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“NCLEX NGN PRE-TEST QUESTIONS 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
NCLEX NGN Pre-Test Questions
A nurse on the day shift receives the client assignment for the day. In which
order will the nurse assess the assigned clients?
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium
enema at 10 a.m.
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at
10 a.m.
, Page 2 of 79
The nurse is observing a new nurse employee perform an otoscopic
examination of an adult client. The nurse determines the new nurse employee
understands the procedure if the new nurse employee takes which action?
Uses a small speculum to decrease the discomfort
Pulls the pinna up and back before inserting the speculum
Tilts the client's head forward before inserting the speculum
Pulls the earlobe down and back before inserting the speculum
B
Old= up
Young= down
A primigravida is admitted to the labor unit. During assessment, the client's
membranes rupture spontaneously. What is the priority nursing action?
Checking the amniotic fluid
Checking the fetal heart rate
Assessing the contraction pattern
Preparing for immediate delivery
B
When the membranes rupture in the birth setting, the nurse immediately assesses
the fetal heart rate to detect changes associated with prolapse or compression of the
umbilical cord.
A postpartum nurse is caring for a client who had a placenta previa. Which
nursing intervention does the nurse, reviewing the plan of care, identify as the
priority for this client?
Fundal assessment
Monitoring of urine output
Frequent assessment of lochia
Inclusion of iron in every meal
C
A rubella titer is performed on a woman who has just been told that she is
pregnant. The results of the titer indicate that the mother is not immune to
rubella. The nurse realizes the patient understands patient teaching if the
patient makes which statement?
"I may need to get a therapeutic abortion."
"I will need an immunization against rubella immediately."
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"Immunization against rubella is required after delivery."
"Antibiotics will be prescribed to prevent the infection."
C
MMR vaccines are contraindicated in pregnancy
A nurse performing a fundal assessment after a vaginal birth notes that the
fundus is above the umbilicus and displaced from the midline. What should
the nurse do first?
Massage the fundus
Help the client void
Document the findings
Help the client ambulate
B
A distended bladder can cause the fundus to deviate from midline
A contraction stress test is scheduled, and the nurse provides instructions to
the client regarding the test. Which pieces of information should the nurse
give to the client? Select all that apply.
An internal fetal monitor is attached.
The client will walk on a treadmill until contractions begin.
A positive test result indicates a need for further evaluation.
Special body movements will be performed to stimulate contractions.
The client may be asked to massage one or both nipples to stimulate uterine
contractions.
C, E
he fetus is exposed to the stressor of contractions to assess the adequacy of
placental perfusion under simulated labor conditions. An external fetal monitor is
applied to the mother, and a 20- to 30-minute baseline strip is recorded. The uterus
is stimulated to contract either with the administration of a dilute dose of oxytocin
(Pitocin) or by having the mother stimulate the nipples until three palpable
contractions with a duration of 40 seconds or more in a 10-minute period have been
achieved. Frequent maternal blood pressure readings are taken, and the client is
monitored closely if increasing doses of oxytocin are given. A positive contraction
stress test result indicates that the fetus may be compromised and requires
continued monitoring and further evaluation. A negative result indicates fetal well-
being.
, Page 4 of 79
A nurse provides information to a pregnant client about foods that are high in
iron. Which food, suggested by the client after this discussion, indicates that
the client requires further instruction?
Spinach
Tomatoes
Lima beans
Whole-grain bread
B
A nurse is assessing a client during her first prenatal visit to the clinic. The
nurse takes the client's temperature: 100.8°F (38.2°C). Which of the following
actions on the part of the nurse is appropriate?
Documenting the temperature
Retaking the temperature rectally
Notifying the primary health care provider
Informing the client that a temperature of 100.8°F is normal during pregnancy
C
A client who is 8 weeks pregnant reads her electronic medical record via a
patient portal. She contacts the clinic and asks the nurse to explain a "positive
Hegar sign." Which is the best answer for the nurse to provide?
"You are able to feel fetal movement."
"A soft blowing sound can be heard with a stethoscope."
"The lower part of your uterus is softer than when you are not pregnant."
"You are experiencing irregular painless contractions during the pregnancy."
C
Softening and compressibility of the lower uterine segment, occurring around the
sixth week of pregnancy, is called the Hegar sign.
A nurse has provided dietary instructions to a pregnant client with diabetes
mellitus. Which patient statement indicates the patient understands the
teaching?
"I should increase my fat intake to ensure that the baby gains weight."
"I'll need to start a high-protein, high-fat diet to help control the blood glucose
level."
"I should add extra glucose to the diet because additional calories are needed
during pregnancy."
“NCLEX NGN PRE-TEST QUESTIONS 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
NCLEX NGN Pre-Test Questions
A nurse on the day shift receives the client assignment for the day. In which
order will the nurse assess the assigned clients?
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium
enema at 10 a.m.
A client who was admitted during the night because of congestive heart failure
A client who has been fitted with a closed chest tube drainage system
A client with a nasogastric tube who underwent bowel resection 2 days ago
A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at
10 a.m.
, Page 2 of 79
The nurse is observing a new nurse employee perform an otoscopic
examination of an adult client. The nurse determines the new nurse employee
understands the procedure if the new nurse employee takes which action?
Uses a small speculum to decrease the discomfort
Pulls the pinna up and back before inserting the speculum
Tilts the client's head forward before inserting the speculum
Pulls the earlobe down and back before inserting the speculum
B
Old= up
Young= down
A primigravida is admitted to the labor unit. During assessment, the client's
membranes rupture spontaneously. What is the priority nursing action?
Checking the amniotic fluid
Checking the fetal heart rate
Assessing the contraction pattern
Preparing for immediate delivery
B
When the membranes rupture in the birth setting, the nurse immediately assesses
the fetal heart rate to detect changes associated with prolapse or compression of the
umbilical cord.
A postpartum nurse is caring for a client who had a placenta previa. Which
nursing intervention does the nurse, reviewing the plan of care, identify as the
priority for this client?
Fundal assessment
Monitoring of urine output
Frequent assessment of lochia
Inclusion of iron in every meal
C
A rubella titer is performed on a woman who has just been told that she is
pregnant. The results of the titer indicate that the mother is not immune to
rubella. The nurse realizes the patient understands patient teaching if the
patient makes which statement?
"I may need to get a therapeutic abortion."
"I will need an immunization against rubella immediately."
, Page 3 of 79
"Immunization against rubella is required after delivery."
"Antibiotics will be prescribed to prevent the infection."
C
MMR vaccines are contraindicated in pregnancy
A nurse performing a fundal assessment after a vaginal birth notes that the
fundus is above the umbilicus and displaced from the midline. What should
the nurse do first?
Massage the fundus
Help the client void
Document the findings
Help the client ambulate
B
A distended bladder can cause the fundus to deviate from midline
A contraction stress test is scheduled, and the nurse provides instructions to
the client regarding the test. Which pieces of information should the nurse
give to the client? Select all that apply.
An internal fetal monitor is attached.
The client will walk on a treadmill until contractions begin.
A positive test result indicates a need for further evaluation.
Special body movements will be performed to stimulate contractions.
The client may be asked to massage one or both nipples to stimulate uterine
contractions.
C, E
he fetus is exposed to the stressor of contractions to assess the adequacy of
placental perfusion under simulated labor conditions. An external fetal monitor is
applied to the mother, and a 20- to 30-minute baseline strip is recorded. The uterus
is stimulated to contract either with the administration of a dilute dose of oxytocin
(Pitocin) or by having the mother stimulate the nipples until three palpable
contractions with a duration of 40 seconds or more in a 10-minute period have been
achieved. Frequent maternal blood pressure readings are taken, and the client is
monitored closely if increasing doses of oxytocin are given. A positive contraction
stress test result indicates that the fetus may be compromised and requires
continued monitoring and further evaluation. A negative result indicates fetal well-
being.
, Page 4 of 79
A nurse provides information to a pregnant client about foods that are high in
iron. Which food, suggested by the client after this discussion, indicates that
the client requires further instruction?
Spinach
Tomatoes
Lima beans
Whole-grain bread
B
A nurse is assessing a client during her first prenatal visit to the clinic. The
nurse takes the client's temperature: 100.8°F (38.2°C). Which of the following
actions on the part of the nurse is appropriate?
Documenting the temperature
Retaking the temperature rectally
Notifying the primary health care provider
Informing the client that a temperature of 100.8°F is normal during pregnancy
C
A client who is 8 weeks pregnant reads her electronic medical record via a
patient portal. She contacts the clinic and asks the nurse to explain a "positive
Hegar sign." Which is the best answer for the nurse to provide?
"You are able to feel fetal movement."
"A soft blowing sound can be heard with a stethoscope."
"The lower part of your uterus is softer than when you are not pregnant."
"You are experiencing irregular painless contractions during the pregnancy."
C
Softening and compressibility of the lower uterine segment, occurring around the
sixth week of pregnancy, is called the Hegar sign.
A nurse has provided dietary instructions to a pregnant client with diabetes
mellitus. Which patient statement indicates the patient understands the
teaching?
"I should increase my fat intake to ensure that the baby gains weight."
"I'll need to start a high-protein, high-fat diet to help control the blood glucose
level."
"I should add extra glucose to the diet because additional calories are needed
during pregnancy."
