NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
The nurse witnesses the collapse of a child while outdoors.
The child is not breathing and has a pulse of 50/min. The
nurse calls emergency services and initiates rescue
breathing. After 2 minutes of rescue breaths, the child is still
not breathing and is pale with a pulse of 30/min. What is the
nurse's next action? - Correct Answers ✅1. Initiate chest
compressions
Rescue breathing is performed at a rate of 1 breath every 2-3
seconds. If the pulse remains <60/min and there are signs of
poor perfusion (skin pallor), the nurse should initiate chest
compressions and reassess the pulse every 2 minutes
The charger nurse is responsible for making room
assignments multiple clients. Which pari of client
assignments to a shared room is appropriate? - Correct
Answers ✅3. Client who had a bowel resection 1 day ago
and client with asthma exacerbation.
When making room assignments, it is important to remember
that a client with an active or suspected infection should not
be paired with a client who has a fresh surgical wound or is
immunocompromised. A client having an asthma
exacerbation does not have an infection and is not at risk for
spreading infection to a client who had a recent bowel
resection surgery.
,NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
The clinic nurse is assessing a client who is being treated for
depression and suicidal ideation. Which client statement best
indicates that the client is not currently at risk for suicide? -
Correct Answers ✅2. "I plan to attend my grandchild's
graduation next month"
Clients receiving treatment for depression and suicidal
ideation must be carefully monitored for indications of
increasing suicidal intent. During a client interview, the nurse
should assess:
- Access to psychiatric medications
- Availability of help during a crisis (counselor, family)
- Future goals and plans
- Home and environment risks
- Overall affect and level of energy
- Possible access to weapons
Clients who articulate long-term personal goals and family
milestones are less likely to attempt death by suicide
The nurse is caring for a client who had an anterior wall
myocardial infarction 2 days ago. The telemetry technician
notifies the nurse at 8:30 AM that the client is in ventricular
trigeminy. What is the nurse's priority intervention? - Correct
Answers ✅1. Administer potassium supplement
,NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
In ventricular trigeminy, premature ventricular contractions
(PVCs) occur every third heartbeat. Myocardial injury (eg,
myocardial infarction) predisposes the client to ectopy (eg,
PVCs), which increases the client's risk for lethal
dysrhythmias (eg, ventricular tachycardia). PVCs are caused
and/or exacerbated by hypoxia, electrolyte imbalances,
emotional stress, stimulants, fever, and exercise.
This client's morning laboratory results show hypokalemia
(potassium <3.5 mEq/L [3.5 mmol/L]); therefore, the priority
is treatment of the underlying cause of the ectopy by
administering the prescribed potassium replacement (Option
1). Health care providers (HCPs) often prescribe electrolyte
replacement algorithms to clients at risk for electrolyte
imbalances (eg, myocardial injury, receiving diuretics) unless
a contraindication exists (eg, serum creatinine >1.5 mg/dL
[133 µmol/L], anuric, weight <99.2 lb [45 kg]).
The nurse cares for a client with a terminal disease who
created a do not attempt resuscitation (DNAR) directive. The
client stops breathing and loses their pulse. The client's adult
child states, "Please, do whatever you can to save them!"
Which intervention is appropriate? - Correct Answers ✅3.
Explain the client's resuscitation directive to the client's child
, NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
Clients can create a do not attempt resuscitation (DNAR)
directive instructing that CPR and other life-saving measures
be withheld. With an advance directive in place, the client's
wishes should be followed, even if they conflict with the
wishes of loved ones
The nurse in the cardiac intensive care unit receives report on
4 clients. Which client should the nurse assess first? -
Correct Answers ✅2. Client who underwent coronary
artery stent placement via femoral approach 3 hours ago and
is reporting severe back pain
A client who undergoes percutaneous coronary intervention
(PCI) and intracoronary stent placement using the femoral
approach is at increased risk for retroperitoneal hemorrhage.
Administration of antithrombotic drugs before, during, and
after PCI can exacerbate potentially life-threatening bleeding
from the femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey Turner
sign), hematoma formation, and diminished distal pulses can
be early signs of bleeding into the retroperitoneal space and
require immediate intervention (eg, notify health care
provider, serial complete blood count, CT scan of the
abdomen)
Answers (Top Grade Assured) 2026
Update
The nurse witnesses the collapse of a child while outdoors.
The child is not breathing and has a pulse of 50/min. The
nurse calls emergency services and initiates rescue
breathing. After 2 minutes of rescue breaths, the child is still
not breathing and is pale with a pulse of 30/min. What is the
nurse's next action? - Correct Answers ✅1. Initiate chest
compressions
Rescue breathing is performed at a rate of 1 breath every 2-3
seconds. If the pulse remains <60/min and there are signs of
poor perfusion (skin pallor), the nurse should initiate chest
compressions and reassess the pulse every 2 minutes
The charger nurse is responsible for making room
assignments multiple clients. Which pari of client
assignments to a shared room is appropriate? - Correct
Answers ✅3. Client who had a bowel resection 1 day ago
and client with asthma exacerbation.
When making room assignments, it is important to remember
that a client with an active or suspected infection should not
be paired with a client who has a fresh surgical wound or is
immunocompromised. A client having an asthma
exacerbation does not have an infection and is not at risk for
spreading infection to a client who had a recent bowel
resection surgery.
,NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
The clinic nurse is assessing a client who is being treated for
depression and suicidal ideation. Which client statement best
indicates that the client is not currently at risk for suicide? -
Correct Answers ✅2. "I plan to attend my grandchild's
graduation next month"
Clients receiving treatment for depression and suicidal
ideation must be carefully monitored for indications of
increasing suicidal intent. During a client interview, the nurse
should assess:
- Access to psychiatric medications
- Availability of help during a crisis (counselor, family)
- Future goals and plans
- Home and environment risks
- Overall affect and level of energy
- Possible access to weapons
Clients who articulate long-term personal goals and family
milestones are less likely to attempt death by suicide
The nurse is caring for a client who had an anterior wall
myocardial infarction 2 days ago. The telemetry technician
notifies the nurse at 8:30 AM that the client is in ventricular
trigeminy. What is the nurse's priority intervention? - Correct
Answers ✅1. Administer potassium supplement
,NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
In ventricular trigeminy, premature ventricular contractions
(PVCs) occur every third heartbeat. Myocardial injury (eg,
myocardial infarction) predisposes the client to ectopy (eg,
PVCs), which increases the client's risk for lethal
dysrhythmias (eg, ventricular tachycardia). PVCs are caused
and/or exacerbated by hypoxia, electrolyte imbalances,
emotional stress, stimulants, fever, and exercise.
This client's morning laboratory results show hypokalemia
(potassium <3.5 mEq/L [3.5 mmol/L]); therefore, the priority
is treatment of the underlying cause of the ectopy by
administering the prescribed potassium replacement (Option
1). Health care providers (HCPs) often prescribe electrolyte
replacement algorithms to clients at risk for electrolyte
imbalances (eg, myocardial injury, receiving diuretics) unless
a contraindication exists (eg, serum creatinine >1.5 mg/dL
[133 µmol/L], anuric, weight <99.2 lb [45 kg]).
The nurse cares for a client with a terminal disease who
created a do not attempt resuscitation (DNAR) directive. The
client stops breathing and loses their pulse. The client's adult
child states, "Please, do whatever you can to save them!"
Which intervention is appropriate? - Correct Answers ✅3.
Explain the client's resuscitation directive to the client's child
, NCLEX-RN Test 1 NGN Questions and
Answers (Top Grade Assured) 2026
Update
Clients can create a do not attempt resuscitation (DNAR)
directive instructing that CPR and other life-saving measures
be withheld. With an advance directive in place, the client's
wishes should be followed, even if they conflict with the
wishes of loved ones
The nurse in the cardiac intensive care unit receives report on
4 clients. Which client should the nurse assess first? -
Correct Answers ✅2. Client who underwent coronary
artery stent placement via femoral approach 3 hours ago and
is reporting severe back pain
A client who undergoes percutaneous coronary intervention
(PCI) and intracoronary stent placement using the femoral
approach is at increased risk for retroperitoneal hemorrhage.
Administration of antithrombotic drugs before, during, and
after PCI can exacerbate potentially life-threatening bleeding
from the femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey Turner
sign), hematoma formation, and diminished distal pulses can
be early signs of bleeding into the retroperitoneal space and
require immediate intervention (eg, notify health care
provider, serial complete blood count, CT scan of the
abdomen)
