NGN NCLEX PN ACTUAL EXAM NEWEST 2026-2027
WITH NGN /PN NCLEX ACTUAL EXAM (NEXT
GENERATION) COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is preparing to administer an enteral feeding to a client who has an NG tube in
place. Which of the following methods should the nurse use to verify correct
placement of the NG tube?
Check the pH of the gastric aspirate
rationality: The nurse should check the pH of the gastric contents to verify tube
placement. A pH greater than 6 is an indication that the nurse has
aspirated respiratory contents or that the tube is in the intestine, and that the nurse
should withhold the feeding.
The nurse should not auscultate over the epigastrium because this is not a reliable
indication that the tube is in place.
The nurse should measure the length of the inserted NG tube immediately after
insertion of the tube. However, measuring the length of the tube at this point is not a
reliable indication that the tube is in place.
,A nurse is caring for a client who has a terminal illness and a family member asks why
the client's mouth is continually open. Which of the following responses should the
nurse make?
"The reduced muscle tone has relaxed the jaw muscles."
Rationality: Prior to death, decreased muscle tone causes jaw muscles to relax,
resulting in an open mouth.
Applying a chin strap is a postmortem action that the nurse can take to keep the
mouth closed.
A nurse is caring for a postoperative client who is at risk for thrombus
formation. Which of the following interventions should the nurse delegate to an
assistive personnel (AP)?
Apply thromboembolic stockings.
Rationality: The application of thromboembolic stockings is within the range of
function of an AP and does not require further data collection by the
nurse.
Reinforcing teaching is not within the range of function of an AP because it requires the
knowledge and skills of the nurse.
,A nurse is preparing to collect data from a client for a health assessment. Which of
the following actions should the nurse take?
Provide privacy for the client.
Rationality: The nurse should promote a therapeutic environment by
providing privacy while data is being collected for a health assessment.
A nurse is planning care for a client who is disoriented and at risk for falls. Which of
the following interventions should the nurse include? (Select all that apply.)
Ensure that the client is wearing nonskid slippers.
Rationality: Nonskid slippers provide better traction and can help prevent slipping
and falling.
Place the client in a room near the nurses' station.
Keeping the client close to the nurses' station allows for more frequent observation
to help identify actions that increase the risk for falls.
Reinforce teaching about how to use the call bell.
Rationality: Even if the client is confused, it is important to reinforce the use of the call
bell for assistance to help prevent the client from attempting actions that could
increase the risk for falls.
, A nurse is providing wound care for a group of clients. Which of the following
wounds should the nurse identify as healing by secondary intention?
A stage 3 pressure injury on the coccyx
Rationality: The nurse should identify a pressure injury and other wounds with edges
that are not approximated as healing by secondary intention.
The nurse should identify a wound that is sutured as healing by primary intention.
The nurse should identify a surgical wound that has intact staples as healing by
primary intention.
The nurse should identify a contaminated wound that is left open for monitoring and
then closed after several days as healing by tertiary intention.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections?
Drain urine from the tubing before ambulation
Rationality:
Draining urine from the tubing before ambulation will prevent backflow of urine into
the bladder.
The nurse should hang the drainage bag below the level of the client's bladder to
prevent backflow of urine into the bladder.
WITH NGN /PN NCLEX ACTUAL EXAM (NEXT
GENERATION) COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is preparing to administer an enteral feeding to a client who has an NG tube in
place. Which of the following methods should the nurse use to verify correct
placement of the NG tube?
Check the pH of the gastric aspirate
rationality: The nurse should check the pH of the gastric contents to verify tube
placement. A pH greater than 6 is an indication that the nurse has
aspirated respiratory contents or that the tube is in the intestine, and that the nurse
should withhold the feeding.
The nurse should not auscultate over the epigastrium because this is not a reliable
indication that the tube is in place.
The nurse should measure the length of the inserted NG tube immediately after
insertion of the tube. However, measuring the length of the tube at this point is not a
reliable indication that the tube is in place.
,A nurse is caring for a client who has a terminal illness and a family member asks why
the client's mouth is continually open. Which of the following responses should the
nurse make?
"The reduced muscle tone has relaxed the jaw muscles."
Rationality: Prior to death, decreased muscle tone causes jaw muscles to relax,
resulting in an open mouth.
Applying a chin strap is a postmortem action that the nurse can take to keep the
mouth closed.
A nurse is caring for a postoperative client who is at risk for thrombus
formation. Which of the following interventions should the nurse delegate to an
assistive personnel (AP)?
Apply thromboembolic stockings.
Rationality: The application of thromboembolic stockings is within the range of
function of an AP and does not require further data collection by the
nurse.
Reinforcing teaching is not within the range of function of an AP because it requires the
knowledge and skills of the nurse.
,A nurse is preparing to collect data from a client for a health assessment. Which of
the following actions should the nurse take?
Provide privacy for the client.
Rationality: The nurse should promote a therapeutic environment by
providing privacy while data is being collected for a health assessment.
A nurse is planning care for a client who is disoriented and at risk for falls. Which of
the following interventions should the nurse include? (Select all that apply.)
Ensure that the client is wearing nonskid slippers.
Rationality: Nonskid slippers provide better traction and can help prevent slipping
and falling.
Place the client in a room near the nurses' station.
Keeping the client close to the nurses' station allows for more frequent observation
to help identify actions that increase the risk for falls.
Reinforce teaching about how to use the call bell.
Rationality: Even if the client is confused, it is important to reinforce the use of the call
bell for assistance to help prevent the client from attempting actions that could
increase the risk for falls.
, A nurse is providing wound care for a group of clients. Which of the following
wounds should the nurse identify as healing by secondary intention?
A stage 3 pressure injury on the coccyx
Rationality: The nurse should identify a pressure injury and other wounds with edges
that are not approximated as healing by secondary intention.
The nurse should identify a wound that is sutured as healing by primary intention.
The nurse should identify a surgical wound that has intact staples as healing by
primary intention.
The nurse should identify a contaminated wound that is left open for monitoring and
then closed after several days as healing by tertiary intention.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections?
Drain urine from the tubing before ambulation
Rationality:
Draining urine from the tubing before ambulation will prevent backflow of urine into
the bladder.
The nurse should hang the drainage bag below the level of the client's bladder to
prevent backflow of urine into the bladder.
