@Hooded-Tutor 2026 PN NCLEX-
BOARD EXAM
(NCSBN) WITH NGN –
150 QUIZ QUESTIONS
AND ANSWERS |
FULLY UPDATED
,SECTION 1 – SAFE & EFFECTIVE CARE ENVIRONMENT
1. A nurse is caring for a client who has a new prescription for a restraint. Which of the
following actions is appropriate?
• A. Apply the restraint tightly to prevent movement
• B. Obtain a provider's order within 1 hour of application
• C. Tie the restraint to the side rail of the bed
• D. Remove the restraint every 4 hours for 5 minutes
Answer: B
Rationale: Restraints require a provider's order within 1 hour of application. Restraints should
be tied to the bed frame (not side rail) and removed every 2 hours.
2. A nurse is preparing to administer a medication via the IM route. Which needle length is
appropriate for an IM injection in an adult?
• A. 1/2 inch
• B. 5/8 inch
• C. 1 inch
• D. 1 1/2 inch
Answer: D
Rationale: IM injections in adults typically require a 1-1.5 inch needle to reach the muscle
tissue.
3. A client is on contact precautions. Which PPE should the nurse wear when entering the
room?
• A. Surgical mask
• B. N95 respirator
• C. Gloves and gown
• D. Eye protection
Answer: C
Rationale: Contact precautions require gloves and gown to prevent transmission of organisms.
4. A nurse is completing an incident report after a client fall. Which action is correct?
• A. Place the incident report in the client's chart
• B. Complete the report within 24 hours
• C. Include opinions about why the fall occurred
• D. Wait for the provider to complete the report
Answer: B
Rationale: Incident reports should be completed within 24 hours and are not placed in the
client's chart.
5. A client with a latex allergy is being admitted. Which action should the nurse take?
• A. Use a rubber tourniquet for blood draw
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, • B. Use latex-free gloves
• C. Apply a latex adhesive bandage
• D. Use a latex urinary catheter
Answer: B
Rationale: Latex allergy requires latex-free supplies to prevent an allergic reaction.
SECTION 2 – HEALTH PROMOTION & MAINTENANCE
6. A nurse is teaching a client about the recommended age for a mammogram screening. At
what age should routine mammograms begin?
• A. 30 years
• B. 35 years
• C. 40 years
• D. 50 years
Answer: C
Rationale: The USPSTF recommends biennial screening mammography for women aged 40-74
years.
7. A nurse is providing education about immunizations to a parent of a 2-month-old infant.
Which vaccine should be administered at this visit?
• A. MMR
• B. DTaP
• C. Varicella
• D. Hepatitis A
Answer: B
Rationale: DTaP is given at 2, 4, 6, and 15-18 months. MMR and varicella are given after 12
months.
8. A nurse is teaching a client about the signs of hypoglycemia. Which symptom should be
included?
• A. Polyuria
• B. Diaphoresis
• C. Polydipsia
• D. Fruity breath
Answer: B
Rationale: Diaphoresis (sweating) is an adrenergic symptom of hypoglycemia. Polyuria,
polydipsia, and fruity breath are signs of hyperglycemia.
9. A nurse is teaching a client about fall prevention. Which instruction should be included?
• A. Use area rugs on slippery floors
• B. Install grab bars in the bathroom
• C. Walk with shoes with slick soles
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, • D. Keep the room dark to avoid glare
Answer: B
Rationale: Grab bars in the bathroom help prevent falls. Area rugs, slick soles, and dark rooms
increase fall risk.
10. A nurse is providing discharge teaching to a client after a myocardial infarction. Which
lifestyle modification should be recommended?
• A. Smoking cessation
• B. Low-sodium diet
• C. Regular exercise
• D. All of the above
Answer: D
Rationale: Smoking cessation, low-sodium diet, and regular exercise are all important lifestyle
modifications after MI.
SECTION 3 – PSYCHOSOCIAL INTEGRITY
11. A client with terminal cancer is crying and says, "I don't want to die." What is the
nurse's best therapeutic response?
• A. "It must be very frightening to think about dying."
• B. "Don't worry, everything will be okay."
• C. "You need to be strong for your family."
• D. "Everyone dies eventually."
Answer: A
Rationale: This response acknowledges the client's feelings and demonstrates empathy.
12. A client with anxiety is pacing and hyperventilating. What is the priority nursing
action?
• A. Stay with the client and provide a calm environment
• B. Administer PRN lorazepam
• C. Place the client in seclusion
• D. Instruct the client to "calm down"
Answer: A
Rationale: The priority is to stay with the client and provide a calm, safe environment.
13. A nurse is caring for a client who has Alzheimer's disease and is wandering. What is the
appropriate intervention?
• A. Provide a secure area for wandering
• B. Restrain the client to prevent injury
• C. Keep the client in bed at all times
• D. Use a wheelchair with a seat belt
Answer: A
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BOARD EXAM
(NCSBN) WITH NGN –
150 QUIZ QUESTIONS
AND ANSWERS |
FULLY UPDATED
,SECTION 1 – SAFE & EFFECTIVE CARE ENVIRONMENT
1. A nurse is caring for a client who has a new prescription for a restraint. Which of the
following actions is appropriate?
• A. Apply the restraint tightly to prevent movement
• B. Obtain a provider's order within 1 hour of application
• C. Tie the restraint to the side rail of the bed
• D. Remove the restraint every 4 hours for 5 minutes
Answer: B
Rationale: Restraints require a provider's order within 1 hour of application. Restraints should
be tied to the bed frame (not side rail) and removed every 2 hours.
2. A nurse is preparing to administer a medication via the IM route. Which needle length is
appropriate for an IM injection in an adult?
• A. 1/2 inch
• B. 5/8 inch
• C. 1 inch
• D. 1 1/2 inch
Answer: D
Rationale: IM injections in adults typically require a 1-1.5 inch needle to reach the muscle
tissue.
3. A client is on contact precautions. Which PPE should the nurse wear when entering the
room?
• A. Surgical mask
• B. N95 respirator
• C. Gloves and gown
• D. Eye protection
Answer: C
Rationale: Contact precautions require gloves and gown to prevent transmission of organisms.
4. A nurse is completing an incident report after a client fall. Which action is correct?
• A. Place the incident report in the client's chart
• B. Complete the report within 24 hours
• C. Include opinions about why the fall occurred
• D. Wait for the provider to complete the report
Answer: B
Rationale: Incident reports should be completed within 24 hours and are not placed in the
client's chart.
5. A client with a latex allergy is being admitted. Which action should the nurse take?
• A. Use a rubber tourniquet for blood draw
Page 1 of 41
, • B. Use latex-free gloves
• C. Apply a latex adhesive bandage
• D. Use a latex urinary catheter
Answer: B
Rationale: Latex allergy requires latex-free supplies to prevent an allergic reaction.
SECTION 2 – HEALTH PROMOTION & MAINTENANCE
6. A nurse is teaching a client about the recommended age for a mammogram screening. At
what age should routine mammograms begin?
• A. 30 years
• B. 35 years
• C. 40 years
• D. 50 years
Answer: C
Rationale: The USPSTF recommends biennial screening mammography for women aged 40-74
years.
7. A nurse is providing education about immunizations to a parent of a 2-month-old infant.
Which vaccine should be administered at this visit?
• A. MMR
• B. DTaP
• C. Varicella
• D. Hepatitis A
Answer: B
Rationale: DTaP is given at 2, 4, 6, and 15-18 months. MMR and varicella are given after 12
months.
8. A nurse is teaching a client about the signs of hypoglycemia. Which symptom should be
included?
• A. Polyuria
• B. Diaphoresis
• C. Polydipsia
• D. Fruity breath
Answer: B
Rationale: Diaphoresis (sweating) is an adrenergic symptom of hypoglycemia. Polyuria,
polydipsia, and fruity breath are signs of hyperglycemia.
9. A nurse is teaching a client about fall prevention. Which instruction should be included?
• A. Use area rugs on slippery floors
• B. Install grab bars in the bathroom
• C. Walk with shoes with slick soles
Page 2 of 41
, • D. Keep the room dark to avoid glare
Answer: B
Rationale: Grab bars in the bathroom help prevent falls. Area rugs, slick soles, and dark rooms
increase fall risk.
10. A nurse is providing discharge teaching to a client after a myocardial infarction. Which
lifestyle modification should be recommended?
• A. Smoking cessation
• B. Low-sodium diet
• C. Regular exercise
• D. All of the above
Answer: D
Rationale: Smoking cessation, low-sodium diet, and regular exercise are all important lifestyle
modifications after MI.
SECTION 3 – PSYCHOSOCIAL INTEGRITY
11. A client with terminal cancer is crying and says, "I don't want to die." What is the
nurse's best therapeutic response?
• A. "It must be very frightening to think about dying."
• B. "Don't worry, everything will be okay."
• C. "You need to be strong for your family."
• D. "Everyone dies eventually."
Answer: A
Rationale: This response acknowledges the client's feelings and demonstrates empathy.
12. A client with anxiety is pacing and hyperventilating. What is the priority nursing
action?
• A. Stay with the client and provide a calm environment
• B. Administer PRN lorazepam
• C. Place the client in seclusion
• D. Instruct the client to "calm down"
Answer: A
Rationale: The priority is to stay with the client and provide a calm, safe environment.
13. A nurse is caring for a client who has Alzheimer's disease and is wandering. What is the
appropriate intervention?
• A. Provide a secure area for wandering
• B. Restrain the client to prevent injury
• C. Keep the client in bed at all times
• D. Use a wheelchair with a seat belt
Answer: A
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