NCLEX-PN® Practice Exam – Next Generation
NCLEX (NGN) National Council of State Boards
of Nursing (NCSBN) Standard Questions And
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. A client is prescribed digoxin for heart failure. The nurse should
assess for which early sign of toxicity?
a. Hypertension
b. Bradycardia
c. Diarrhea
d. Tremors
Early signs of digoxin toxicity include bradycardia, nausea, and
visual disturbances.
2. A nurse is caring for a client with COPD. Which oxygen delivery
method is most appropriate for a client who requires low-flow
supplemental oxygen?
a. Venturi mask
b. Non-rebreather mask
c. Nasal cannula
d. CPAP
Nasal cannula is appropriate for low-flow oxygen delivery and
allows the client to eat and talk comfortably.
,3. A client with diabetes reports a blood glucose of 55 mg/dL. The
nurse should first:
a. Administer insulin
b. Give 15 g of a fast-acting carbohydrate
c. Call the provider
d. Recheck glucose in 2 hours
Hypoglycemia requires immediate intervention with fast-acting
carbohydrates to prevent complications.
4. A client with a new colostomy is concerned about odor. Which
suggestion should the nurse give?
a. Use scented deodorants inside the pouch
b. Empty the pouch regularly
c. Avoid all fiber
d. Wash the pouch with soap and hot water daily
Emptying the pouch regularly helps reduce odor and prevents
leakage.
5. A nurse is preparing to administer a blood transfusion. Which
action is priority?
a. Documenting vital signs
b. Verifying the blood type with another nurse
c. Starting IV line
d. Warming the blood
Correct identification prevents potentially fatal transfusion
reactions.
6. Which of the following is a sign of hypokalemia?
a. Hyperreflexia
b. Muscle weakness
, c. Tachycardia
d. Polyuria
Hypokalemia commonly presents with muscle weakness, fatigue,
and cardiac arrhythmias.
7. A client with heart failure has a weight gain of 3 lb in 2 days. The
nurse should:
a. Encourage fluids
b. Notify the provider
c. Restrict sodium intake
d. Monitor blood pressure
Rapid weight gain indicates fluid retention and worsening heart
failure, requiring provider notification.
8. A client is prescribed enoxaparin. Which route should the nurse
use?
a. Oral
b. IV push
c. Subcutaneous
d. Intramuscular
Enoxaparin is administered subcutaneously to reduce the risk of
bleeding.
9. A client reports palpitations and dizziness. The ECG shows atrial
fibrillation. The priority nursing action is:
a. Administer beta-blocker
b. Assess hemodynamic stability
c. Notify family
d. Prepare for cardioversion
, Assessing stability guides urgent interventions such as rate control
or cardioversion.
10. A client is receiving morphine for pain. Which side effect
should the nurse monitor most closely?
a. Diarrhea
b. Hypertension
c. Respiratory depression
d. Increased appetite
Morphine can depress the respiratory center, which can be life-
threatening.
11. Which finding indicates fluid overload in a client with renal
failure?
a. Dry mucous membranes
b. Edema
c. Tachycardia
d. Constipation
Edema, crackles in lungs, and weight gain are signs of fluid
overload.
12. A nurse is teaching a client about preventing constipation.
Which recommendation is appropriate?
a. Limit fiber
b. Increase fluid intake
c. Avoid exercise
d. Skip breakfast
Fluids and fiber intake, along with activity, help prevent
constipation.
NCLEX (NGN) National Council of State Boards
of Nursing (NCSBN) Standard Questions And
Correct Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. A client is prescribed digoxin for heart failure. The nurse should
assess for which early sign of toxicity?
a. Hypertension
b. Bradycardia
c. Diarrhea
d. Tremors
Early signs of digoxin toxicity include bradycardia, nausea, and
visual disturbances.
2. A nurse is caring for a client with COPD. Which oxygen delivery
method is most appropriate for a client who requires low-flow
supplemental oxygen?
a. Venturi mask
b. Non-rebreather mask
c. Nasal cannula
d. CPAP
Nasal cannula is appropriate for low-flow oxygen delivery and
allows the client to eat and talk comfortably.
,3. A client with diabetes reports a blood glucose of 55 mg/dL. The
nurse should first:
a. Administer insulin
b. Give 15 g of a fast-acting carbohydrate
c. Call the provider
d. Recheck glucose in 2 hours
Hypoglycemia requires immediate intervention with fast-acting
carbohydrates to prevent complications.
4. A client with a new colostomy is concerned about odor. Which
suggestion should the nurse give?
a. Use scented deodorants inside the pouch
b. Empty the pouch regularly
c. Avoid all fiber
d. Wash the pouch with soap and hot water daily
Emptying the pouch regularly helps reduce odor and prevents
leakage.
5. A nurse is preparing to administer a blood transfusion. Which
action is priority?
a. Documenting vital signs
b. Verifying the blood type with another nurse
c. Starting IV line
d. Warming the blood
Correct identification prevents potentially fatal transfusion
reactions.
6. Which of the following is a sign of hypokalemia?
a. Hyperreflexia
b. Muscle weakness
, c. Tachycardia
d. Polyuria
Hypokalemia commonly presents with muscle weakness, fatigue,
and cardiac arrhythmias.
7. A client with heart failure has a weight gain of 3 lb in 2 days. The
nurse should:
a. Encourage fluids
b. Notify the provider
c. Restrict sodium intake
d. Monitor blood pressure
Rapid weight gain indicates fluid retention and worsening heart
failure, requiring provider notification.
8. A client is prescribed enoxaparin. Which route should the nurse
use?
a. Oral
b. IV push
c. Subcutaneous
d. Intramuscular
Enoxaparin is administered subcutaneously to reduce the risk of
bleeding.
9. A client reports palpitations and dizziness. The ECG shows atrial
fibrillation. The priority nursing action is:
a. Administer beta-blocker
b. Assess hemodynamic stability
c. Notify family
d. Prepare for cardioversion
, Assessing stability guides urgent interventions such as rate control
or cardioversion.
10. A client is receiving morphine for pain. Which side effect
should the nurse monitor most closely?
a. Diarrhea
b. Hypertension
c. Respiratory depression
d. Increased appetite
Morphine can depress the respiratory center, which can be life-
threatening.
11. Which finding indicates fluid overload in a client with renal
failure?
a. Dry mucous membranes
b. Edema
c. Tachycardia
d. Constipation
Edema, crackles in lungs, and weight gain are signs of fluid
overload.
12. A nurse is teaching a client about preventing constipation.
Which recommendation is appropriate?
a. Limit fiber
b. Increase fluid intake
c. Avoid exercise
d. Skip breakfast
Fluids and fiber intake, along with activity, help prevent
constipation.
