Next Generation NCLEX RN 2024-2025 - NCLEX RN
Examination Secrets Review Prep [7th Edition]
NEXT GENERATION NCLEX-RN PRACTICE EXAM
Questions 1–25
✔ NGN-style clinical judgment
✔ Multiple-choice
✔ Verified correct answers ( )
✔ Clear nursing rationales
✔ Clean, exam-ready format
MANAGEMENT OF CARE / SAFETY
1. A nurse is preparing to administer insulin to a client with diabetes. Which action is the priority?
A) Assess the client’s weight
B) Verify the insulin dose with another nurse
C) Check the client’s blood pressure
D) Ask when the client last ate
Answer: B) Verify the insulin dose with another nurse
Rationale: Insulin is a high-alert medication. Independent double-checks reduce medication errors
and are the priority.
2. Which client should the nurse assess first?
A) Client with a pain score of 7/10
B) Client with oxygen saturation of 88%
C) Client awaiting discharge teaching
D) Client requesting a blanket
Answer: B) Client with oxygen saturation of 88%
Rationale: Airway and breathing issues take priority (ABCs).
3. The nurse identifies a medication error has occurred. What is the nurse’s FIRST action?
A) Notify the healthcare provider
B) Complete an incident report
, C) Assess the client for harm
D) Inform the charge nurse
Answer: C) Assess the client for harm
Rationale: Client safety is always the priority before reporting.
PHARMACOLOGY
4. Which finding indicates a therapeutic effect of furosemide?
A) Increased potassium level
B) Decreased edema
C) Elevated blood glucose
D) Slowed heart rate
Answer: B) Decreased edema
Rationale: Furosemide is a loop diuretic used to reduce fluid overload.
5. The nurse should monitor which laboratory value in a client taking warfarin?
A) Platelets
B) INR
C) aPTT
D) Hemoglobin A1c
Answer: B) INR
Rationale: Warfarin therapy is monitored using the INR.
6. Which adverse effect should the nurse teach a client taking opioids to report immediately?
A) Constipation
B) Drowsiness
C) Respiratory depression
D) Nausea
Answer: C) Respiratory depression
Rationale: Respiratory depression is a life-threatening opioid complication.
FUNDAMENTALS OF NURSING
7. Which action best prevents the spread of infection?
A) Wearing gloves
B) Hand hygiene
C) Using sterile equipment
D) Wearing a mask
Examination Secrets Review Prep [7th Edition]
NEXT GENERATION NCLEX-RN PRACTICE EXAM
Questions 1–25
✔ NGN-style clinical judgment
✔ Multiple-choice
✔ Verified correct answers ( )
✔ Clear nursing rationales
✔ Clean, exam-ready format
MANAGEMENT OF CARE / SAFETY
1. A nurse is preparing to administer insulin to a client with diabetes. Which action is the priority?
A) Assess the client’s weight
B) Verify the insulin dose with another nurse
C) Check the client’s blood pressure
D) Ask when the client last ate
Answer: B) Verify the insulin dose with another nurse
Rationale: Insulin is a high-alert medication. Independent double-checks reduce medication errors
and are the priority.
2. Which client should the nurse assess first?
A) Client with a pain score of 7/10
B) Client with oxygen saturation of 88%
C) Client awaiting discharge teaching
D) Client requesting a blanket
Answer: B) Client with oxygen saturation of 88%
Rationale: Airway and breathing issues take priority (ABCs).
3. The nurse identifies a medication error has occurred. What is the nurse’s FIRST action?
A) Notify the healthcare provider
B) Complete an incident report
, C) Assess the client for harm
D) Inform the charge nurse
Answer: C) Assess the client for harm
Rationale: Client safety is always the priority before reporting.
PHARMACOLOGY
4. Which finding indicates a therapeutic effect of furosemide?
A) Increased potassium level
B) Decreased edema
C) Elevated blood glucose
D) Slowed heart rate
Answer: B) Decreased edema
Rationale: Furosemide is a loop diuretic used to reduce fluid overload.
5. The nurse should monitor which laboratory value in a client taking warfarin?
A) Platelets
B) INR
C) aPTT
D) Hemoglobin A1c
Answer: B) INR
Rationale: Warfarin therapy is monitored using the INR.
6. Which adverse effect should the nurse teach a client taking opioids to report immediately?
A) Constipation
B) Drowsiness
C) Respiratory depression
D) Nausea
Answer: C) Respiratory depression
Rationale: Respiratory depression is a life-threatening opioid complication.
FUNDAMENTALS OF NURSING
7. Which action best prevents the spread of infection?
A) Wearing gloves
B) Hand hygiene
C) Using sterile equipment
D) Wearing a mask
