2026 PN NCLEX BOARD EXAM (NCSBN) WITH NGN – 150 QUIZ
QUESTIONS AND ANSWERS | FULLY UPDATED
Core Domains
,Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
This comprehensive examination assesses the clinical judgment and practical
nursing knowledge required for the 2026 PN NCLEX. It evaluates foundational
theory, applied professional knowledge, and critical thinking through Next
Generation NCLEX (NGN) style multiple-choice and case-based questions. The
exam emphasizes real-world application, prioritization, and decision-making
across diverse healthcare settings. Candidates must demonstrate competency
in safe care environments, health promotion, psychosocial integrity, and
physiological integrity. This assessment prepares practical nursing students for
the NCSBN licensure exam while reinforcing evidence-based nursing practice.
Section One: Questions 1–150
1. A nurse is caring for a client who is receiving continuous oxygen
therapy via nasal cannula at 6 L/min. The client's oxygen saturation is
98%. Which action should the nurse take?
A. Increase the oxygen flow rate to 8 L/min
B. Decrease the oxygen flow rate to 2 L/min
C. Continue the current oxygen therapy
D. Discontinue the oxygen therapy
C. Continue the current oxygen therapy
,Rationale: An oxygen saturation of 98% is within the normal range. The nurse
should continue the current therapy and monitor the client's status, rather
than making unnecessary adjustments that could compromise oxygenation.
2. A nurse is reinforcing teaching with a client who has a new
prescription for metformin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will take this medication with meals to reduce stomach upset."
B. "I will take this medication at bedtime on an empty stomach."
C. "I will stop taking this medication if I feel dizzy."
D. "I will expect to gain weight while taking this medication."
A. "I will take this medication with meals to reduce stomach upset."
Rationale: Metformin is taken with meals to reduce gastrointestinal side effects
such as nausea and diarrhea. It does not typically cause weight gain. Clients
should not stop taking the medication without consulting their provider.
3. A nurse is caring for a client who is postoperative and has a
prescription for incentive spirometry. Which action should the nurse
take?
A. Assist the client to use the spirometer every 1 to 2 hours while awake
B. Instruct the client to use the spirometer only when feeling short of breath
C. Set the spirometer to the lowest volume setting
D. Encourage the client to use the spirometer immediately after meals
A. Assist the client to use the spirometer every 1 to 2 hours while
awake
Rationale: Incentive spirometry should be used every 1 to 2 hours while awake
to prevent atelectasis and promote lung expansion. It should not be used
immediately after meals due to the risk of aspiration.
4. A nurse is assessing a client who has heart failure and is taking
furosemide. Which of the following findings should the nurse report to
the provider?
, A. Weight loss of 1 kg (2.2 lb) in 24 hours
B. Blood pressure of 110/70 mm Hg
C. Serum potassium of 3.0 mEq/L
D. Urine output of 50 mL/hr
C. Serum potassium of 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A serum
potassium level of 3.0 mEq/L is below the expected reference range and should
be reported immediately.
5. A nurse is reinforcing discharge teaching with a client who has a new
colostomy. Which of the following statements indicates a need for
further teaching?
A. "I should empty the pouch when it is one-third full."
B. "I should clean the skin around the stoma with warm water."
C. "I should avoid eating foods that cause gas."
D. "I should expect the stoma to be dark purple."
D. "I should expect the stoma to be dark purple."
Rationale: A healthy stoma should be pink or red and moist. A dark purple or
dusky stoma indicates inadequate blood flow and requires immediate
evaluation.
6. A nurse is caring for a client who is prescribed bed rest. Which
intervention should the nurse implement to prevent complications of
immobility?
A. Turn and reposition the client every 4 hours
B. Encourage the client to perform ankle pumps and leg exercises
C. Place a pillow under the client's knees to prevent back pain
D. Restrict fluid intake to prevent frequent urination
B. Encourage the client to perform ankle pumps and leg exercises
QUESTIONS AND ANSWERS | FULLY UPDATED
Core Domains
,Safe and Effective Care Environment: Management of Care
Safe and Effective Care Environment: Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction
This comprehensive examination assesses the clinical judgment and practical
nursing knowledge required for the 2026 PN NCLEX. It evaluates foundational
theory, applied professional knowledge, and critical thinking through Next
Generation NCLEX (NGN) style multiple-choice and case-based questions. The
exam emphasizes real-world application, prioritization, and decision-making
across diverse healthcare settings. Candidates must demonstrate competency
in safe care environments, health promotion, psychosocial integrity, and
physiological integrity. This assessment prepares practical nursing students for
the NCSBN licensure exam while reinforcing evidence-based nursing practice.
Section One: Questions 1–150
1. A nurse is caring for a client who is receiving continuous oxygen
therapy via nasal cannula at 6 L/min. The client's oxygen saturation is
98%. Which action should the nurse take?
A. Increase the oxygen flow rate to 8 L/min
B. Decrease the oxygen flow rate to 2 L/min
C. Continue the current oxygen therapy
D. Discontinue the oxygen therapy
C. Continue the current oxygen therapy
,Rationale: An oxygen saturation of 98% is within the normal range. The nurse
should continue the current therapy and monitor the client's status, rather
than making unnecessary adjustments that could compromise oxygenation.
2. A nurse is reinforcing teaching with a client who has a new
prescription for metformin. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I will take this medication with meals to reduce stomach upset."
B. "I will take this medication at bedtime on an empty stomach."
C. "I will stop taking this medication if I feel dizzy."
D. "I will expect to gain weight while taking this medication."
A. "I will take this medication with meals to reduce stomach upset."
Rationale: Metformin is taken with meals to reduce gastrointestinal side effects
such as nausea and diarrhea. It does not typically cause weight gain. Clients
should not stop taking the medication without consulting their provider.
3. A nurse is caring for a client who is postoperative and has a
prescription for incentive spirometry. Which action should the nurse
take?
A. Assist the client to use the spirometer every 1 to 2 hours while awake
B. Instruct the client to use the spirometer only when feeling short of breath
C. Set the spirometer to the lowest volume setting
D. Encourage the client to use the spirometer immediately after meals
A. Assist the client to use the spirometer every 1 to 2 hours while
awake
Rationale: Incentive spirometry should be used every 1 to 2 hours while awake
to prevent atelectasis and promote lung expansion. It should not be used
immediately after meals due to the risk of aspiration.
4. A nurse is assessing a client who has heart failure and is taking
furosemide. Which of the following findings should the nurse report to
the provider?
, A. Weight loss of 1 kg (2.2 lb) in 24 hours
B. Blood pressure of 110/70 mm Hg
C. Serum potassium of 3.0 mEq/L
D. Urine output of 50 mL/hr
C. Serum potassium of 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that can cause hypokalemia. A serum
potassium level of 3.0 mEq/L is below the expected reference range and should
be reported immediately.
5. A nurse is reinforcing discharge teaching with a client who has a new
colostomy. Which of the following statements indicates a need for
further teaching?
A. "I should empty the pouch when it is one-third full."
B. "I should clean the skin around the stoma with warm water."
C. "I should avoid eating foods that cause gas."
D. "I should expect the stoma to be dark purple."
D. "I should expect the stoma to be dark purple."
Rationale: A healthy stoma should be pink or red and moist. A dark purple or
dusky stoma indicates inadequate blood flow and requires immediate
evaluation.
6. A nurse is caring for a client who is prescribed bed rest. Which
intervention should the nurse implement to prevent complications of
immobility?
A. Turn and reposition the client every 4 hours
B. Encourage the client to perform ankle pumps and leg exercises
C. Place a pillow under the client's knees to prevent back pain
D. Restrict fluid intake to prevent frequent urination
B. Encourage the client to perform ankle pumps and leg exercises
