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New Generation NCLEX (NGN) 2026 Practice Questions and Clinical Judgment Case-Based Review Material

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This document contains New Generation NCLEX-style practice questions designed to reflect the 2026 exam format. It focuses on clinical judgment, case-based scenarios, prioritization, and decision-making across key nursing topics. The material includes formats such as multiple response, matrix, and case studies to mirror real exam structure. It is ideal for strengthening critical thinking and preparing for NGN-style assessments.

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NEW GENERATION NCLEX QUESTIONS FOR 2024 EXAM
All Answers are correct. All the Best!




New NGN Question Formats:
Matrix multiple-choice
Matrix multiple-response
Multiple-response: Select all that apply
Multiple-response: Select N
Multiple-response: Grouping
Drag-and-drop: Cloze
Drag-and-drop: Rationale
Drop-down: Cloze
Drop-down: Rationale
Drop-down: Table
Highlight: Text
Highlight: Table
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The New Gen Nclex has 150 questions but only 135 questions are scored.

Matrix multiple-choice:
Question: A nurse is caring for a patient with diabetes. Which of the following actions
should the nurse take when administering insulin? Select all that apply. A. Verify the
correct dose with another nurse.
B. Administer insulin via intramuscular injection.
C. Monitor the patient's blood glucose level.
D. Check the expiration date of the insulin.


1. Answer: A, C, D.
Matrix multiple-response:

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Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle
modifications should the nurse recommend to the patient? Select all that apply.
A. Limit sodium intake.
B. Increase physical activity.
C. Reduce caffeine intake.
D. Avoid alcohol consumption.


2. Answer: A, B, C, D.
Multiple-response: Select all that apply:
Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the
following symptoms should the nurse report to the healthcare provider? Select all that
apply.
A. Nausea and vomiting.
B. Fatigue and weakness.
C. Hair loss.
D. Dry mouth and difficulty swallowing.


3. Answer: A, B, C.
Multiple-response: Select N:
Question: A nurse is caring for a patient with a history of heart failure. The patient's weight
has increased by 5 pounds over the past week. Which of the following actions should the
nurse take? Select 2.
A. Increase the patient's diuretic dose.
B. Restrict the patient's sodium intake.
C. Increase the patient's fluid intake.
D. Administer oxygen therapy.


4. Answer: A, B.
Multiple-response: Grouping:
Question: A nurse is caring for a patient who has just undergone surgery. Which of the
following interventions should the nurse take to prevent complications? Group 1:
Respiratory interventions. Group 2: Circulatory interventions.
Group 1:

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A. Administer oxygen therapy.
B. Encourage deep breathing and coughing exercises.
C. Use an incentive spirometer.
Group 2:
D. Apply compression stockings.
E. Monitor vital signs.
F. Administer anticoagulant therapy.


5. Answer: B, C, D, E, F.
Drag-and-drop: Cloze:


6. Question: A nurse is caring for a patient with a new diagnosis of diabetes.
Drag and drop the steps for checking blood glucose levels in the correct order.
7. Wash hands.
8. Insert test strip into the meter.
9. Prick finger with lancet.
10.Apply blood to the test strip.
Read and record the blood glucose level.


11.Answer: 1, 3, 4, 2, 5.
Drag-and-drop: Rationale:


12.Question: A nurse is caring for a patient who has just undergone a total hip
replacement. Drag and drop the interventions in the order of priority.
13.Administer pain medication.
14.Encourage the use of a continuous passive motion (CPM) machine.
15.Apply ice to the surgical site.
Assist the patient with ambulation.
Rationale:


16.Answer: 1, 3, 2, 4. Administering pain medication is the first priority, followed by
applying ice to the surgical site to reduce swelling. Encouraging the use of

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a CPM machine can help prevent blood clots. Finally, assisting the patient with
ambulation helps promote healing and prevent complications.
Drop-down: Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at
risk for ___________ due to the side effects of the medication.


17.Answer: neut Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at
risk for neutropenia due to the side effects of the medication. The nurse should monitor the
patient for signs of infection, such as fever, chills, and increased white blood cell count.


Drop-down: Rationale:
Question: A nurse is caring for a patient with heart failure. The patient is prescribed
furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of the
following adverse effects?
Answer Choices:
A. Hypotension
B. Hyperkalemia
C. Tinnitus


9. D. Bradycardia Rationale:


Answer: A. Furosemide is a loop diuretic that can cause hypotension by decreasing fluid
volume and blood pressure. The nurse should monitor the patient's blood pressure and
electrolyte levels, especially potassium, which can be depleted by the medication. Tinnitus
and bradycardia are not common adverse effects of furosemide.


Drop-down: Table:
Question: A nurse is caring for a patient who has a new prescription for oral contraceptives.
Which of the following medications can interact with oral contraceptives and decrease their
effectiveness? Select all that apply.


10.Answer Choices:

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