bleeding. Stop
the infusion first to prevent further harm, then notify the provider and draw
labs.
---
5. Which task can the nurse appropriately delegate to an LPN/LVN?
A. Initial admission assessment of a postoperative client
B. Administer IV push morphine to a client with 10/10 pain
C. Insert a straight urinary catheter for a urine culture
D. Teach a diabetic client how to administer insulin
Correct Answer: C
Rationale: LPN/LVNs can perform sterile procedures like catheterization.
Assessment, IV push narcotics, and patient teaching are RN responsibilities.
