NCLEX-RN NEXT GENERATION (NGN) EXAM
PREP STUDY BUNDLE | CASE STUDY-BASED
QUIZ BANK | CLINICAL JUDGMENT PRACTICE
TEST | LATEST UPDATE | EXAM PREP | STUDY
GUIDE | PRACTICE QUESTIONS | DOWNLOAD
INSTANT PDF
1. A nurse is caring for a post-operative patient who suddenly becomes
confused, restless, and tachycardic. Oxygen saturation drops to 88%. What is
the priority action?
A. Document findings and reassess in 30 minutes
B. Increase IV fluid rate
C. Apply oxygen and assess airway
D. Obtain a stat chest X-ray
This presentation suggests acute hypoxia. Airway and oxygenation are the first
priorities before diagnostics or documentation.
2. A patient with heart failure reports sudden weight gain of 2.5 kg in 2 days.
What does this indicate?
A. Improved cardiac output
B. Fluid retention and worsening heart failure
C. Dehydration
D. Medication effectiveness
Rapid weight gain reflects fluid overload, a key sign of heart failure
exacerbation.
3. NGN Case: A patient is admitted with diabetic ketoacidosis (DKA). Which
lab finding is expected?
A. High pH and low glucose
B. Low pH, high glucose, high ketones
C. Normal pH and low potassium
D. High pH and low ketones
,DKA causes metabolic acidosis with hyperglycemia and ketone production.
4. A nurse is prioritizing care for four patients. Which patient should be seen
first?
A. Stable COPD patient requesting inhaler
B. Post-op patient with pain 6/10
C. Patient with chest pain radiating to left arm
D. Patient scheduled for discharge teaching
This suggests myocardial infarction requiring immediate assessment.
5. A patient receiving heparin develops sudden shortness of breath and chest
pain. What is the priority action?
A. Administer morphine
B. Suspect pulmonary embolism and apply oxygen
C. Encourage coughing
D. Obtain urine sample
Sudden dyspnea and chest pain indicate possible PE requiring immediate
oxygenation support.
6. A nurse is assessing a stroke patient using FAST. Which finding supports
stroke diagnosis?
A. Bilateral leg weakness
B. Facial drooping on one side
C. Generalized swelling
D. Slow pulse rate
Focal neurological deficits such as facial droop are classic stroke signs.
7. A patient in septic shock has a blood pressure of 82/50 mmHg. What is the
priority intervention?
A. Administer IV antibiotics
, B. Start vasopressors and fluids
C. Give oral fluids
D. Place patient in Trendelenburg only
Septic shock requires aggressive fluid resuscitation and vasopressor support.
8. A nurse is caring for a patient with acute asthma attack. What medication
is first-line?
A. Albuterol inhaler
B. Oral steroids only
C. Antibiotics
D. Anticoagulants
Short-acting beta agonists provide rapid bronchodilation in acute asthma.
9. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
What is the priority action?
A. Encourage bananas
B. Place on cardiac monitor
C. Give potassium supplements
D. Restrict fluids only
Hyperkalemia can cause fatal arrhythmias requiring immediate cardiac
monitoring.
10. A nurse identifies jugular vein distention (JVD). This is most associated
with:
A. Left-sided heart failure
B. Right-sided heart failure
C. Hypovolemia
D. Asthma
JVD reflects systemic venous congestion from right heart failure.
PREP STUDY BUNDLE | CASE STUDY-BASED
QUIZ BANK | CLINICAL JUDGMENT PRACTICE
TEST | LATEST UPDATE | EXAM PREP | STUDY
GUIDE | PRACTICE QUESTIONS | DOWNLOAD
INSTANT PDF
1. A nurse is caring for a post-operative patient who suddenly becomes
confused, restless, and tachycardic. Oxygen saturation drops to 88%. What is
the priority action?
A. Document findings and reassess in 30 minutes
B. Increase IV fluid rate
C. Apply oxygen and assess airway
D. Obtain a stat chest X-ray
This presentation suggests acute hypoxia. Airway and oxygenation are the first
priorities before diagnostics or documentation.
2. A patient with heart failure reports sudden weight gain of 2.5 kg in 2 days.
What does this indicate?
A. Improved cardiac output
B. Fluid retention and worsening heart failure
C. Dehydration
D. Medication effectiveness
Rapid weight gain reflects fluid overload, a key sign of heart failure
exacerbation.
3. NGN Case: A patient is admitted with diabetic ketoacidosis (DKA). Which
lab finding is expected?
A. High pH and low glucose
B. Low pH, high glucose, high ketones
C. Normal pH and low potassium
D. High pH and low ketones
,DKA causes metabolic acidosis with hyperglycemia and ketone production.
4. A nurse is prioritizing care for four patients. Which patient should be seen
first?
A. Stable COPD patient requesting inhaler
B. Post-op patient with pain 6/10
C. Patient with chest pain radiating to left arm
D. Patient scheduled for discharge teaching
This suggests myocardial infarction requiring immediate assessment.
5. A patient receiving heparin develops sudden shortness of breath and chest
pain. What is the priority action?
A. Administer morphine
B. Suspect pulmonary embolism and apply oxygen
C. Encourage coughing
D. Obtain urine sample
Sudden dyspnea and chest pain indicate possible PE requiring immediate
oxygenation support.
6. A nurse is assessing a stroke patient using FAST. Which finding supports
stroke diagnosis?
A. Bilateral leg weakness
B. Facial drooping on one side
C. Generalized swelling
D. Slow pulse rate
Focal neurological deficits such as facial droop are classic stroke signs.
7. A patient in septic shock has a blood pressure of 82/50 mmHg. What is the
priority intervention?
A. Administer IV antibiotics
, B. Start vasopressors and fluids
C. Give oral fluids
D. Place patient in Trendelenburg only
Septic shock requires aggressive fluid resuscitation and vasopressor support.
8. A nurse is caring for a patient with acute asthma attack. What medication
is first-line?
A. Albuterol inhaler
B. Oral steroids only
C. Antibiotics
D. Anticoagulants
Short-acting beta agonists provide rapid bronchodilation in acute asthma.
9. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
What is the priority action?
A. Encourage bananas
B. Place on cardiac monitor
C. Give potassium supplements
D. Restrict fluids only
Hyperkalemia can cause fatal arrhythmias requiring immediate cardiac
monitoring.
10. A nurse identifies jugular vein distention (JVD). This is most associated
with:
A. Left-sided heart failure
B. Right-sided heart failure
C. Hypovolemia
D. Asthma
JVD reflects systemic venous congestion from right heart failure.
