Next generation nclex practice questions
Here are some practice questions for the Next Generation NCLEX (NGN) to help you prepare for the exam. These questions reflect the new formats and focus on critical thinking and clinical judgment. Next generation nclex practice questions
Practice Question 1: Clinical Judgment Scenario
Scenario: A 58-year-old male with a history of hypertension presents to the emergency department with chest pain radiating to his left arm. His vital signs show a blood pressure of 170/100 mmHg, heart rate of 96 bpm, and SpO2 of 95% on room air. Next generation nclex practice questions
Question: What is the nurse’s priority intervention?
- A) Obtain a 12-lead ECG.
- B) Administer nitroglycerin sublingually.
- C) Position the patient in a supine position.
- D) Administer aspirin 325 mg orally.
Correct Answer: A) Obtain a 12-lead ECG.
Rationale: Immediate assessment of cardiac status is crucial in a patient presenting with chest pain.
Practice Question 2: Select-All-That-Apply
Scenario: The nurse is teaching a patient about lifestyle changes to manage diabetes. Which statements by the patient indicate a correct understanding of the teaching? (Select all that apply) Next generation nclex practice questions
- A) “I should monitor my blood glucose levels regularly.”
- B) “It’s okay to skip meals if I’m not hungry.”
- C) “I need to incorporate physical activity into my daily routine.”
- D) “I can eat whatever I want as long as I take my insulin.”
Correct Answers: A) “I should monitor my blood glucose levels regularly.”, C) “I need to incorporate physical activity into my daily routine.”
Rationale: Regular monitoring and physical activity are key components of diabetes management.
Practice Question 3: Bow Tie Format
Scenario: A patient is admitted for acute exacerbation of asthma. The patient presents with wheezing, increased respiratory rate, and accessory muscle use.
Question: Select all actions the nurse should take to manage this patient effectively.
- A) Administer a bronchodilator as prescribed.
- B) Encourage the patient to take slow, deep breaths.
- C) Arrange for a chest X-ray.
- D) Monitor the patient’s peak expiratory flow rate.
Correct Answers: A) Administer a bronchodilator as prescribed., D) Monitor the patient’s peak expiratory flow rate.
Rationale: Administering medication and monitoring respiratory status are priority actions in managing asthma exacerbation.
Practice Question 4: Extended Multiple Response Question
Scenario: A patient recovering from surgery is receiving discharge instructions. Which statements by the patient indicate a proper understanding of self-care at home? (Select all that apply)
- A) “I should keep the surgical area clean and dry.”
- B) “It’s normal for the area to be red and swollen for a few days.”
- C) “I will take my pain medications only if absolutely necessary.”
- D) “I need to schedule follow-up appointments as instructed.”
Correct Answers: A) “I should keep the surgical area clean and dry.”, D) “I need to schedule follow-up appointments as instructed.”
Rationale: Proper care of the surgical site and adherence to follow-up appointments are crucial for recovery.
Practice Question 5: Multiple-Choice Question
Scenario: A nurse is caring for a patient receiving anticoagulant therapy. The patient reports bright red blood in their urine and has a headache. Next generation nclex practice questions
Question: What is the nurse’s priority action?
- A) Assess the patient’s neurological status.
- B) Notify the healthcare provider immediately.
- C) Document the findings and continue monitoring.
- D) Encourage the patient to stay hydrated.
Correct Answer: B) Notify the healthcare provider immediately.
Rationale: Hematuria and headache may indicate a serious complication requiring immediate medical attention. Next generation nclex practice questions
These practice questions can help you familiarize yourself with the types of questions you may encounter on the Next Generation NCLEX, focusing on critical thinking and clinical decision-making skills essential for nursing practice. Next generation nclex practice questions
