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2025 NCLEX-RN Exam – 130
Questions & Verified Answers | NGN
Format | A+ Grade | Latest Update |
Guaranteed Satisfaction
Safe and Effective Care Environment (33 Questions)
Management of Care (17 Questions)
1. A nurse is prioritizing care for multiple clients. Which client should the nurse assess
first?
A) Client reporting chest pain
B) Client with a blood pressure of 140/90 mmHg
C) Client awaiting discharge teaching
D) Client with a fever of 100.4°F
Rationale: Chest pain indicates a potential life-threatening condition requiring immediate
assessment per NCSBN clinical judgment priorities.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Administering oral medications
B) Assessing a client’s pain level
C) Obtaining vital signs
D) Developing a care plan
Rationale: Obtaining vital signs is within the AP’s scope of practice per NCSBN
guidelines.
3. NGN Case Study: A nurse is managing a 4-client unit. Client A has a new
tracheostomy, Client B is post-op day 1 from appendectomy, Client C has diabetes
with a blood glucose of 250 mg/dL, and Client D reports nausea. Which client
should the nurse assess first, and why?
A) Client A, due to airway risk
B) Client B, due to post-op complications
C) Client C, due to hyperglycemia
D) Client D, due to nausea
Rationale: A new tracheostomy poses an immediate airway risk, requiring priority
assessment per NCSBN clinical judgment model.
4. What is the nurse’s role in informed consent?
A) Obtain the client’s signature
B) Verify the client understands the procedure
C) Perform the procedure
D) Schedule the procedure
, 2
Rationale: The nurse ensures client understanding before signing, per NCSBN ethical
standards.
5. A nurse overhears a colleague discussing a client’s condition in the cafeteria. What
should the nurse do?
A) Report the breach to the supervisor
B) Confront the colleague publicly
C) Ignore the conversation
D) Join the discussion
Rationale: Discussing client information in public violates HIPAA, requiring reporting
per NCSBN guidelines.
6. NGN Select-All-That-Apply: Which actions demonstrate effective leadership by a
charge nurse?
A) Assigning tasks based on staff competency
B) Ignoring staff conflicts
C) Providing feedback to team members
D) Micromanaging all tasks
Correct Answers: A, C
Rationale: Effective leadership involves task assignment and feedback per NCSBN
management principles.
7. A nurse is coordinating discharge for a client with heart failure. Which resource
should be prioritized?
A) Physical therapy
B) Home health services
C) Dietary consultation
D) Social work
Rationale: Home health services support ongoing heart failure management per NCSBN
care coordination.
8. What is the priority action when a client refuses a prescribed treatment?
A) Explore the client’s reasons for refusal
B) Administer the treatment anyway
C) Notify the provider immediately
D) Document and proceed
Rationale: Exploring reasons respects autonomy and informs care per NCSBN ethical
guidelines.
9. A nurse is precepting a new graduate. Which task should the preceptor prioritize
teaching?
A) Charting non-essential tasks
B) Prioritizing client assessments
C) Ordering supplies
D) Scheduling breaks
Rationale: Prioritizing assessments develops clinical judgment per NCSBN guidelines.
10. What should a nurse do if a client’s advance directive conflicts with family wishes?
A) Follow family wishes
B) Honor the advance directive
C) Consult the provider
, 3
D) Delay decision-making
Rationale: Advance directives take precedence per NCSBN legal and ethical standards.
11. NGN Fill-in-the-Blank: What is the maximum number of clients a nurse can safely
supervise in a long-term care facility per NCSBN guidelines?
30
Rationale: NCSBN recommends a maximum of 30 clients for safe supervision in long-
term care.
12. A nurse is managing a client with a new colostomy. Which is the priority action?
A) Teach dietary restrictions
B) Assess stoma appearance
C) Administer pain medication
D) Schedule follow-up
Rationale: Assessing stoma appearance ensures no complications per NCSBN clinical
judgment model.
13. What is the nurse’s role in a code blue?
A) Administer medications only
B) Follow ACLS protocols
C) Document the event only
D) Call the family
Rationale: Nurses follow ACLS protocols during a code blue per NCSBN emergency
care guidelines.
14. A nurse is assigning rooms for new admissions. Which client should be placed in a
private room?
A) Client with diabetes
B) Client with MRSA
C) Client with hypertension
D) Client post-appendectomy
Rationale: MRSA requires isolation to prevent transmission per NCSBN infection control
standards.
15. NGN Hot Spot: Where should a nurse assess for signs of neglect in an elderly client?
Correct Answer: Skin integrity, hygiene, and nutritional status
Rationale: These areas indicate neglect per NCSBN ethical and safety guidelines.
16. What should a nurse do if a client’s chart contains an error?
A) Erase the error
B) Draw a line through it and initial
C) Ignore the error
D) Rewrite the chart
Rationale: Drawing a line through errors maintains legal documentation integrity per
NCSBN guidelines.
17. A nurse is managing a client with a new diagnosis of COPD. Which referral is most
appropriate?
A) Social worker
B) Pulmonary rehabilitation
C) Dietitian
D) Physical therapist
2025 NCLEX-RN Exam – 130
Questions & Verified Answers | NGN
Format | A+ Grade | Latest Update |
Guaranteed Satisfaction
Safe and Effective Care Environment (33 Questions)
Management of Care (17 Questions)
1. A nurse is prioritizing care for multiple clients. Which client should the nurse assess
first?
A) Client reporting chest pain
B) Client with a blood pressure of 140/90 mmHg
C) Client awaiting discharge teaching
D) Client with a fever of 100.4°F
Rationale: Chest pain indicates a potential life-threatening condition requiring immediate
assessment per NCSBN clinical judgment priorities.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate
to delegate?
A) Administering oral medications
B) Assessing a client’s pain level
C) Obtaining vital signs
D) Developing a care plan
Rationale: Obtaining vital signs is within the AP’s scope of practice per NCSBN
guidelines.
3. NGN Case Study: A nurse is managing a 4-client unit. Client A has a new
tracheostomy, Client B is post-op day 1 from appendectomy, Client C has diabetes
with a blood glucose of 250 mg/dL, and Client D reports nausea. Which client
should the nurse assess first, and why?
A) Client A, due to airway risk
B) Client B, due to post-op complications
C) Client C, due to hyperglycemia
D) Client D, due to nausea
Rationale: A new tracheostomy poses an immediate airway risk, requiring priority
assessment per NCSBN clinical judgment model.
4. What is the nurse’s role in informed consent?
A) Obtain the client’s signature
B) Verify the client understands the procedure
C) Perform the procedure
D) Schedule the procedure
, 2
Rationale: The nurse ensures client understanding before signing, per NCSBN ethical
standards.
5. A nurse overhears a colleague discussing a client’s condition in the cafeteria. What
should the nurse do?
A) Report the breach to the supervisor
B) Confront the colleague publicly
C) Ignore the conversation
D) Join the discussion
Rationale: Discussing client information in public violates HIPAA, requiring reporting
per NCSBN guidelines.
6. NGN Select-All-That-Apply: Which actions demonstrate effective leadership by a
charge nurse?
A) Assigning tasks based on staff competency
B) Ignoring staff conflicts
C) Providing feedback to team members
D) Micromanaging all tasks
Correct Answers: A, C
Rationale: Effective leadership involves task assignment and feedback per NCSBN
management principles.
7. A nurse is coordinating discharge for a client with heart failure. Which resource
should be prioritized?
A) Physical therapy
B) Home health services
C) Dietary consultation
D) Social work
Rationale: Home health services support ongoing heart failure management per NCSBN
care coordination.
8. What is the priority action when a client refuses a prescribed treatment?
A) Explore the client’s reasons for refusal
B) Administer the treatment anyway
C) Notify the provider immediately
D) Document and proceed
Rationale: Exploring reasons respects autonomy and informs care per NCSBN ethical
guidelines.
9. A nurse is precepting a new graduate. Which task should the preceptor prioritize
teaching?
A) Charting non-essential tasks
B) Prioritizing client assessments
C) Ordering supplies
D) Scheduling breaks
Rationale: Prioritizing assessments develops clinical judgment per NCSBN guidelines.
10. What should a nurse do if a client’s advance directive conflicts with family wishes?
A) Follow family wishes
B) Honor the advance directive
C) Consult the provider
, 3
D) Delay decision-making
Rationale: Advance directives take precedence per NCSBN legal and ethical standards.
11. NGN Fill-in-the-Blank: What is the maximum number of clients a nurse can safely
supervise in a long-term care facility per NCSBN guidelines?
30
Rationale: NCSBN recommends a maximum of 30 clients for safe supervision in long-
term care.
12. A nurse is managing a client with a new colostomy. Which is the priority action?
A) Teach dietary restrictions
B) Assess stoma appearance
C) Administer pain medication
D) Schedule follow-up
Rationale: Assessing stoma appearance ensures no complications per NCSBN clinical
judgment model.
13. What is the nurse’s role in a code blue?
A) Administer medications only
B) Follow ACLS protocols
C) Document the event only
D) Call the family
Rationale: Nurses follow ACLS protocols during a code blue per NCSBN emergency
care guidelines.
14. A nurse is assigning rooms for new admissions. Which client should be placed in a
private room?
A) Client with diabetes
B) Client with MRSA
C) Client with hypertension
D) Client post-appendectomy
Rationale: MRSA requires isolation to prevent transmission per NCSBN infection control
standards.
15. NGN Hot Spot: Where should a nurse assess for signs of neglect in an elderly client?
Correct Answer: Skin integrity, hygiene, and nutritional status
Rationale: These areas indicate neglect per NCSBN ethical and safety guidelines.
16. What should a nurse do if a client’s chart contains an error?
A) Erase the error
B) Draw a line through it and initial
C) Ignore the error
D) Rewrite the chart
Rationale: Drawing a line through errors maintains legal documentation integrity per
NCSBN guidelines.
17. A nurse is managing a client with a new diagnosis of COPD. Which referral is most
appropriate?
A) Social worker
B) Pulmonary rehabilitation
C) Dietitian
D) Physical therapist
