NGN/NCLEX 2025: COMPLETE NURSING STUDY
GUIDE WITH QUESTIONS, CASE STUDIES &
DETAILED ANSWERS
Management of Care
1. A patient with multiple chronic conditions requires several interventions. Which action
should the nurse prioritize?
A) Administer medications on time
B) Ensure patient safety and prevent falls
C) Schedule routine lab tests
D) Assist with hygiene
Answer: B) Ensure patient safety and prevent falls
Rationale: Safety always comes first in nursing. While medications and labs are
important, preventing harm is the priority.
2. The nurse delegates tasks to a CNA. Which task is appropriate?
A) Administering IV medications
B) Taking vital signs of a stable patient
C) Teaching a patient about new medications
D) Performing a sterile dressing change
Answer: B) Taking vital signs of a stable patient
Rationale: Delegation requires understanding the scope of practice. CNAs can take
vitals but cannot administer meds or perform sterile procedures.
3. A patient refuses treatment for a chronic condition. What is the nurse’s best action?
A) Explain the treatment multiple times
B) Document refusal and notify the physician
C) Convince the patient to comply
D) Administer treatment anyway
, Answer: B) Document refusal and notify the physician
Rationale: Patient autonomy is critical. The nurse should respect the decision,
document it, and inform the provider.
Pharmacological & Parenteral Therapies
4. A patient receives insulin. Which finding requires immediate action?
A) Blood glucose 150 mg/dL
B) Blood glucose 45 mg/dL
C) Patient reports mild hunger
D) Patient is alert and oriented
Answer: B) Blood glucose 45 mg/dL
Rationale: Hypoglycemia (<70 mg/dL) is an emergency. Immediate intervention is
required.
5. Which route of medication administration has the fastest absorption?
A) Oral
B) Subcutaneous
C) Intravenous
D) Intramuscular
Answer: C) Intravenous
Rationale: IV medications are delivered directly into the bloodstream for immediate
effect.
6. A patient is prescribed a high-risk medication. What should the nurse do first?
A) Check the patient’s allergy history
B) Administer the medication immediately
C) Ask the patient if they feel ready
D) Document the medication
Answer: A) Check the patient’s allergy history
Rationale: Patient safety comes first. Allergies must be verified before administering
any medication.
GUIDE WITH QUESTIONS, CASE STUDIES &
DETAILED ANSWERS
Management of Care
1. A patient with multiple chronic conditions requires several interventions. Which action
should the nurse prioritize?
A) Administer medications on time
B) Ensure patient safety and prevent falls
C) Schedule routine lab tests
D) Assist with hygiene
Answer: B) Ensure patient safety and prevent falls
Rationale: Safety always comes first in nursing. While medications and labs are
important, preventing harm is the priority.
2. The nurse delegates tasks to a CNA. Which task is appropriate?
A) Administering IV medications
B) Taking vital signs of a stable patient
C) Teaching a patient about new medications
D) Performing a sterile dressing change
Answer: B) Taking vital signs of a stable patient
Rationale: Delegation requires understanding the scope of practice. CNAs can take
vitals but cannot administer meds or perform sterile procedures.
3. A patient refuses treatment for a chronic condition. What is the nurse’s best action?
A) Explain the treatment multiple times
B) Document refusal and notify the physician
C) Convince the patient to comply
D) Administer treatment anyway
, Answer: B) Document refusal and notify the physician
Rationale: Patient autonomy is critical. The nurse should respect the decision,
document it, and inform the provider.
Pharmacological & Parenteral Therapies
4. A patient receives insulin. Which finding requires immediate action?
A) Blood glucose 150 mg/dL
B) Blood glucose 45 mg/dL
C) Patient reports mild hunger
D) Patient is alert and oriented
Answer: B) Blood glucose 45 mg/dL
Rationale: Hypoglycemia (<70 mg/dL) is an emergency. Immediate intervention is
required.
5. Which route of medication administration has the fastest absorption?
A) Oral
B) Subcutaneous
C) Intravenous
D) Intramuscular
Answer: C) Intravenous
Rationale: IV medications are delivered directly into the bloodstream for immediate
effect.
6. A patient is prescribed a high-risk medication. What should the nurse do first?
A) Check the patient’s allergy history
B) Administer the medication immediately
C) Ask the patient if they feel ready
D) Document the medication
Answer: A) Check the patient’s allergy history
Rationale: Patient safety comes first. Allergies must be verified before administering
any medication.
