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NCLEX CAT Exam 1 2025–2026 Review Practice Questions NGN Case Studies and Answers Study Guide

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This document contains NCLEX CAT Exam 1 review practice questions along with NGN case studies and detailed answers. It focuses on enhancing clinical judgment and preparing students for next-generation NCLEX testing formats. The material is ideal for exam practice, concept reinforcement, and improving performance under adaptive testing conditions.

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Institution
Kaplan NCLEX
Course
Kaplan NCLEX

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CAT Exam 1
NCLEX CAT Exam 1 Review Practice Questions, NGN Case Studies, Answers,

Study online at https://quizlet.com/_j7kqsm

1. A client receives an antibiotic every 8 hours. The an- 3. 1400
tibiotic has an onset of action of 2 hours and a du-
ration of action of 8 hours. The client is prescribed a Peak concentration occurs
peak blood level. If the medication is provided at 1000, after the onset but before
at which time will the nurse schedule the peak level to the end of duration.
be drawn?

1. 1100
2. 1200
3. 1400
4. 1800

2. The nurse provides care for a client. The intent of the 4. Nonmaleficence
care is to avoid deliberate harm, risk of harm, and any
type of harm to the assigned clients during the per-
formance of nursing actions. Which ethical principle
is guiding the nurse in this care?

1. Beneficence
2. Justice
3. Fidelity
4. Nonmaleficence

3. The nurse attends a conference on neonatal health 3. "Feeding, especially
problems. Which statement by the nurse indicates a breastfeeding, is impor-
correct understanding of neonatal jaundice? tant in reducing serum
bilirubin."
1. "Jaundice initially appears in the extremities and
gradually progresses to the head."
2. "The conjunctival sacs and buccal mucosa appear
yellow for the first month of life."
3. "Feeding, especially breastfeeding, is important in


Page 1

, CAT Exam 1
NCLEX CAT Exam 1 Review Practice Questions, NGN Case Studies, Answers,

Study online at https://quizlet.com/_j7kqsm

reducing serum bilirubin."
4. "Visual assessment of jaundice gives an accurate
assessment of the serum bilirubin level."

4. The nurse provides care for the client who had an ex- 1. Urine output is 10 to 15
tracorporeal shock-wave lithotripsy to treat a kidney mL per hour
stone. Which observation requires intervention by the
nurse?

1. Urine output is 10 to 15 mL per hour
2. Urine is pinkish in color
3. Urine contains sand-like particles
4. Urine has red blood cells of >2

5. A client exhibits an abrupt onset of fever, chills, 1. Proper cough etiquette
headache, malaise, nonproductive cough, sore throat, and respiratory hygiene
and rhinitis. Which point is most important for the
nurse to teach the client during an initial encounter?

1. Proper cough etiquette and respiratory hygiene
2. Importance of receiving an annual influenza vac-
cine
3. Importance of staying at home for at least 12 hours
after fever is gone
4. Why antiviral medications are only recommended
for those hospitalized with complications

6. A client with a leg wound asks the nurse to explain the 1. It is a skin infection of
term cellulitis. Which response will the nurse make to the thick layer of tissue be-
the client? neath the skin & the sub-
cutaneous tissue.
1. It is a skin infection of the thick layer of tissue
beneath the skin & the subcutaneous tissue.

Page 2

, CAT Exam 1
NCLEX CAT Exam 1 Review Practice Questions, NGN Case Studies, Answers,

Study online at https://quizlet.com/_j7kqsm

2. It is an acute superficial skin infection.
3. It is an inflammation of the thick layer of tissue
beneath the skin.
4. It is an infection of the outer layer of skin that is
caused by Staphylococcus.

7. A client's blood pressure at 12 weeks of gestation was 1. Record the blood pres-
124/80 mm Hg. At the second visit at 16 weeks, the sure in the client's medical
blood pressure was 120/72. Which action does the record.
nurse take?

1. Record the blood pressure in the client's medical
record.
2. Retake the blood pressure with client in a side-lying
position.
3. Review diet with the client to determine adequacy
of nutrients.
4. Report the findings to the health care provider im-
mediately.

8. The nurse supervises a female nursing student as- 2. Sits down at the bed-
sessing a male client of Arab descent who is experi- side and closes the privacy
encing severe headaches. Which student action caus- curtain.
es the nurse to immediately intervene?
Arab men do not believe it
1. Calls for a male nurse to bring a hospital gown to is appropriate to be alone
the room. with any female except for
2. Sits down at the bedside and closes the privacy their spouse.
curtain.
3. Asks when the headaches started.
4. Explains the 0 to 10 intensity pain scale.

9.

Page 3

, CAT Exam 1
NCLEX CAT Exam 1 Review Practice Questions, NGN Case Studies, Answers,

Study online at https://quizlet.com/_j7kqsm

The nurse observes a client walk with a cane. The 2. The client bends the el-
nurse reevaluates the size of the cane being used. bow at a 90-degree an-
Which observation caused the nurse to make this de- gle.
cision?
The elbow should be
1. The client moves the weaker leg with the cane. slightly bent when holding
2. The client bends the elbow at a 90-degree angle. a cane. A 90-degree an-
3. The client holds the cane on the stronger side. gle means the cane is too
4. The client places the stronger leg ahead of the cane. long.

10. The nurse reviews care needed by several clients. 1. Review of care plans &
Which task will the nurse delegate to the LPN? recommendations for re-
visions as needed.
1. Review of care plans & recommendations for revi-
sions as needed.
2. Assess new client admissions.
3. Assess for fluid and electrolyte disturbances.
4. Develop a care plan, based on identification of risk
factors.

11. The nurse teaches the client with type 1 diabetes how 1. "I will use a calibrated
to administer insulin. The nurse evaluates that the insulin syringe for my in-
client has successfully learned when the client makes jection."
which statement?

1. "I will use a calibrated insulin syringe for my injec-
tion."
2. "I will use my upper thigh for my insulin injections."
3. "I will check my blood sugar just after insulin injec-
tions."
4. "I will apply pressure to the site after my injection."

12.

Page 4

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Institution
Kaplan NCLEX
Course
Kaplan NCLEX

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Uploaded on
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Written in
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Type
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Questions & answers

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