NGN NCLEX RN EXAM TEST BANK | ACCURATE AND
VERIFIED 600 QUESTIONS AND ANSWERS | EXPERT
VERIFIED FOR GUARANTEED PASS | GRADED A+ |
LATEST 2026 UPDATE
1. A nurse is caring for a client with pneumonia. Which finding requires immediate
intervention?
A) Temperature of 100.4°F (38°C)
B) Oxygen saturation of 88% on room air
C) Respiratory rate of 22 breaths per minute
D) Productive cough with green sputum
CORRECT ANSWER: B
2. A client with heart failure reports sudden weight gain of 3 pounds in 24 hours.
What is the nurse's priority action?
A) Encourage increased fluid intake
B) Assess for peripheral edema and crackles
C) Restrict sodium intake to 2 grams daily
D) Administer a diuretic as prescribed
CORRECT ANSWER: B
3. A nurse is teaching a client with type 1 diabetes about sick day management.
Which statement indicates understanding?
A) "I will stop taking insulin if I cannot eat."
B) "I will check my blood glucose every 4 hours."
C) "I will drink water and sugar-free liquids."
,D) "I will call my provider if my glucose is over 200 mg/dL."
CORRECT ANSWER: C
4. A client with cirrhosis develops asterixis. What condition is the client likely
experiencing?
A) Hepatic encephalopathy
B) Portal hypertension
C) Esophageal varices
D) Spontaneous bacterial peritonitis
CORRECT ANSWER: A
5. A nurse is assessing a postpartum client. Which finding requires immediate
notification of the provider?
A) Lochia rubra with small clots
B) Fundus at the umbilicus
C) Saturating one perineal pad per hour
D) Temperature of 100.2°F (37.9°C)
CORRECT ANSWER: C
6. A client with chronic kidney disease has a potassium level of 6.5 mEq/L. Which
ECG change is expected?
A) Peaked T waves
B) Flattened T waves
C) U waves
D) Widened QRS complex
,CORRECT ANSWER: A
7. A nurse is administering digoxin. Which finding indicates toxicity?
A) Heart rate of 72 beats per minute
B) Nausea and vomiting with blurred vision
C) Blood pressure of 120/80 mm Hg
D) Serum digoxin level of 1.0 ng/mL
CORRECT ANSWER: B
8. A client with bipolar disorder is taking lithium. Which serum level indicates
toxicity?
A) 0.6 mEq/L
B) 0.8 mEq/L
C) 1.2 mEq/L
D) 1.8 mEq/L
CORRECT ANSWER: D
9. A nurse is providing discharge teaching to a client with a new colostomy. Which
statement indicates understanding?
A) "I will change the ostomy pouch daily."
B) "I can irrigate the colostomy to stimulate bowel movements."
C) "I will only eat low-fiber foods."
D) "I will notify my provider if the stoma becomes dark purple."
CORRECT ANSWER: D
, 10. A client with deep vein thrombosis is receiving heparin. The nurse should
monitor for which adverse effect?
A) Thrombocytopenia
B) Hypokalemia
C) Hyperglycemia
D) Hypertension
CORRECT ANSWER: A
11. A nurse is caring for a client with a chest tube. Which finding requires
immediate action?
A) Continuous bubbling in the water seal chamber
B) Tidaling in the water seal chamber
C) Drainage of 50 mL in the past hour
D) Subcutaneous emphysema at the insertion site
CORRECT ANSWER: A
12. A client with preeclampsia has a blood pressure of 160/100 mm Hg and deep
tendon reflexes of 3+. Which medication should the nurse prepare to administer?
A) Magnesium sulfate
B) Nifedipine
C) Labetalol
D) Hydralazine
CORRECT ANSWER: A
13. A nurse is assessing a client with Graves' disease. Which finding is expected?
VERIFIED 600 QUESTIONS AND ANSWERS | EXPERT
VERIFIED FOR GUARANTEED PASS | GRADED A+ |
LATEST 2026 UPDATE
1. A nurse is caring for a client with pneumonia. Which finding requires immediate
intervention?
A) Temperature of 100.4°F (38°C)
B) Oxygen saturation of 88% on room air
C) Respiratory rate of 22 breaths per minute
D) Productive cough with green sputum
CORRECT ANSWER: B
2. A client with heart failure reports sudden weight gain of 3 pounds in 24 hours.
What is the nurse's priority action?
A) Encourage increased fluid intake
B) Assess for peripheral edema and crackles
C) Restrict sodium intake to 2 grams daily
D) Administer a diuretic as prescribed
CORRECT ANSWER: B
3. A nurse is teaching a client with type 1 diabetes about sick day management.
Which statement indicates understanding?
A) "I will stop taking insulin if I cannot eat."
B) "I will check my blood glucose every 4 hours."
C) "I will drink water and sugar-free liquids."
,D) "I will call my provider if my glucose is over 200 mg/dL."
CORRECT ANSWER: C
4. A client with cirrhosis develops asterixis. What condition is the client likely
experiencing?
A) Hepatic encephalopathy
B) Portal hypertension
C) Esophageal varices
D) Spontaneous bacterial peritonitis
CORRECT ANSWER: A
5. A nurse is assessing a postpartum client. Which finding requires immediate
notification of the provider?
A) Lochia rubra with small clots
B) Fundus at the umbilicus
C) Saturating one perineal pad per hour
D) Temperature of 100.2°F (37.9°C)
CORRECT ANSWER: C
6. A client with chronic kidney disease has a potassium level of 6.5 mEq/L. Which
ECG change is expected?
A) Peaked T waves
B) Flattened T waves
C) U waves
D) Widened QRS complex
,CORRECT ANSWER: A
7. A nurse is administering digoxin. Which finding indicates toxicity?
A) Heart rate of 72 beats per minute
B) Nausea and vomiting with blurred vision
C) Blood pressure of 120/80 mm Hg
D) Serum digoxin level of 1.0 ng/mL
CORRECT ANSWER: B
8. A client with bipolar disorder is taking lithium. Which serum level indicates
toxicity?
A) 0.6 mEq/L
B) 0.8 mEq/L
C) 1.2 mEq/L
D) 1.8 mEq/L
CORRECT ANSWER: D
9. A nurse is providing discharge teaching to a client with a new colostomy. Which
statement indicates understanding?
A) "I will change the ostomy pouch daily."
B) "I can irrigate the colostomy to stimulate bowel movements."
C) "I will only eat low-fiber foods."
D) "I will notify my provider if the stoma becomes dark purple."
CORRECT ANSWER: D
, 10. A client with deep vein thrombosis is receiving heparin. The nurse should
monitor for which adverse effect?
A) Thrombocytopenia
B) Hypokalemia
C) Hyperglycemia
D) Hypertension
CORRECT ANSWER: A
11. A nurse is caring for a client with a chest tube. Which finding requires
immediate action?
A) Continuous bubbling in the water seal chamber
B) Tidaling in the water seal chamber
C) Drainage of 50 mL in the past hour
D) Subcutaneous emphysema at the insertion site
CORRECT ANSWER: A
12. A client with preeclampsia has a blood pressure of 160/100 mm Hg and deep
tendon reflexes of 3+. Which medication should the nurse prepare to administer?
A) Magnesium sulfate
B) Nifedipine
C) Labetalol
D) Hydralazine
CORRECT ANSWER: A
13. A nurse is assessing a client with Graves' disease. Which finding is expected?
