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Next Generation NCLEX-RN Practice Questions 2025 | NGN Case Studies, Answers, and Rationales

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Prepare for the Next Generation NCLEX-RN with practice questions designed to build clinical judgment and decision-making skills. This document includes NGN-style questions, case-based scenarios, correct answers, and rationales to help nursing students understand patient care priorities. Covers unfolding case studies, prioritization, delegation, medication safety, assessment findings, lab values, nursing interventions, and patient education. Best for students looking for NCLEX-RN NGN practice, nursing clinical judgment review, and exam-focused preparation.

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NCLEX Practice Questions Exam 1

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which
nursing activities is this approach useful?



a. Making accurate nursing diagnoses

b. Establishing priorities of care

c. Communicating concerns more concisely

d. Integrating science into nursing care - -Correct Answer-b. Maslow's hierarchy of basic
human needs is useful for establishing priorities of care.



The nurse is prioritizing nursing care for a patient in a long-term care facility. Which
examples of nursing interventions help meet physiologic needs? Select all that apply.



a. Preventing falls in the facility

b. Changing a patient's oxygen tank

c. Providing materials for a patient who likes to draw

d. Helping a patient eat his dinner

e. Facilitating a visit from a spouse

f. Referring a patient to a cancer support group. - -Correct Answer-b, d. Physiologic
needs—oxygen, water, food, elimination, temperature, sexuality, physical activity, and rest—
must be met at least minimally to maintain life. Providing food and oxygen are examples of
interventions to meet these needs. Preventing falls helps meet safety and security needs,
providing art supplies may help meet self-actualization needs, facilitating visits from loved
ones helps meet self-esteem needs, and referring a patient to a support group helps meet
love and belonging needs.



The nurse caring for patients postoperatively uses careful hand hygiene and sterile
techniques when handling patients. Which of Maslow's basic human needs is being met by
this nurse?



a. Physiologic

b. Safety and security

c. Self-esteem


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d. Love and belonging - -Correct Answer-b. By carrying out careful hand hygiene and using
sterile technique, nurses provide safety from infection. An example of a physiologic need is
clearing a patient's airway. Self-esteem needs may be met by allowing an older adult to
talk about a past career. An example of helping meet a love and belonging need is
contacting a hospitalized patient's family to arrange a visit.



The nurse caring for patients in a long-term care facility knows that the highest level on
Maslow's hierarchy of needs is self-actualization needs. Which statements accurately
describe the achievement of self-actualization? Select all that apply.



a. Humans are born with a fully developed sense of self-actualization.

b. Self-actualization needs are met by depending on others for help.

c. The self-actualization process continues throughout life.

d. Loneliness and isolation occur when self-actualization needs are unmet.

e. A person achieves self-actualization by focusing on problems outside self.

f. Self-actualization needs may be met by creatively solving problems. - -Correct Answer-
c, e, f. Self-actualization, or reaching one's full potential, is a process that continues
throughout life. A person achieves self-actualization by focusing on problems outside
oneself and using creativity as a guideline for solving problems and pursuing interests.
Humans are not born with a fully developed sense of self-actualization, and self-
actualization needs are not met specifically by depending on others for help. Loneliness
and isolation are not always the result of unmet self-actualization needs.



A nurse works with families in crisis at a community mental health care facility. What is the
best broad definition of a family?



a. A father, a mother, and children

b. A group whose members are biologically related

c. A unit that includes aunts, uncles, and cousins

d. A group of people who live together and depend on each other for support - -Correct
Answer-d. Although all the responses may be true, the best definition is a group of people
who live together and depend on each other for physical, emotional, or financial support.



A nurse performs an assessment of a family consisting of a single mother, a grandmother,
and two children. Which interview questions directed to the single mother could the nurse
use to assess the affective and coping family function? Select all that apply.




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ATI Nursing Exam Hub | RN Study Resources & Practice Packs

Welcome to your trusted source for ATI and nursing exam preparation materials. This store provides high-quality, well-structured practice resources designed to help nursing students strengthen their understanding, improve clinical reasoning, and prepare effectively for exams. Our materials focus on: ATI Fundamentals Medical-Surgical Nursing (Med Surg) Pharmacology Practice Assessments, Quizzes, and Final Exam Prep Each resource is organized for efficient learning, with exam-style questions and clear explanations to support both practice and revision. Whether you're studying in advance or preparing last-minute, these materials are designed to help you build confidence, reinforce key concepts, and improve performance.

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