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Ace your Next Generation NCLEX (NGN) with this targeted exam prep. Get 73 high-yield NGN
pre-test questions and verified answers featuring step-by-step rationales. Master the NCSBN Clinical
Judgment Measurement Model, unfold complex case studies, and build the critical thinking skills
needed for entry-level nursing success.
Why This Resource is a Game-Changer
The transition to the Next Generation NCLEX can be daunting, but practicing with realistic question
formats guarantees confidence on exam day. This curated bundle ensures you thoroughly
understand the "why" behind every clinical decision.
What is Included?
• 73 Realistic NGN Questions: Formatted exactly like the actual pre-test items on the
NCLEX.
• Verified Answers: 100% accuracy-checked to align with current nursing standards.
• In-Depth Rationales: Detailed breakdowns explaining why the correct answer is right
and why the distractors are wrong.
• NGN-Style Formats: Practice with Bow-tie items, Matrix grids, Extended Multiple Choice
(SATA), Drop-down cloze, and Unfolding Case Studies.
Key Benefits for Test-Takers
• Develop Clinical Judgment: Move beyond memorization and practice interpreting
patient cues, generating solutions, and evaluating outcomes.
• Instant Mastery: Clear, concise formatting designed for fast, scannable reading and quick
review sessions.
• Zero Guesswork: Know exactly how partial credit scoring works for complex NGN
questions.
1
, Quiz_________________?
A child who is HIV-positive is scheduled to receive a mumps, measles, and rubella (MMR)
vaccine. The laboratory results show the CD4+ as 1000 cells/mm3. Which nursing action is
appropriate?
Administering the vaccine
Contacting the primary health care provider
Asking the laboratory to repeat the CD4+ test
Informing the child's mother that the vaccine must not be administered at this time -
ANSWER✅
A
The normal CD4+ count is 500 to 1600 cells/mm3. Because this child's CD4+ count is 1000
cells/mm3, the nurse would administer the vaccine.
Quiz_________________?
A child with osteosarcoma who required amputation of a lower limb is experiencing
phantom limb pain. The nurse attempts to comfort the child by providing which
explanation?
The pain is a normal, temporary condition
The pain occurs because nerves have been cut
This pain will go away once a prosthesis is used
Pain medication may be needed for life to alleviate the discomfort -
ANSWER✅
A
Phantom limb pain is a temporary condition that some people who undergo amputation
experience. This sensation of burning, aching, or cramping in the missing limb is most
distressing to the client. The child should be reassured that the condition is normal.
Quiz_________________?
2
, A client has recently been diagnosed with deep vein thrombosis of the right leg. Which of
the following interventions of the nurse immediately implement?
a. Elevating the foot of the bed 6 inches
b. Placing ice packs on and under the right leg
c. Documenting the need for hourly calf measurements
d. Performing the need for hourly calf measurements -
ANSWER✅
A
DVT treatment includes bed rest, leg elevation, and application of warm, moist heat.
Elevation decreases the venous pressure with relieves edema and pain. ROM cause cause
the thrombus to mobilize to the lungs causing PEs.
Quiz_________________?
A client hospitalized on a mental health unit with schizophrenia tells the nurse, "The voices
in my head say that I'm worthless and that I don't deserve to be alive." What is the nurse's
priority concern for this client?
Ineffective coping skills
Perceptual disturbances
Chronic low self-esteem
Risk for self-directed violence -
ANSWER✅
D
Quiz_________________?
A client in a manic state emerges from her room wearing provocative clothing and quickly
enters the dayroom. She announces to the group that she is the star of a burlesque show
and will begin her performance shortly. Which is the priority nursing action?
Ask the client to go to her room and to change her clothes
Tell the client firmly that burlesque shows are not allowed in the nursing unit
3
, Tell the client that her bathroom privileges are being suspended because of her behavior
Quietly and firmly assist the client to her room and help her dress in appropriate clothes -
ANSWER✅
D
Quiz_________________?
A client who has just received a diagnosis of asthma says to the nurse, "This is just another
nail in my coffin." Which response by the nurse is therapeutic?
"Do you think that having asthma will kill you?"
"You seem very distressed at learning that you have asthma."
"I'm not going to work with you if you can't view this as a challenge rather than a 'nail in
your coffin.'"
"Asthma is a very treatable condition, but it's important to learn how to properly administer
your medications. Let's practice with your inhalant." -
ANSWER✅
B
Quiz_________________?
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." -
ANSWER✅
C
Softening and compressibility of the lower uterine segment, occurring around the sixth
week of pregnancy, is called the Hegar sign.
4
Ace your Next Generation NCLEX (NGN) with this targeted exam prep. Get 73 high-yield NGN
pre-test questions and verified answers featuring step-by-step rationales. Master the NCSBN Clinical
Judgment Measurement Model, unfold complex case studies, and build the critical thinking skills
needed for entry-level nursing success.
Why This Resource is a Game-Changer
The transition to the Next Generation NCLEX can be daunting, but practicing with realistic question
formats guarantees confidence on exam day. This curated bundle ensures you thoroughly
understand the "why" behind every clinical decision.
What is Included?
• 73 Realistic NGN Questions: Formatted exactly like the actual pre-test items on the
NCLEX.
• Verified Answers: 100% accuracy-checked to align with current nursing standards.
• In-Depth Rationales: Detailed breakdowns explaining why the correct answer is right
and why the distractors are wrong.
• NGN-Style Formats: Practice with Bow-tie items, Matrix grids, Extended Multiple Choice
(SATA), Drop-down cloze, and Unfolding Case Studies.
Key Benefits for Test-Takers
• Develop Clinical Judgment: Move beyond memorization and practice interpreting
patient cues, generating solutions, and evaluating outcomes.
• Instant Mastery: Clear, concise formatting designed for fast, scannable reading and quick
review sessions.
• Zero Guesswork: Know exactly how partial credit scoring works for complex NGN
questions.
1
, Quiz_________________?
A child who is HIV-positive is scheduled to receive a mumps, measles, and rubella (MMR)
vaccine. The laboratory results show the CD4+ as 1000 cells/mm3. Which nursing action is
appropriate?
Administering the vaccine
Contacting the primary health care provider
Asking the laboratory to repeat the CD4+ test
Informing the child's mother that the vaccine must not be administered at this time -
ANSWER✅
A
The normal CD4+ count is 500 to 1600 cells/mm3. Because this child's CD4+ count is 1000
cells/mm3, the nurse would administer the vaccine.
Quiz_________________?
A child with osteosarcoma who required amputation of a lower limb is experiencing
phantom limb pain. The nurse attempts to comfort the child by providing which
explanation?
The pain is a normal, temporary condition
The pain occurs because nerves have been cut
This pain will go away once a prosthesis is used
Pain medication may be needed for life to alleviate the discomfort -
ANSWER✅
A
Phantom limb pain is a temporary condition that some people who undergo amputation
experience. This sensation of burning, aching, or cramping in the missing limb is most
distressing to the client. The child should be reassured that the condition is normal.
Quiz_________________?
2
, A client has recently been diagnosed with deep vein thrombosis of the right leg. Which of
the following interventions of the nurse immediately implement?
a. Elevating the foot of the bed 6 inches
b. Placing ice packs on and under the right leg
c. Documenting the need for hourly calf measurements
d. Performing the need for hourly calf measurements -
ANSWER✅
A
DVT treatment includes bed rest, leg elevation, and application of warm, moist heat.
Elevation decreases the venous pressure with relieves edema and pain. ROM cause cause
the thrombus to mobilize to the lungs causing PEs.
Quiz_________________?
A client hospitalized on a mental health unit with schizophrenia tells the nurse, "The voices
in my head say that I'm worthless and that I don't deserve to be alive." What is the nurse's
priority concern for this client?
Ineffective coping skills
Perceptual disturbances
Chronic low self-esteem
Risk for self-directed violence -
ANSWER✅
D
Quiz_________________?
A client in a manic state emerges from her room wearing provocative clothing and quickly
enters the dayroom. She announces to the group that she is the star of a burlesque show
and will begin her performance shortly. Which is the priority nursing action?
Ask the client to go to her room and to change her clothes
Tell the client firmly that burlesque shows are not allowed in the nursing unit
3
, Tell the client that her bathroom privileges are being suspended because of her behavior
Quietly and firmly assist the client to her room and help her dress in appropriate clothes -
ANSWER✅
D
Quiz_________________?
A client who has just received a diagnosis of asthma says to the nurse, "This is just another
nail in my coffin." Which response by the nurse is therapeutic?
"Do you think that having asthma will kill you?"
"You seem very distressed at learning that you have asthma."
"I'm not going to work with you if you can't view this as a challenge rather than a 'nail in
your coffin.'"
"Asthma is a very treatable condition, but it's important to learn how to properly administer
your medications. Let's practice with your inhalant." -
ANSWER✅
B
Quiz_________________?
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." -
ANSWER✅
C
Softening and compressibility of the lower uterine segment, occurring around the sixth
week of pregnancy, is called the Hegar sign.
4
