NCLEX PN EXAM NEWEST 2026 ACTUAL
EXAM TEST BANK | NGN NCLEX PN EXAM
WITH COMPLETE 150 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES / ALREADY
GRADED A+.
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and NGN Case Studies
INTRODUCTION
This assessment evaluates the clinical knowledge and decision-making
required of practical nursing candidates preparing for the NCLEX-PN
examination. It covers safe and effective care, health promotion,
psychosocial integrity, basic care, pharmacological therapies, risk
reduction, physiological adaptation, and clinical judgment. The multiple-
choice, select-all-that-apply, and unfolding case study format measures
recall, interpretation, prioritization, and real-world application. Emphasis
is placed on evidence-based practice, patient safety, and the clinical
judgment measurement model. This exam prepares candidates for the
,Next Generation NCLEX-PN by testing critical thinking and safe decision-
making across the lifespan.
SECTION ONE: QUESTIONS 1–150
1. A nurse is caring for a client who reports crushing chest pain
radiating to the left arm. Which action should the nurse take first?
A. Administer nitroglycerin sublingually
B. Obtain a 12-lead ECG
C. Assess vital signs and oxygen saturation
D. Notify the provider
C. Assess vital signs and oxygen saturation
RATIONALE: Assessment is the priority. The nurse should first assess
vital signs and oxygen saturation to determine the client's stability before
implementing interventions.
2. A client with type 2 diabetes has a fasting blood glucose of 145
mg/dL. Which finding should the nurse report to the provider?
A. Blood glucose of 145 mg/dL
B. Client reports mild thirst
C. Client has intact pedal pulses
D. Client is awake and oriented
A. Blood glucose of 145 mg/dL
RATIONALE: A fasting blood glucose of 145 mg/dL exceeds the target
range for diabetes management. The other findings are expected and do
not require immediate reporting.
, 3. A nurse is teaching a client about a new prescription for warfarin.
Which statement by the client indicates an understanding of the
teaching?
A. "I should increase my intake of green leafy vegetables."
B. "I should use a soft toothbrush and electric razor."
C. "I should take aspirin for headaches."
D. "I should double my dose if I miss a day."
B. "I should use a soft toothbrush and electric razor."
RATIONALE: Warfarin increases bleeding risk. Using a soft
toothbrush and electric razor reduces the risk of bleeding. Consistent
vitamin K intake is important, not increased intake. Aspirin increases
bleeding risk.
4. A nurse is assessing a client who is 2 hours postoperative following
abdominal surgery. Which finding requires immediate intervention?
A. Blood pressure of 110/70 mm Hg
B. Heart rate of 92/min
C. Respiratory rate of 26/min and shallow
D. Temperature of 99.2°F
C. Respiratory rate of 26/min and shallow
RATIONALE: A respiratory rate of 26/min with shallow breathing may
indicate respiratory depression or atelectasis, which requires immediate
intervention. The other vital signs are within acceptable ranges.
5. A nurse is caring for a client with a new colostomy. Which stoma
appearance indicates adequate perfusion?
, A. Dark purple
B. Beefy red
C. Black
D. Pale pink
B. Beefy red
RATIONALE: A healthy stoma is beefy red to pink and moist,
indicating adequate blood supply. Dark purple or black indicates
ischemia.
6. A nurse is preparing to administer digoxin to a client with heart
failure. The apical pulse is 52 bpm. Which action should the nurse
take?
A. Administer the digoxin as ordered
B. Hold the digoxin and notify the provider
C. Check the digoxin level first
D. Give atropine then digoxin
B. Hold the digoxin and notify the provider
RATIONALE: Digoxin should be held if the apical pulse is less than 60
bpm in an adult. The provider should be notified. Administering digoxin
risks toxicity.
7. A client with chronic kidney disease has a potassium of 6.8 mEq/L.
Which ECG finding is most concerning?
A. Prominent U waves
B. Peaked T waves
C. Prolonged PR interval
D. ST depression
EXAM TEST BANK | NGN NCLEX PN EXAM
WITH COMPLETE 150 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES / ALREADY
GRADED A+.
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and NGN Case Studies
INTRODUCTION
This assessment evaluates the clinical knowledge and decision-making
required of practical nursing candidates preparing for the NCLEX-PN
examination. It covers safe and effective care, health promotion,
psychosocial integrity, basic care, pharmacological therapies, risk
reduction, physiological adaptation, and clinical judgment. The multiple-
choice, select-all-that-apply, and unfolding case study format measures
recall, interpretation, prioritization, and real-world application. Emphasis
is placed on evidence-based practice, patient safety, and the clinical
judgment measurement model. This exam prepares candidates for the
,Next Generation NCLEX-PN by testing critical thinking and safe decision-
making across the lifespan.
SECTION ONE: QUESTIONS 1–150
1. A nurse is caring for a client who reports crushing chest pain
radiating to the left arm. Which action should the nurse take first?
A. Administer nitroglycerin sublingually
B. Obtain a 12-lead ECG
C. Assess vital signs and oxygen saturation
D. Notify the provider
C. Assess vital signs and oxygen saturation
RATIONALE: Assessment is the priority. The nurse should first assess
vital signs and oxygen saturation to determine the client's stability before
implementing interventions.
2. A client with type 2 diabetes has a fasting blood glucose of 145
mg/dL. Which finding should the nurse report to the provider?
A. Blood glucose of 145 mg/dL
B. Client reports mild thirst
C. Client has intact pedal pulses
D. Client is awake and oriented
A. Blood glucose of 145 mg/dL
RATIONALE: A fasting blood glucose of 145 mg/dL exceeds the target
range for diabetes management. The other findings are expected and do
not require immediate reporting.
, 3. A nurse is teaching a client about a new prescription for warfarin.
Which statement by the client indicates an understanding of the
teaching?
A. "I should increase my intake of green leafy vegetables."
B. "I should use a soft toothbrush and electric razor."
C. "I should take aspirin for headaches."
D. "I should double my dose if I miss a day."
B. "I should use a soft toothbrush and electric razor."
RATIONALE: Warfarin increases bleeding risk. Using a soft
toothbrush and electric razor reduces the risk of bleeding. Consistent
vitamin K intake is important, not increased intake. Aspirin increases
bleeding risk.
4. A nurse is assessing a client who is 2 hours postoperative following
abdominal surgery. Which finding requires immediate intervention?
A. Blood pressure of 110/70 mm Hg
B. Heart rate of 92/min
C. Respiratory rate of 26/min and shallow
D. Temperature of 99.2°F
C. Respiratory rate of 26/min and shallow
RATIONALE: A respiratory rate of 26/min with shallow breathing may
indicate respiratory depression or atelectasis, which requires immediate
intervention. The other vital signs are within acceptable ranges.
5. A nurse is caring for a client with a new colostomy. Which stoma
appearance indicates adequate perfusion?
, A. Dark purple
B. Beefy red
C. Black
D. Pale pink
B. Beefy red
RATIONALE: A healthy stoma is beefy red to pink and moist,
indicating adequate blood supply. Dark purple or black indicates
ischemia.
6. A nurse is preparing to administer digoxin to a client with heart
failure. The apical pulse is 52 bpm. Which action should the nurse
take?
A. Administer the digoxin as ordered
B. Hold the digoxin and notify the provider
C. Check the digoxin level first
D. Give atropine then digoxin
B. Hold the digoxin and notify the provider
RATIONALE: Digoxin should be held if the apical pulse is less than 60
bpm in an adult. The provider should be notified. Administering digoxin
risks toxicity.
7. A client with chronic kidney disease has a potassium of 6.8 mEq/L.
Which ECG finding is most concerning?
A. Prominent U waves
B. Peaked T waves
C. Prolonged PR interval
D. ST depression
