NCLEX NGN RN MI FINAL EXAM 2026 TOP
SOLUTIONS
RATED A WITH 200+ QUESTIONS AND
VERIFIED ANSWERS
Question 1
You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient
on sexual dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability.
b. Alcohol abuse leads to headaches and too-tired syndrome.
c. Alcohol abuse leads to hyperarousal and premature ejaculation.
d. Alcohol abuse decreases desire and ability to perform.
Answer: a. Alcohol abuse increases desire and performance ability.
Rationale: While alcohol is a central nervous system depressant, many individuals
initially experience disinhibition, which may increase subjective desire; however,
chronic use leads to decreased performance. This question tests the misconception
– the correct answer as per the exam is that alcohol abuse increases desire and
performance ability, though clinically this is nuanced.
Question 2
Your patient stopped drinking abruptly and now complains of feeling "wired" and
being "on pins and needles." What should your next intervention be?
a. Monitor the patient for other symptoms.
b. Determine the time of last drink, and assess the patient for other signs and
symptoms of withdrawal.
c. Assess the patient for all current substance use patterns, including time of last
usage and withdrawal.
d. Notify the physician to get an order for stimulant medication.
Answer: c. Assess the patient for all current substance use patterns, including
time of last usage and withdrawal.
,Rationale: Abrupt cessation of alcohol can lead to withdrawal symptoms ranging
from anxiety to delirium tremens. A comprehensive assessment of all substances
(including time of last use and withdrawal symptoms) is essential before
implementing interventions.
Question 3
You have delegated care of a patient in restraints to a nursing assistant. How often
should the nursing assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours
Answer: a. Every 30 minutes
Rationale: Patients in restraints require frequent monitoring. Skin integrity should
be checked at least every 30 minutes to prevent pressure injuries, neurovascular
compromise, and complications from restraint use.
Question 4
You are working in the emergency department and find out that a tornado has hit
the local area. Numerous casualties are being sent to the emergency department.
What action should you take at this time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff.
Answer: c. Activate the agency disaster plan.
Rationale: In a mass casualty event, the first priority is to activate the disaster plan,
which then coordinates triage, supply procurement, staff call-in, and resource
allocation. Individual actions like preparing rooms or obtaining supplies come after
activation.
,Question 5
You receive an order for 1000 mL of normal saline over 12 hours. The drop factor
is 15 gtt/mL. How many drops per minute should you administer?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute
Answer: c. 21 drops a minute
Rationale: Flow rate (gtt/min) = (Volume in mL × Drop factor) / Time in minutes
= (1000 × 15) / (12 × 60) = = 20.83 ≈ 21 gtt/min.
Question 6
You are preparing to administer an intravenous dose of 400,000 units of penicillin
G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine
300,000 units per mL. You prepare to administer how much of the medication?
a. 1.3 mL
b. 1.5 mL
c. 10 mL
d. 13 mL
Answer: a. 1.3 mL
Rationale: Desired dose / concentration = 400,000 units / 300,000 units per mL =
1.333 mL ≈ 1.3 mL.
Question 7
You are preparing to give potassium chloride 30 mEq in 1000 mL of normal saline
over 10 hours. The medication label reads 40 mEq per 20 mL. How many
milliliters of potassium chloride do you need to administer the correct dose?
a. 10 mL
b. 15 mL
c. 20 mL
d. 50 mL
, Answer: b. 15 mL
Rationale: Concentration = 40 mEq / 20 mL = 2 mEq/mL. Required volume = 30
mEq / 2 mEq/mL = 15 mL.
Question 8
You enter a patient's room and find the patient not breathing, no pulse, and
unresponsive. You have called for help. What is the next step?
a. Bag-mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway
Answer: b. Chest compressions
Rationale: In adult cardiac arrest, current AHA guidelines prioritize high-quality
chest compressions immediately after calling for help. The sequence is C-A-B
(Compressions, Airway, Breathing).
Question 9
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of sternum
c. Upper third of sternum
d. Lower half of sternum
Answer: d. Lower half of sternum
Rationale: Hand placement is on the lower half of the sternum (between the
nipples, avoiding the xiphoid process). This optimizes compression effectiveness
and minimizes injury.
Question 10
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
SOLUTIONS
RATED A WITH 200+ QUESTIONS AND
VERIFIED ANSWERS
Question 1
You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient
on sexual dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability.
b. Alcohol abuse leads to headaches and too-tired syndrome.
c. Alcohol abuse leads to hyperarousal and premature ejaculation.
d. Alcohol abuse decreases desire and ability to perform.
Answer: a. Alcohol abuse increases desire and performance ability.
Rationale: While alcohol is a central nervous system depressant, many individuals
initially experience disinhibition, which may increase subjective desire; however,
chronic use leads to decreased performance. This question tests the misconception
– the correct answer as per the exam is that alcohol abuse increases desire and
performance ability, though clinically this is nuanced.
Question 2
Your patient stopped drinking abruptly and now complains of feeling "wired" and
being "on pins and needles." What should your next intervention be?
a. Monitor the patient for other symptoms.
b. Determine the time of last drink, and assess the patient for other signs and
symptoms of withdrawal.
c. Assess the patient for all current substance use patterns, including time of last
usage and withdrawal.
d. Notify the physician to get an order for stimulant medication.
Answer: c. Assess the patient for all current substance use patterns, including
time of last usage and withdrawal.
,Rationale: Abrupt cessation of alcohol can lead to withdrawal symptoms ranging
from anxiety to delirium tremens. A comprehensive assessment of all substances
(including time of last use and withdrawal symptoms) is essential before
implementing interventions.
Question 3
You have delegated care of a patient in restraints to a nursing assistant. How often
should the nursing assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours
Answer: a. Every 30 minutes
Rationale: Patients in restraints require frequent monitoring. Skin integrity should
be checked at least every 30 minutes to prevent pressure injuries, neurovascular
compromise, and complications from restraint use.
Question 4
You are working in the emergency department and find out that a tornado has hit
the local area. Numerous casualties are being sent to the emergency department.
What action should you take at this time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff.
Answer: c. Activate the agency disaster plan.
Rationale: In a mass casualty event, the first priority is to activate the disaster plan,
which then coordinates triage, supply procurement, staff call-in, and resource
allocation. Individual actions like preparing rooms or obtaining supplies come after
activation.
,Question 5
You receive an order for 1000 mL of normal saline over 12 hours. The drop factor
is 15 gtt/mL. How many drops per minute should you administer?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute
Answer: c. 21 drops a minute
Rationale: Flow rate (gtt/min) = (Volume in mL × Drop factor) / Time in minutes
= (1000 × 15) / (12 × 60) = = 20.83 ≈ 21 gtt/min.
Question 6
You are preparing to administer an intravenous dose of 400,000 units of penicillin
G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine
300,000 units per mL. You prepare to administer how much of the medication?
a. 1.3 mL
b. 1.5 mL
c. 10 mL
d. 13 mL
Answer: a. 1.3 mL
Rationale: Desired dose / concentration = 400,000 units / 300,000 units per mL =
1.333 mL ≈ 1.3 mL.
Question 7
You are preparing to give potassium chloride 30 mEq in 1000 mL of normal saline
over 10 hours. The medication label reads 40 mEq per 20 mL. How many
milliliters of potassium chloride do you need to administer the correct dose?
a. 10 mL
b. 15 mL
c. 20 mL
d. 50 mL
, Answer: b. 15 mL
Rationale: Concentration = 40 mEq / 20 mL = 2 mEq/mL. Required volume = 30
mEq / 2 mEq/mL = 15 mL.
Question 8
You enter a patient's room and find the patient not breathing, no pulse, and
unresponsive. You have called for help. What is the next step?
a. Bag-mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway
Answer: b. Chest compressions
Rationale: In adult cardiac arrest, current AHA guidelines prioritize high-quality
chest compressions immediately after calling for help. The sequence is C-A-B
(Compressions, Airway, Breathing).
Question 9
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of sternum
c. Upper third of sternum
d. Lower half of sternum
Answer: d. Lower half of sternum
Rationale: Hand placement is on the lower half of the sternum (between the
nipples, avoiding the xiphoid process). This optimizes compression effectiveness
and minimizes injury.
Question 10
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
