Examples of next generation nclex questions
Here are several examples of Next Generation NCLEX (NGN) questions, showcasing the new formats and focusing on critical thinking and clinical judgment. Examples of next generation nclex questions
Example 1: Clinical Judgment Scenario
Scenario: A 65-year-old patient with chronic obstructive pulmonary disease (COPD) is admitted with shortness of breath. The nurse notes the following vital signs: heart rate 110 bpm, respiratory rate 28 breaths per minute, and SpO2 88%. Examples of next generation nclex questions
Question: What should the nurse do first?
- A) Administer oxygen at 2 L/min via nasal cannula.
- B) Call the respiratory therapist for a nebulizer treatment.
- C) Assess the patient’s lung sounds.
- D) Place the patient in a high Fowler’s position.
Correct Answer: D) Place the patient in a high Fowler’s position.
Rationale: This position enhances lung expansion and improves respiratory function.
Example 2: Bow Tie Question
Scenario: A patient is diagnosed with diabetes mellitus and presents with hyperglycemia. The healthcare team needs to implement a care plan.
Question: Select all factors that could contribute to the patient’s current condition.
- A) Recent weight loss
- B) Inadequate dietary education
- C) Increased physical activity
- D) Stress and illness
Correct Answers: B) Inadequate dietary education, D) Stress and illness.
Rationale: These factors can directly influence glucose levels and management.
Example 3: Select-All-That-Apply Question
Scenario: A nurse is educating a patient about post-operative care after a total knee replacement. Which statements indicate the patient understands the education? (Select all that apply)
- A) “I should keep my leg elevated to reduce swelling.”
- B) “I will start walking on my surgical leg immediately.”
- C) “I need to watch for signs of infection at the incision site.”
- D) “It’s okay to resume all medications once I’m home.”
Correct Answers: A) “I should keep my leg elevated to reduce swelling.”, C) “I need to watch for signs of infection at the incision site.”
Rationale: These statements reflect appropriate post-operative care.
Example 4: Extended Multiple Response Question
Scenario: A patient with heart failure is being discharged home with a new medication regimen. Which statements made by the patient indicate an understanding of the discharge instructions? (Select all that apply)
- A) “I should weigh myself daily and report any sudden weight gain.”
- B) “I can take my medications at any time of day.”
- C) “I will maintain a low-sodium diet.”
- D) “If I feel more fatigued than usual, I should call my provider.”
Correct Answers: A) “I should weigh myself daily and report any sudden weight gain.”, C) “I will maintain a low-sodium diet.”, D) “If I feel more fatigued than usual, I should call my provider.”
Rationale: These statements indicate the patient understands how to manage heart failure.
Example 5: Multiple-Choice Question
Scenario: A nurse is preparing to administer a new medication to a patient. The nurse notices an alert in the electronic health record regarding a potential drug interaction.
Question: What is the best initial nursing action?
- A) Administer the medication and document the alert.
- B) Call the prescribing physician to discuss the interaction.
- C) Review the patient’s medical history for contraindications.
- D) Withhold the medication and notify the pharmacist.
Correct Answer: B) Call the prescribing physician to discuss the interaction.
Rationale: The nurse should clarify any potential risks associated with the medication before administration. Examples of next generation nclex questions – Examples of next generation nclex questions
Examples of next generation nclex questions – Examples of next generation nclex questions
