NCLEX NGN Pre-Test Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with type 1 diabetes reports nausea, sweating, and confusion. Which action should the
nurse take first?
a. Administer IV fluids
b. Encourage the client to rest
✔✔c. Check blood glucose immediately
d. Notify the provider
**Rationale:** Hypoglycemia is life-threatening; blood glucose check guides urgent treatment.
A nurse enters the room and sees a client slumped in bed, gasping. Which is the priority action?
a. Call the family
b. Place client in supine position
✔✔c. Assess airway and breathing
d. Take vital signs
**Rationale:** Airway and breathing are always the first priority in NGN scenarios.
1
,A client with COPD reports increased shortness of breath and wheezing. Which assessment
finding requires immediate action?
a. Mild anxiety
✔✔b. O₂ saturation of 82% on room air
c. Cough producing small amounts of sputum
d. Fatigue
**Rationale:** Low oxygen saturation indicates hypoxemia and requires urgent intervention.
A postoperative client reports severe chest pain radiating to the left arm. Which action should the
nurse take first?
a. Administer pain medication
✔✔b. Assess vital signs and cardiac status
c. Reposition client
d. Notify family
**Rationale:** Chest pain with radiating symptoms may indicate myocardial infarction;
assessment comes first.
A client with a new tracheostomy has thick secretions and labored breathing. Which is the
priority?
2
,a. Suction secretions as needed
✔✔b. Assess airway patency immediately
c. Provide oral care
d. Document respiratory status
**Rationale:** Airway obstruction is life-threatening; assessment precedes interventions.
A client is receiving IV potassium. The client reports burning at the IV site. Which is the priority
action?
a. Slow the infusion
✔✔b. Assess the IV site for infiltration
c. Notify the provider
d. Document the finding
**Rationale:** IV infiltration with potassium can cause tissue damage; assessment is priority.
A nurse is assessing four clients. Which client should be seen first?
a. Client with mild headache
✔✔b. Client with sudden onset of slurred speech
c. Client asking for morning bath
3
, d. Client with scheduled IV antibiotics
**Rationale:** Sudden neurological changes may indicate stroke; urgent assessment is required.
A client reports dizziness upon standing. Which assessment should the nurse perform first?
a. Ask about diet history
b. Check for edema
✔✔c. Measure blood pressure and pulse lying and standing
d. Encourage fluid intake
**Rationale:** Orthostatic hypotension can cause falls and syncope; vital signs determine safety.
A client with heart failure reports new swelling in the legs and dyspnea at rest. Which
intervention should the nurse implement first?
✔✔a. Assess lung sounds and oxygen saturation
b. Elevate legs on pillows
c. Encourage fluid intake
d. Document the findings
**Rationale:** Pulmonary edema can develop quickly; assessment guides urgent care.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with type 1 diabetes reports nausea, sweating, and confusion. Which action should the
nurse take first?
a. Administer IV fluids
b. Encourage the client to rest
✔✔c. Check blood glucose immediately
d. Notify the provider
**Rationale:** Hypoglycemia is life-threatening; blood glucose check guides urgent treatment.
A nurse enters the room and sees a client slumped in bed, gasping. Which is the priority action?
a. Call the family
b. Place client in supine position
✔✔c. Assess airway and breathing
d. Take vital signs
**Rationale:** Airway and breathing are always the first priority in NGN scenarios.
1
,A client with COPD reports increased shortness of breath and wheezing. Which assessment
finding requires immediate action?
a. Mild anxiety
✔✔b. O₂ saturation of 82% on room air
c. Cough producing small amounts of sputum
d. Fatigue
**Rationale:** Low oxygen saturation indicates hypoxemia and requires urgent intervention.
A postoperative client reports severe chest pain radiating to the left arm. Which action should the
nurse take first?
a. Administer pain medication
✔✔b. Assess vital signs and cardiac status
c. Reposition client
d. Notify family
**Rationale:** Chest pain with radiating symptoms may indicate myocardial infarction;
assessment comes first.
A client with a new tracheostomy has thick secretions and labored breathing. Which is the
priority?
2
,a. Suction secretions as needed
✔✔b. Assess airway patency immediately
c. Provide oral care
d. Document respiratory status
**Rationale:** Airway obstruction is life-threatening; assessment precedes interventions.
A client is receiving IV potassium. The client reports burning at the IV site. Which is the priority
action?
a. Slow the infusion
✔✔b. Assess the IV site for infiltration
c. Notify the provider
d. Document the finding
**Rationale:** IV infiltration with potassium can cause tissue damage; assessment is priority.
A nurse is assessing four clients. Which client should be seen first?
a. Client with mild headache
✔✔b. Client with sudden onset of slurred speech
c. Client asking for morning bath
3
, d. Client with scheduled IV antibiotics
**Rationale:** Sudden neurological changes may indicate stroke; urgent assessment is required.
A client reports dizziness upon standing. Which assessment should the nurse perform first?
a. Ask about diet history
b. Check for edema
✔✔c. Measure blood pressure and pulse lying and standing
d. Encourage fluid intake
**Rationale:** Orthostatic hypotension can cause falls and syncope; vital signs determine safety.
A client with heart failure reports new swelling in the legs and dyspnea at rest. Which
intervention should the nurse implement first?
✔✔a. Assess lung sounds and oxygen saturation
b. Elevate legs on pillows
c. Encourage fluid intake
d. Document the findings
**Rationale:** Pulmonary edema can develop quickly; assessment guides urgent care.
4
