(NGN) NEW GENERATION NCLEX QUESTIONS FOR 2023
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New NGN Question Formats:
Matrix multiple-choice Matrix multiple-response
Multiple-response: Select all that apply
Multiple-response: Select N
Multiple-response: Grouping
Drag-and-drop: Cloze
Drag-and-drop: Rationale
Drop-down: Cloze
Drop-down: Rationale
Drop-down: Table
Highlight: Text
Highlight: Table 1 / 4
Bow-tie Trend
The New Gen Nclex has 150 questions but only 135 questions are scored.
Matrix multiple-choice:
Question: A nurse is caring for a patient with diabetes. Which of the following
actions should the nurse take when administering insulin? Select all that apply.
- Verify the correct dose with another nurse.
- Administer insulin via intramuscular injection.
- Monitor the patient's blood glucose level.
- Check the expiration date of the insulin.
Answer: A, C, D.
Matrix multiple-response: 2 / 4
Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle modifications should the nurse recommend to the patient? Select all that apply.
- Limit sodium intake.
- Increase physical activity.
- Reduce caffeine intake.
- Avoid alcohol consumption.
Answer: A, B, C, D.
Multiple-response: Select all that apply: Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the following symptoms should the nurse report to the healthcare provider?Select all that apply.
- Nausea and vomiting.
- Fatigue and weakness.
- Hair loss.
- Dry mouth and difficulty swallowing.
Answer: A, B, C.
Multiple-response: Select N: Question: A nurse is caring for a patient with a history of heart failure. The patient's weight has increased by 5 pounds over the past week. Which of the following actions should the nurse take? Select 2.
- Increase the patient's diuretic dose.
- Restrict the patient's sodium intake.
- Increase the patient's fluid intake.
- Administer oxygen therapy.
Answer: A, B.
Multiple-response: Grouping:
Question: A nurse is caring for a patient who has just undergone surgery. Which
of the following interventions should the nurse take to prevent complications?Group 1: Respiratory interventions. Group 2: Circulatory interventions. 3 / 4
Group 1:
- Administer oxygen therapy.
- Encourage deep breathing and coughing exercises.
- Use an incentive spirometer.
Group 2:
- Apply compression stockings.
- Monitor vital signs.
- Administer anticoagulant therapy.
Answer: B, C, D, E, F.
Drag-and-drop: Cloze:
Question: A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the steps for checking blood glucose levels in the correct order.
- Wash hands.
- Insert test strip into the meter.
- Prick finger with lancet.
- Apply blood to the test strip.
Read and record the blood glucose level.
Answer: 1, 3, 4, 2, 5.
Drag-and-drop: Rationale:
Question: A nurse is caring for a patient who has just undergone a total hip
replacement. Drag and drop the interventions in the order of priority.
- Administer pain medication.
- Encourage the use of a continuous passive motion (CPM) machine.
- Apply ice to the surgical site.
Assist the patient with ambulation.
Rationale:
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