1
NCLEX-PN NEXT GENERATION QUESTIONS
TEST BANK 2026–2027 WITH REAL TEST
QUESTIONS AND ANSWERS
Topics Covered:
• Nursing process & critical thinking
• Infection control & safety
• Medication administration & pharmacology
• Vital signs & patient assessment
• Client education
• Psychosocial care
• Care of adult and pediatric patients
,2
Q1 (SATA)
Which of the following are appropriate interventions for a
patient with a fall risk?
☑ Keep bed in lowest position
☑ Place call light within reach
☑ Remove clutter from floor
☑ Apply restraints routinely
Correct Answers: First three
Rationale: Environmental safety measures reduce falls.
Restraints are last-resort interventions.
Q2
A nurse is caring for a patient with suspected hypoglycemia.
First action?
A. Administer a fast-acting carbohydrate
B. Encourage fluids
C. Check vital signs
D. Monitor blood glucose later
Correct Answer: A
Rationale: Hypoglycemia is a priority; rapid glucose
replacement prevents complications.
,3
Q3
Which position is safest for nasogastric tube insertion?
A. Semi-Fowler’s
B. Supine
C. Trendelenburg
D. Prone
Correct Answer: A
Rationale: Semi-Fowler’s reduces aspiration risk and facilitates
insertion.
Q4 (SATA)
Which actions are included in standard precautions?
☑ Hand hygiene
☑ Gloves when indicated
☑ Mask when exposure to respiratory secretions is likely
☑ Gown when exposure to body fluids is likely
Correct Answers: All
Rationale: Standard precautions protect both patients and
healthcare workers from infection.
Q5
, 4
A patient reports chest pain and has dyspnea. Which is
priority?
A. Assess airway, oxygenation, and vital signs
B. Administer analgesics
C. Encourage ambulation
D. Monitor only
Correct Answer: A
Rationale: Airway, breathing, and circulation are always the
priority in acute symptoms.
Q6
A patient is postoperative with a PCA pump. Which action is
priority?
A. Assess pain level and sedation
B. Encourage deep breathing only
C. Administer oral analgesics
D. Reposition the patient
Correct Answer: A
Rationale: Monitoring pain control and sedation ensures safety
and prevents oversedation.
Q7
NCLEX-PN NEXT GENERATION QUESTIONS
TEST BANK 2026–2027 WITH REAL TEST
QUESTIONS AND ANSWERS
Topics Covered:
• Nursing process & critical thinking
• Infection control & safety
• Medication administration & pharmacology
• Vital signs & patient assessment
• Client education
• Psychosocial care
• Care of adult and pediatric patients
,2
Q1 (SATA)
Which of the following are appropriate interventions for a
patient with a fall risk?
☑ Keep bed in lowest position
☑ Place call light within reach
☑ Remove clutter from floor
☑ Apply restraints routinely
Correct Answers: First three
Rationale: Environmental safety measures reduce falls.
Restraints are last-resort interventions.
Q2
A nurse is caring for a patient with suspected hypoglycemia.
First action?
A. Administer a fast-acting carbohydrate
B. Encourage fluids
C. Check vital signs
D. Monitor blood glucose later
Correct Answer: A
Rationale: Hypoglycemia is a priority; rapid glucose
replacement prevents complications.
,3
Q3
Which position is safest for nasogastric tube insertion?
A. Semi-Fowler’s
B. Supine
C. Trendelenburg
D. Prone
Correct Answer: A
Rationale: Semi-Fowler’s reduces aspiration risk and facilitates
insertion.
Q4 (SATA)
Which actions are included in standard precautions?
☑ Hand hygiene
☑ Gloves when indicated
☑ Mask when exposure to respiratory secretions is likely
☑ Gown when exposure to body fluids is likely
Correct Answers: All
Rationale: Standard precautions protect both patients and
healthcare workers from infection.
Q5
, 4
A patient reports chest pain and has dyspnea. Which is
priority?
A. Assess airway, oxygenation, and vital signs
B. Administer analgesics
C. Encourage ambulation
D. Monitor only
Correct Answer: A
Rationale: Airway, breathing, and circulation are always the
priority in acute symptoms.
Q6
A patient is postoperative with a PCA pump. Which action is
priority?
A. Assess pain level and sedation
B. Encourage deep breathing only
C. Administer oral analgesics
D. Reposition the patient
Correct Answer: A
Rationale: Monitoring pain control and sedation ensures safety
and prevents oversedation.
Q7
