1
NCLEX-RN TEST1 NGN EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
The nurse in the cardiac intensive care unit receives report on 4 clients. Which
client should the nurse assess first?
2. Client who underwent coronary artery stent placement via femoral approach 3
hours ago and is reporting severe back pain
A client who undergoes percutaneous coronary intervention (PCI) and
intracoronary stent placement using the femoral approach is at increased risk for
retroperitoneal hemorrhage. Administration of antithrombotic drugs before,
during, and after PCI can exacerbate potentially life-threatening bleeding from the
femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey Turner sign), hematoma
formation, and diminished distal pulses can be early signs of bleeding into the
retroperitoneal space and require immediate intervention (eg, notify health care
provider, serial complete blood count, CT scan of the abdomen)
The charger nurse is responsible for making room assignments multiple clients.
Which pari of client assignments to a shared room is appropriate?
3. Client who had a bowel resection 1 day ago and client with asthma
exacerbation.
, 2
When making room assignments, it is important to remember that a client with an
active or suspected infection should not be paired with a client who has a fresh
surgical wound or is immunocompromised. A client having an asthma
exacerbation does not have an infection and is not at risk for spreading infection
to a client who had a recent bowel resection surgery.
The clinic nurse is assessing a client who is being treated for depression and
suicidal ideation. Which client statement best indicates that the client is not
currently at risk for suicide?
2. "I plan to attend my grandchild's graduation next month"
Clients receiving treatment for depression and suicidal ideation must be carefully
monitored for indications of increasing suicidal intent. During a client interview,
the nurse should assess:
- Access to psychiatric medications
- Availability of help during a crisis (counselor, family)
- Future goals and plans
- Home and environment risks
- Overall affect and level of energy
- Possible access to weapons
Clients who articulate long-term personal goals and family milestones are less
likely to attempt death by suicide
The nurse is caring for a client who had an anterior wall myocardial infarction 2
days ago. The telemetry technician notifies the nurse at 8:30 AM that the client is
in ventricular trigeminy. What is the nurse's priority intervention?
, 3
1. Administer potassium supplement
In ventricular trigeminy, premature ventricular contractions (PVCs) occur every
third heartbeat. Myocardial injury (eg, myocardial infarction) predisposes the
client to ectopy (eg, PVCs), which increases the client's risk for lethal dysrhythmias
(eg, ventricular tachycardia). PVCs are caused and/or exacerbated by hypoxia,
electrolyte imbalances, emotional stress, stimulants, fever, and exercise.
This client's morning laboratory results show hypokalemia (potassium <3.5 mEq/L
[3.5 mmol/L]); therefore, the priority is treatment of the underlying cause of the
ectopy by administering the prescribed potassium replacement (Option 1). Health
care providers (HCPs) often prescribe electrolyte replacement algorithms to
clients at risk for electrolyte imbalances (eg, myocardial injury, receiving diuretics)
unless a contraindication exists (eg, serum creatinine >1.5 mg/dL [133 µmol/L],
anuric, weight <99.2 lb [45 kg]).
The nurse cares for a client with a terminal disease who created a do not attempt
resuscitation (DNAR) directive. The client stops breathing and loses their pulse.
The client's adult child states, "Please, do whatever you can to save them!" Which
intervention is appropriate?
3. Explain the client's resuscitation directive to the client's child
Clients can create a do not attempt resuscitation (DNAR) directive instructing that
CPR and other life-saving measures be withheld. With an advance directive in
place, the client's wishes should be followed, even if they conflict with the wishes
of loved ones
The nurse is reviewing the medical history of a client who has sustained a right
tibia/fibula fracture from a fall. The nurse identifies which finding as most likely to
hinder healing?
, 4
4. Peripheral arterial disease
Bone healing depends on multiple factors, including nutrition, adequate
circulation, and age. A client with peripheral arterial disease has decreased
perfusion to the extremities due to atherosclerotic changes in the arteries.
Without adequate perfusion, the bone is not supplied with the oxygen and
nutrients required for healing
Based on the nursing assessment progress notes, what is the correct staging of
the client's pressure injury? Click on the exhibit button for additional information.
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-thickness skin loss (abrasion,
blister, or shallow crater). The skin blisters or forms an open sore, and the area
around the sore may be red and irritated. (shallow, open ulcer, red-pink wound
with no sloughing and possible intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or shallow crater) involving
the dermis or epidermis; the wound bed is red or pink and may be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is visible but not tendon,
muscle, or bone; tunneling may be present
Stage 4: Full-thickness skin loss with visible tendon, muscle, or bone; slough or
eschar (scabbing, dead tissue) may be present; undermining and tunneling may be
present
Pressure injuries are described as "unstageable" if the base is covered by necrotic
tissue or eschar
NCLEX-RN TEST1 NGN EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
The nurse in the cardiac intensive care unit receives report on 4 clients. Which
client should the nurse assess first?
2. Client who underwent coronary artery stent placement via femoral approach 3
hours ago and is reporting severe back pain
A client who undergoes percutaneous coronary intervention (PCI) and
intracoronary stent placement using the femoral approach is at increased risk for
retroperitoneal hemorrhage. Administration of antithrombotic drugs before,
during, and after PCI can exacerbate potentially life-threatening bleeding from the
femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey Turner sign), hematoma
formation, and diminished distal pulses can be early signs of bleeding into the
retroperitoneal space and require immediate intervention (eg, notify health care
provider, serial complete blood count, CT scan of the abdomen)
The charger nurse is responsible for making room assignments multiple clients.
Which pari of client assignments to a shared room is appropriate?
3. Client who had a bowel resection 1 day ago and client with asthma
exacerbation.
, 2
When making room assignments, it is important to remember that a client with an
active or suspected infection should not be paired with a client who has a fresh
surgical wound or is immunocompromised. A client having an asthma
exacerbation does not have an infection and is not at risk for spreading infection
to a client who had a recent bowel resection surgery.
The clinic nurse is assessing a client who is being treated for depression and
suicidal ideation. Which client statement best indicates that the client is not
currently at risk for suicide?
2. "I plan to attend my grandchild's graduation next month"
Clients receiving treatment for depression and suicidal ideation must be carefully
monitored for indications of increasing suicidal intent. During a client interview,
the nurse should assess:
- Access to psychiatric medications
- Availability of help during a crisis (counselor, family)
- Future goals and plans
- Home and environment risks
- Overall affect and level of energy
- Possible access to weapons
Clients who articulate long-term personal goals and family milestones are less
likely to attempt death by suicide
The nurse is caring for a client who had an anterior wall myocardial infarction 2
days ago. The telemetry technician notifies the nurse at 8:30 AM that the client is
in ventricular trigeminy. What is the nurse's priority intervention?
, 3
1. Administer potassium supplement
In ventricular trigeminy, premature ventricular contractions (PVCs) occur every
third heartbeat. Myocardial injury (eg, myocardial infarction) predisposes the
client to ectopy (eg, PVCs), which increases the client's risk for lethal dysrhythmias
(eg, ventricular tachycardia). PVCs are caused and/or exacerbated by hypoxia,
electrolyte imbalances, emotional stress, stimulants, fever, and exercise.
This client's morning laboratory results show hypokalemia (potassium <3.5 mEq/L
[3.5 mmol/L]); therefore, the priority is treatment of the underlying cause of the
ectopy by administering the prescribed potassium replacement (Option 1). Health
care providers (HCPs) often prescribe electrolyte replacement algorithms to
clients at risk for electrolyte imbalances (eg, myocardial injury, receiving diuretics)
unless a contraindication exists (eg, serum creatinine >1.5 mg/dL [133 µmol/L],
anuric, weight <99.2 lb [45 kg]).
The nurse cares for a client with a terminal disease who created a do not attempt
resuscitation (DNAR) directive. The client stops breathing and loses their pulse.
The client's adult child states, "Please, do whatever you can to save them!" Which
intervention is appropriate?
3. Explain the client's resuscitation directive to the client's child
Clients can create a do not attempt resuscitation (DNAR) directive instructing that
CPR and other life-saving measures be withheld. With an advance directive in
place, the client's wishes should be followed, even if they conflict with the wishes
of loved ones
The nurse is reviewing the medical history of a client who has sustained a right
tibia/fibula fracture from a fall. The nurse identifies which finding as most likely to
hinder healing?
, 4
4. Peripheral arterial disease
Bone healing depends on multiple factors, including nutrition, adequate
circulation, and age. A client with peripheral arterial disease has decreased
perfusion to the extremities due to atherosclerotic changes in the arteries.
Without adequate perfusion, the bone is not supplied with the oxygen and
nutrients required for healing
Based on the nursing assessment progress notes, what is the correct staging of
the client's pressure injury? Click on the exhibit button for additional information.
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-thickness skin loss (abrasion,
blister, or shallow crater). The skin blisters or forms an open sore, and the area
around the sore may be red and irritated. (shallow, open ulcer, red-pink wound
with no sloughing and possible intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or shallow crater) involving
the dermis or epidermis; the wound bed is red or pink and may be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is visible but not tendon,
muscle, or bone; tunneling may be present
Stage 4: Full-thickness skin loss with visible tendon, muscle, or bone; slough or
eschar (scabbing, dead tissue) may be present; undermining and tunneling may be
present
Pressure injuries are described as "unstageable" if the base is covered by necrotic
tissue or eschar
