Next generation nclex sample questions
Here are several sample questions for the Next Generation NCLEX (NGN), illustrating the new question types and focusing on critical thinking and clinical judgment. next generation nclex sample questions
Sample Question 1: Clinical Judgment Scenario
Scenario: A 72-year-old patient with a history of heart failure presents to the emergency department with severe shortness of breath and a productive cough. The nurse notes crackles in both lung fields and a heart rate of 102 bpm. next generation nclex sample questions
Question: What should be the nurse’s immediate priority action?
- A) Administer a bronchodilator.
- B) Place the patient in a high Fowler’s position.
- C) Obtain a sputum sample.
- D) Call the physician for orders.
Correct Answer: B) Place the patient in a high Fowler’s position.
Rationale: Sitting the patient up will help improve respiratory function and ease breathing. next generation nclex sample questions
Sample Question 2: Select-All-That-Apply
Scenario: A nurse is teaching a newly diagnosed diabetic patient about managing their condition. Which statements made by the patient indicate a correct understanding of their management plan? (Select all that apply)
- A) “I will check my blood sugar levels regularly.”
- B) “I can still eat sugary foods as long as I take extra insulin.”
- C) “I need to maintain a balanced diet with carbohydrates, proteins, and fats.”
- D) “Physical activity can help regulate my blood sugar levels.”
Correct Answers: A) “I will check my blood sugar levels regularly.”, C) “I need to maintain a balanced diet with carbohydrates, proteins, and fats.”, D) “Physical activity can help regulate my blood sugar levels.”
Rationale: These statements reflect essential diabetes management principles.
Sample Question 3: Bow Tie Question
Scenario: A nurse is caring for a septic patient. The patient’s vital signs show a low blood pressure, elevated heart rate, and altered mental status. next generation nclex sample questions
Question: From the list below, which factors should the nurse prioritize in the care plan? Select all that apply. next generation nclex sample questions
- A) Administer intravenous fluids.
- B) Monitor vital signs closely.
- C) Encourage the patient to ambulate.
- D) Initiate broad-spectrum antibiotics.
Correct Answers: A) Administer intravenous fluids., B) Monitor vital signs closely., D) Initiate broad-spectrum antibiotics.
Rationale: These actions are vital for managing sepsis and improving patient outcomes.
Sample Question 4: Extended Multiple Response Question
Scenario: A patient is being discharged after surgery for cholecystectomy. Which statements made by the patient indicate proper understanding of their post-operative care? (Select all that apply)
- A) “I should avoid heavy lifting for the next few weeks.”
- B) “I can resume all my normal activities as soon as I feel better.”
- C) “I need to keep the incision area clean and dry.”
- D) “I should notify my provider if I have a fever or severe abdominal pain.”
Correct Answers: A) “I should avoid heavy lifting for the next few weeks.”, C) “I need to keep the incision area clean and dry.”, D) “I should notify my provider if I have a fever or severe abdominal pain.”
Rationale: These statements indicate a proper understanding of post-operative care and precautions.
Sample Question 5: Multiple-Choice Question
Scenario: A nurse is monitoring a patient who is on anticoagulation therapy. The patient reports a sudden headache and visual disturbances.
Question: What is the best initial nursing action?
- A) Administer the next dose of anticoagulant.
- B) Evaluate the patient’s neurological status.
- C) Assess the patient for signs of internal bleeding.
- D) Document the patient’s report and continue monitoring.
Correct Answer: B) Evaluate the patient’s neurological status.
Rationale: Changes in neurological status could indicate a serious complication, such as a stroke or intracranial bleeding, requiring immediate assessment.
By practicing these types of questions, nursing candidates can enhance their critical thinking and clinical judgment skills, which are vital for success on the Next Generation NCLEX. next generation nclex sample questions
