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NGN NCLEX PN ACTUAL EXAM NEWEST 2026/2027
WITH NGN /PN NCLEX ACTUAL EXAM (NEXT
GENERATION) COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Question 1
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD)
who is experiencing dyspnea. Which assessment finding requires immediate
intervention?
A. Oxygen saturation of 88%
B. Barrel-shaped chest
C. Use of accessory muscles while breathing
D. Productive cough with white sputum
Answer: C. Use of accessory muscles while breathing
Rationale: Accessory muscle use indicates increased work of breathing and
possible respiratory distress.
Question 2
A client with diabetes mellitus reports shakiness, sweating, and confusion.
Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
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Answer: B. Check blood glucose level
Rationale: Symptoms suggest hypoglycemia, and glucose should be assessed
immediately.
Question 3
Which laboratory value should the nurse report immediately for a client
receiving warfarin therapy?
A. INR 1.2
B. INR 2.5
C. INR 4.8
D. Hemoglobin 13 g/dL
Answer: C. INR 4.8
Rationale: An elevated INR increases bleeding risk and requires prompt
intervention.
Question 4
A client develops sudden chest pain and shortness of breath after surgery.
Which complication should the nurse suspect?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Heart failure
Answer: B. Pulmonary embolism
Rationale: Sudden dyspnea and chest pain after surgery suggest pulmonary
embolism.
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Question 5
A nurse is teaching a client about nitroglycerin tablets. Which statement by the
client indicates understanding?
A. “I will swallow the tablet whole.”
B. “I will take the tablet with meals.”
C. “I will place the tablet under my tongue.”
D. “I can store the tablets in the bathroom.”
Answer: C. “I will place the tablet under my tongue.”
Rationale: Nitroglycerin tablets are administered sublingually for rapid
absorption.
Question 6
A client with heart failure has bilateral crackles and edema. Which intervention
is most appropriate?
A. Increase fluid intake
B. Place the client in high-Fowler’s position
C. Encourage bed rest flat in bed
D. Restrict oxygen therapy
Answer: B. Place the client in high-Fowler’s position
Rationale: High-Fowler’s position improves lung expansion and decreases
dyspnea.
Question 7
Which finding is most concerning in a postoperative client?
A. Pain rated 4/10
B. Temperature 100°F (37.8°C)
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C. Sudden decrease in urine output
D. Mild nausea
Answer: C. Sudden decrease in urine output
Rationale: Decreased urine output may indicate shock or renal complications.
Question 8
A nurse is caring for a client with a new tracheostomy. Which equipment should
be kept at the bedside?
A. Defibrillator
B. Extra tracheostomy tube and obturator
C. Feeding pump
D. Incentive spirometer
Answer: B. Extra tracheostomy tube and obturator
Rationale: Emergency tracheostomy supplies should always be available.
Question 9
Which client should the nurse assess first?
A. Client with COPD requesting pain medication
B. Client with diabetes reporting blurred vision
C. Client with chest pain radiating to the left arm
D. Client with a dressing change due in 1 hour
Answer: C. Client with chest pain radiating to the left arm
Rationale: Chest pain may indicate myocardial infarction and requires
immediate assessment.
pg. 4
NGN NCLEX PN ACTUAL EXAM NEWEST 2026/2027
WITH NGN /PN NCLEX ACTUAL EXAM (NEXT
GENERATION) COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Question 1
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD)
who is experiencing dyspnea. Which assessment finding requires immediate
intervention?
A. Oxygen saturation of 88%
B. Barrel-shaped chest
C. Use of accessory muscles while breathing
D. Productive cough with white sputum
Answer: C. Use of accessory muscles while breathing
Rationale: Accessory muscle use indicates increased work of breathing and
possible respiratory distress.
Question 2
A client with diabetes mellitus reports shakiness, sweating, and confusion.
Which action should the nurse take first?
A. Administer insulin
B. Check blood glucose level
C. Encourage exercise
D. Restrict carbohydrate intake
pg. 1
,2|Page
Answer: B. Check blood glucose level
Rationale: Symptoms suggest hypoglycemia, and glucose should be assessed
immediately.
Question 3
Which laboratory value should the nurse report immediately for a client
receiving warfarin therapy?
A. INR 1.2
B. INR 2.5
C. INR 4.8
D. Hemoglobin 13 g/dL
Answer: C. INR 4.8
Rationale: An elevated INR increases bleeding risk and requires prompt
intervention.
Question 4
A client develops sudden chest pain and shortness of breath after surgery.
Which complication should the nurse suspect?
A. Pneumonia
B. Pulmonary embolism
C. Atelectasis
D. Heart failure
Answer: B. Pulmonary embolism
Rationale: Sudden dyspnea and chest pain after surgery suggest pulmonary
embolism.
pg. 2
,3|Page
Question 5
A nurse is teaching a client about nitroglycerin tablets. Which statement by the
client indicates understanding?
A. “I will swallow the tablet whole.”
B. “I will take the tablet with meals.”
C. “I will place the tablet under my tongue.”
D. “I can store the tablets in the bathroom.”
Answer: C. “I will place the tablet under my tongue.”
Rationale: Nitroglycerin tablets are administered sublingually for rapid
absorption.
Question 6
A client with heart failure has bilateral crackles and edema. Which intervention
is most appropriate?
A. Increase fluid intake
B. Place the client in high-Fowler’s position
C. Encourage bed rest flat in bed
D. Restrict oxygen therapy
Answer: B. Place the client in high-Fowler’s position
Rationale: High-Fowler’s position improves lung expansion and decreases
dyspnea.
Question 7
Which finding is most concerning in a postoperative client?
A. Pain rated 4/10
B. Temperature 100°F (37.8°C)
pg. 3
, 4|Page
C. Sudden decrease in urine output
D. Mild nausea
Answer: C. Sudden decrease in urine output
Rationale: Decreased urine output may indicate shock or renal complications.
Question 8
A nurse is caring for a client with a new tracheostomy. Which equipment should
be kept at the bedside?
A. Defibrillator
B. Extra tracheostomy tube and obturator
C. Feeding pump
D. Incentive spirometer
Answer: B. Extra tracheostomy tube and obturator
Rationale: Emergency tracheostomy supplies should always be available.
Question 9
Which client should the nurse assess first?
A. Client with COPD requesting pain medication
B. Client with diabetes reporting blurred vision
C. Client with chest pain radiating to the left arm
D. Client with a dressing change due in 1 hour
Answer: C. Client with chest pain radiating to the left arm
Rationale: Chest pain may indicate myocardial infarction and requires
immediate assessment.
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