NGN NCLEX-RN Practice Test 2026-2027 and Free Sample Questions

A nurse on a medical unit receives report on four clients. Which client should the nurse assess first?

A client receiving intravenous heparin has an activated partial thromboplastin time that is far above the therapeutic range, and the nurse notes bleeding gums. Which medication should the nurse anticipate administering as the antidote?

A charge nurse is delegating tasks. Which task is most appropriate to assign to a licensed practical nurse rather than to unlicensed assistive personnel?

A client with type 1 diabetes is admitted with diabetic ketoacidosis. Blood glucose is 480 milligrams per deciliter, the client has deep rapid respirations, and serum potassium is 3.2 milliequivalents per liter. Which prescription should the nurse question or clarify before insulin is given?

A client with a head injury shows a rising blood pressure, a widening pulse pressure, a slowing heart rate, and irregular respirations. The nurse recognizes these findings as which of the following?

A nurse is caring for a client with a chest tube connected to a closed drainage system. The nurse notes the chest tube has become disconnected from the drainage system. What should the nurse do first?

A client receiving chemotherapy has a platelet count of 18,000 per microliter. Which nursing intervention is most appropriate?

A client receiving intravenous morphine for postoperative pain has a respiratory rate of 7 breaths per minute and is difficult to arouse. After ensuring the airway, which medication should the nurse anticipate administering?

A client with chronic kidney disease has a serum potassium of 6.8 milliequivalents per liter and peaked T waves on the cardiac monitor. Which intervention should the nurse anticipate?

A nurse assesses a postpartum client 2 hours after a vaginal delivery and finds a boggy uterus, heavy lochia, and a fundus above the umbilicus and displaced to the right. Which action should the nurse take first?

A client with major depressive disorder states, I have been getting my affairs in order and I want to give away my belongings. Which response by the nurse is the priority?

A client is suspected of having sepsis. The provider orders blood cultures and broad-spectrum antibiotics. Which action should the nurse take to ensure accurate results?

A client arrives at the emergency department with sudden onset of right-sided weakness and slurred speech that began 90 minutes ago. Which diagnostic action is the priority?

A client receiving intravenous fluids develops bounding pulses, distended neck veins, crackles in the lungs, and shortness of breath. The nurse recognizes these as signs of which condition?

A client with hyperthyroidism is at risk for thyroid storm. Which set of findings would most concern the nurse?

A nurse is caring for a client with Clostridioides difficile infection. Which infection control measure is most appropriate?

On the second postoperative day after major abdominal surgery, a client suddenly develops dyspnea, pleuritic chest pain, tachycardia, and anxiety. Which complication should the nurse suspect first?

A nurse finds a client with asthma using accessory muscles, speaking in single words, with an oxygen saturation of 86 percent and audible wheezing. Which action should the nurse take first?

A client reports chest pain and is suspected of having acute coronary syndrome. Using the common memory aid for initial management, which combination of interventions would the nurse anticipate?