Next Generation
NCLEX-RN (NGN)
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
Question 1
A nurse assesses a client with heart failure who reports
shortness of breath when lying flat. Which action should the
nurse take first?
,A. Obtain oxygen saturation
B. Place the client in high-Fowler’s position
C. Notify the provider
D. Administer prescribed diuretic
Answer: B. Place the client in high-Fowler’s position
Rationale: Positioning improves lung expansion and reduces
dyspnea immediately. This is the fastest intervention to
improve breathing.
Question 2
A client with diabetes mellitus has a blood glucose level of 48
mg/dL. Which symptom should the nurse expect?
A. Fruity breath odor
B. Polyuria
C. Shakiness
D. Deep respirations
Answer: C. Shakiness
Rationale: Hypoglycemia commonly causes tremors,
shakiness, sweating, and confusion due to low glucose
supply to the brain.
Question 3
A nurse prepares to administer insulin lispro. When should
the nurse administer the medication?
,A. 30 minutes before meals
B. Immediately after meals
C. Within 15 minutes before meals
D. At bedtime
Answer: C. Within 15 minutes before meals
Rationale: Rapid-acting insulin such as lispro works quickly
and should be given shortly before meals.
Question 4
A nurse assesses a postoperative client. Which finding
requires immediate intervention?
A. Pain rating 6/10
B. Temperature 99.1°F (37.3°C)
C. Oxygen saturation 88%
D. Mild nausea
Answer: C. Oxygen saturation 88%
Rationale: Low oxygen saturation indicates impaired
oxygenation and requires urgent intervention.
Question 5
A nurse is teaching a client about warfarin therapy. Which
statement indicates understanding?
A. “I will increase my intake of spinach.”
B. “I will have my blood tested regularly.”
, C. “I can stop medication if I feel better.”
D. “I will avoid drinking fluids.”
Answer: B. “I will have my blood tested regularly.”
Rationale: Warfarin requires regular INR monitoring to
maintain therapeutic levels.
Question 6
A nurse is caring for a client with pneumonia. Which finding
indicates improvement?
A. Respiratory rate 28/min
B. Productive cough with green sputum
C. Oxygen saturation 96%
D. Crackles in lungs
Answer: C. Oxygen saturation 96%
Rationale: Improved oxygenation indicates recovery.
Question 7
Which client should the nurse assess first?
A. Client with BP 150/90
B. Client with potassium 2.8 mEq/L
C. Client with mild headache
D. Client requesting pain medication
Answer: B. Client with potassium 2.8 mEq/L
NCLEX-RN (NGN)
Exam Questions And
Correct Answers
(Verified Answers)
Plus Rationales
2025/2026 Q&A |
Instant Download Pdf
Question 1
A nurse assesses a client with heart failure who reports
shortness of breath when lying flat. Which action should the
nurse take first?
,A. Obtain oxygen saturation
B. Place the client in high-Fowler’s position
C. Notify the provider
D. Administer prescribed diuretic
Answer: B. Place the client in high-Fowler’s position
Rationale: Positioning improves lung expansion and reduces
dyspnea immediately. This is the fastest intervention to
improve breathing.
Question 2
A client with diabetes mellitus has a blood glucose level of 48
mg/dL. Which symptom should the nurse expect?
A. Fruity breath odor
B. Polyuria
C. Shakiness
D. Deep respirations
Answer: C. Shakiness
Rationale: Hypoglycemia commonly causes tremors,
shakiness, sweating, and confusion due to low glucose
supply to the brain.
Question 3
A nurse prepares to administer insulin lispro. When should
the nurse administer the medication?
,A. 30 minutes before meals
B. Immediately after meals
C. Within 15 minutes before meals
D. At bedtime
Answer: C. Within 15 minutes before meals
Rationale: Rapid-acting insulin such as lispro works quickly
and should be given shortly before meals.
Question 4
A nurse assesses a postoperative client. Which finding
requires immediate intervention?
A. Pain rating 6/10
B. Temperature 99.1°F (37.3°C)
C. Oxygen saturation 88%
D. Mild nausea
Answer: C. Oxygen saturation 88%
Rationale: Low oxygen saturation indicates impaired
oxygenation and requires urgent intervention.
Question 5
A nurse is teaching a client about warfarin therapy. Which
statement indicates understanding?
A. “I will increase my intake of spinach.”
B. “I will have my blood tested regularly.”
, C. “I can stop medication if I feel better.”
D. “I will avoid drinking fluids.”
Answer: B. “I will have my blood tested regularly.”
Rationale: Warfarin requires regular INR monitoring to
maintain therapeutic levels.
Question 6
A nurse is caring for a client with pneumonia. Which finding
indicates improvement?
A. Respiratory rate 28/min
B. Productive cough with green sputum
C. Oxygen saturation 96%
D. Crackles in lungs
Answer: C. Oxygen saturation 96%
Rationale: Improved oxygenation indicates recovery.
Question 7
Which client should the nurse assess first?
A. Client with BP 150/90
B. Client with potassium 2.8 mEq/L
C. Client with mild headache
D. Client requesting pain medication
Answer: B. Client with potassium 2.8 mEq/L
