NCLEX-PN NEXT GENERATION EXAM (NGN)
NCLEX-PN Next Generation Exam (NGN)
verified accurate questions and answers
with detailed rationales covering clinical
judgment, patient care, and foundational
nursing concept Newest 2025
A nurse at a public health clinic is caring for a group of clients. Which of the following should the
nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis - ANS :Hepatitis A
A nurse is giving change of shift report about a client who is 36 hr postoperative to another
nurse.
Which of the following should the nurse include?
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
A. Daily bath given at 1000
B. Vomited a large amount of emesis immediately after surgery
C. Flushed IV with 0.9% sodium chloride
D. Pain relieved by position change - ANS :Pain relieved by position change
A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the
following actions should the charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting - ANS :Completes activities for one client before
moving to the next client
A nurse is caring for a client who has a prescription for atorvastatin. Which of the following
client
conditions is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis - ANS :Hepatitis C
A nurse delegates tasks to a licensed practical nurse and an assistive personnel. When admitting
a
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
client who is experiencing acute liver failure and who has ascites and an NG tube, which of the
following tasks is most appropriate for the nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr - ANS :Measure the amount of gastric
drainage every 2 hr
A nurse is assessing a client who has a long arm cast. For which of the following findings should
the
nurse monitor when assessing for acute compartment syndrome
A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental statu - ANS :Edema
A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which
of the
following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis
C. Euphoria
D. Hypothermia - ANS :Hyperreflexia
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
A nurse is caring for a client who is at high risk for developing diabetes insipidus following a
severe
head injury. Which assessment finding indicates to the nurse that the client is developing DI?
A. Urine specific gravity of 1.028
B. Urine output of 250 mL/hr
C. Serum sodium of 155 mEq/L
D. Blood glucose of 198 mg/dL - ANS :Urine output of 250 mL/hr
A nurse is planning to perform wound irrigation for a client who has an open secondary wound.
When creating a sterile field, which of the following actions should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field - ANS :Hold the bottle of
sterile solution with the palm over the label while pouring
A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse
is
reviewing the monitor tracing and notes early decelerations. Which of the following should the
nurse
expect?
A. Head compression
B. Fetal hypoxia
C. Abruptio placentae
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
NCLEX-PN Next Generation Exam (NGN)
verified accurate questions and answers
with detailed rationales covering clinical
judgment, patient care, and foundational
nursing concept Newest 2025
A nurse at a public health clinic is caring for a group of clients. Which of the following should the
nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis - ANS :Hepatitis A
A nurse is giving change of shift report about a client who is 36 hr postoperative to another
nurse.
Which of the following should the nurse include?
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
A. Daily bath given at 1000
B. Vomited a large amount of emesis immediately after surgery
C. Flushed IV with 0.9% sodium chloride
D. Pain relieved by position change - ANS :Pain relieved by position change
A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the
following actions should the charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting - ANS :Completes activities for one client before
moving to the next client
A nurse is caring for a client who has a prescription for atorvastatin. Which of the following
client
conditions is a contraindication to this medication?
A. Hepatitis C
B. Crohn's disease
C. Peptic ulcer disease
D. Bronchitis - ANS :Hepatitis C
A nurse delegates tasks to a licensed practical nurse and an assistive personnel. When admitting
a
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
client who is experiencing acute liver failure and who has ascites and an NG tube, which of the
following tasks is most appropriate for the nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr - ANS :Measure the amount of gastric
drainage every 2 hr
A nurse is assessing a client who has a long arm cast. For which of the following findings should
the
nurse monitor when assessing for acute compartment syndrome
A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental statu - ANS :Edema
A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which
of the
following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis
C. Euphoria
D. Hypothermia - ANS :Hyperreflexia
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
, NCLEX-PN NEXT GENERATION EXAM (NGN)
A nurse is caring for a client who is at high risk for developing diabetes insipidus following a
severe
head injury. Which assessment finding indicates to the nurse that the client is developing DI?
A. Urine specific gravity of 1.028
B. Urine output of 250 mL/hr
C. Serum sodium of 155 mEq/L
D. Blood glucose of 198 mg/dL - ANS :Urine output of 250 mL/hr
A nurse is planning to perform wound irrigation for a client who has an open secondary wound.
When creating a sterile field, which of the following actions should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field - ANS :Hold the bottle of
sterile solution with the palm over the label while pouring
A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse
is
reviewing the monitor tracing and notes early decelerations. Which of the following should the
nurse
expect?
A. Head compression
B. Fetal hypoxia
C. Abruptio placentae
NCLEX-PN NEXT GENERATION EXAM (NGN) ADMIN
