1|Page
NCLEX RN- NGN NEWEST 2025/2026 TEST BANK| RN-
NCLEX NGN EXAM QUESTION BANK| COMPLETE 850
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
RATIONALES) ALREADY GRADED A+ ||BRAND NEW!!
The nurse is supervising a graduate nurse (GN) on a telemetry unit. An
assigned client develops asystole with no pulse, and emergency care
interventions are initiated. Which action by the GN would cause the
supervising nurse to intervene? – ANSWER - Provides defibrillator
shock
The nurse is caring for a client with cardiomyopathy and coronary artery
disease. The client is reporting increasing chest pain and has bilateral
lung crackles on auscultation. The health care provider has written
several new prescriptions. Which new prescription should the nurse
clarify?
Select all that apply. – ANSWER - Administer 2,000 mL normal saline
bolus.
Administer IV nitroglycerin.
The nurse is providing diversional activities for a 4-year-old client who
is on long-term, strict bed rest. Which of the following toys would be
most appropriate to provide for the client? – ANSWER - plastic medical
kit.
pg. 1
,2|Page
The nurse is caring for a client with an acute ischemic stroke who has a
blood pressure of 178/95 mm Hg. The health care provider prescribes
as-needed antihypertensives to be given if the systolic pressure is >200
mm Hg. Which action by the nurse is most appropriate? – ANSWER -
Monitor the blood pressure.
The nurse is caring for a client with cirhosis who has ascites, peripheral
edema, shortness of breath, fatigue, and generalized discomfort. Which
of the following actions should the nurse take? Select all that apply.
– ANSWER - Maintain the client in semi-Fowler position
Provide an alternating air pressure mattress for the client
Use music to provide a distraction for the client.
The nurse admits a client who fell off a 20-ft (6-m) ladder. On arrival in
the emergency department, the client is arousable but lethargic. What is
the nurse's priority action? – ANSWER - Obtain a Glasgow Coma Scale
score.
A nurse in the intensive care unit is caring for a postoperative cardiac
transplant client. What intervention is most important to include in the
plan of care? – ANSWER - Use careful hand washing and aseptic
technique to prevent infection.
A client who is 2 hours post aortic valve replacement is in the intensive
care unit (ICU). The low pressure alarm for the client's radial arterial
line sounds. Which action should the nurse take first? – ANSWER -
Check for bleeding at tube connection sites.
pg. 2
,3|Page
The nurse at the prenatal clinic is providing education to several clients
in the first trimester of pregnancy, Which client requires priority
anticipatory teaching? – ANSWER - Client who gardens and eats
homegrown vegetables
The nurse is caring for a client on the organ donation waiting list for
cardiac transplantation. Which teaching topic is most important for the
nurse to emphasize at this time? – ANSWER - Immunosuppressive
therapy as a lifelong commitment
The charge nurse is evaluating the skills Of of graduate nurses (GNs)
who are caring for clients with shock. Which action taken by a GN
indicates a need for further education? – ANSWER - Raises the head of
the bed to high Fowler position for a client with hypovolemic shock.
The nurse is providing nutritional teaching for a client with a new
ileostomy. Which foods should the nurse instruct the client to avoid?
Select all that apply. – ANSWER - Broccoli with cheese
Multigrain bagel
Popcorn
In the intensive care unit, the nurse cares for a client admitted with a
head injury who develops syndrome of inappropriate antidiuretic
hormone. Which data should the nurse expect with the onset of this
condition? Select all that apply. – ANSWER - Decreased serum
osmolality, High urine specific gravity, Low serum sodium.
pg. 3
, 4|Page
The nurse is preparing a symptom management teaching plan for a client
diagnosed with carpal tunnel syndrome. Which instruction is appropriate
to include in the teaching plan? – ANSWER - Wear a wrist
immobilization splint
The nurse is caring for a client who has an implantable cardioverter
defibrillator (CD). The ICD has delivered 2 shocks, but the client does
not have a pulse. Which of the following actions should the nurse take
next? – ANSWER - Initiate chest compressions.
The nurse in the emergency department is caring for a client who is
experiencing torsades de pointes Which of the following medications
should the nurse recognize is used to treat this cardiac dysrhythmia? –
ANSWER - magnesium
A client admitted with acute myocardial infarction suddenly displays air
hunger, dyspnea, and coughing with frothy, pink-tinged sputum. What
would the nurse anticipate when auscultating the breath sounds of this
client? – ANSWER - Diffuse bilateral crackles at lung bases
The nurse is preparing to administer IV furosemide to a client with
chronic kidney disease. The nurse should administer the medication
slowly to prevent – ANSWER - ototoxicity
The nurse is caring for a client who had an anterior wall myocardial
infarction 24 hours ago. Which finding is most concerning at this time?
– ANSWER - New S3 heart tone.
pg. 4
NCLEX RN- NGN NEWEST 2025/2026 TEST BANK| RN-
NCLEX NGN EXAM QUESTION BANK| COMPLETE 850
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS WITH
RATIONALES) ALREADY GRADED A+ ||BRAND NEW!!
The nurse is supervising a graduate nurse (GN) on a telemetry unit. An
assigned client develops asystole with no pulse, and emergency care
interventions are initiated. Which action by the GN would cause the
supervising nurse to intervene? – ANSWER - Provides defibrillator
shock
The nurse is caring for a client with cardiomyopathy and coronary artery
disease. The client is reporting increasing chest pain and has bilateral
lung crackles on auscultation. The health care provider has written
several new prescriptions. Which new prescription should the nurse
clarify?
Select all that apply. – ANSWER - Administer 2,000 mL normal saline
bolus.
Administer IV nitroglycerin.
The nurse is providing diversional activities for a 4-year-old client who
is on long-term, strict bed rest. Which of the following toys would be
most appropriate to provide for the client? – ANSWER - plastic medical
kit.
pg. 1
,2|Page
The nurse is caring for a client with an acute ischemic stroke who has a
blood pressure of 178/95 mm Hg. The health care provider prescribes
as-needed antihypertensives to be given if the systolic pressure is >200
mm Hg. Which action by the nurse is most appropriate? – ANSWER -
Monitor the blood pressure.
The nurse is caring for a client with cirhosis who has ascites, peripheral
edema, shortness of breath, fatigue, and generalized discomfort. Which
of the following actions should the nurse take? Select all that apply.
– ANSWER - Maintain the client in semi-Fowler position
Provide an alternating air pressure mattress for the client
Use music to provide a distraction for the client.
The nurse admits a client who fell off a 20-ft (6-m) ladder. On arrival in
the emergency department, the client is arousable but lethargic. What is
the nurse's priority action? – ANSWER - Obtain a Glasgow Coma Scale
score.
A nurse in the intensive care unit is caring for a postoperative cardiac
transplant client. What intervention is most important to include in the
plan of care? – ANSWER - Use careful hand washing and aseptic
technique to prevent infection.
A client who is 2 hours post aortic valve replacement is in the intensive
care unit (ICU). The low pressure alarm for the client's radial arterial
line sounds. Which action should the nurse take first? – ANSWER -
Check for bleeding at tube connection sites.
pg. 2
,3|Page
The nurse at the prenatal clinic is providing education to several clients
in the first trimester of pregnancy, Which client requires priority
anticipatory teaching? – ANSWER - Client who gardens and eats
homegrown vegetables
The nurse is caring for a client on the organ donation waiting list for
cardiac transplantation. Which teaching topic is most important for the
nurse to emphasize at this time? – ANSWER - Immunosuppressive
therapy as a lifelong commitment
The charge nurse is evaluating the skills Of of graduate nurses (GNs)
who are caring for clients with shock. Which action taken by a GN
indicates a need for further education? – ANSWER - Raises the head of
the bed to high Fowler position for a client with hypovolemic shock.
The nurse is providing nutritional teaching for a client with a new
ileostomy. Which foods should the nurse instruct the client to avoid?
Select all that apply. – ANSWER - Broccoli with cheese
Multigrain bagel
Popcorn
In the intensive care unit, the nurse cares for a client admitted with a
head injury who develops syndrome of inappropriate antidiuretic
hormone. Which data should the nurse expect with the onset of this
condition? Select all that apply. – ANSWER - Decreased serum
osmolality, High urine specific gravity, Low serum sodium.
pg. 3
, 4|Page
The nurse is preparing a symptom management teaching plan for a client
diagnosed with carpal tunnel syndrome. Which instruction is appropriate
to include in the teaching plan? – ANSWER - Wear a wrist
immobilization splint
The nurse is caring for a client who has an implantable cardioverter
defibrillator (CD). The ICD has delivered 2 shocks, but the client does
not have a pulse. Which of the following actions should the nurse take
next? – ANSWER - Initiate chest compressions.
The nurse in the emergency department is caring for a client who is
experiencing torsades de pointes Which of the following medications
should the nurse recognize is used to treat this cardiac dysrhythmia? –
ANSWER - magnesium
A client admitted with acute myocardial infarction suddenly displays air
hunger, dyspnea, and coughing with frothy, pink-tinged sputum. What
would the nurse anticipate when auscultating the breath sounds of this
client? – ANSWER - Diffuse bilateral crackles at lung bases
The nurse is preparing to administer IV furosemide to a client with
chronic kidney disease. The nurse should administer the medication
slowly to prevent – ANSWER - ototoxicity
The nurse is caring for a client who had an anterior wall myocardial
infarction 24 hours ago. Which finding is most concerning at this time?
– ANSWER - New S3 heart tone.
pg. 4
