The NCLEX-RN is the national licensure exam for registered nurses in the United States and Canada. Since 2023, the Next Generation NCLEX (NGN) format has tested clinical judgment with item types that go far beyond multiple choice—select-all-that-apply, matrix grids, cloze dropdowns, ordered response, highlight, bowtie, and six-question unfolding case studies built on the Clinical Judgment Measurement Model.
CliniQuiz.AI gives you authentic NGN practice aligned to the 2026 NCSBN test plan:
All 7 NGN item types, including full unfolding case studies
Every client-need category and activity statement covered
Each question independently verified and cited to a reputable clinical source
Partial-credit scoring that mirrors the real exam
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Sample Questions
A hemodynamically unstable client in the intensive care unit is receiving continuous renal replacement therapy for acute kidney injury. Which parameter is most important for the nurse to monitor closely during the therapy?
Hourly net fluid balance from the ultrafiltration and replacement fluid
Serum potassium level drawn once at the start of each shift
Appearance of the venous access catheter exit site dressing
Total body weight recorded on the bed scale each morning
A nurse monitoring a client on telemetry who has chronic kidney disease notices the T waves have become tall and peaked since the last check. Which action should the nurse take first?
Assess the client and obtain a serum potassium level
Document the tracing as an expected change in kidney disease
Encourage the client to eat a potassium-rich snack
Reposition the telemetry leads and continue routine monitoring
A client with acute respiratory distress syndrome remains severely hypoxemic on mechanical ventilation despite lung-protective settings, and the team plans prone positioning. The nurse understands that placing the client in the prone position is expected to have which effect?
Improve oxygenation by promoting more even alveolar inflation
Reduce the client's need for sedation during ventilation
Allow the tidal volume to be raised to normal ranges
Speed removal of carbon dioxide by increasing dead space
A nurse is caring for a client with a closed-bulb suction drain after mastectomy. The nurse finds the bulb fully expanded and no longer compressed. Which action should the nurse take first?
Empty the bulb, then squeeze it flat and recap it
Raise the bulb above the incision to let fluid drain by gravity
Disconnect the tubing from the drain to relieve the pressure
Clamp the drain tubing until the provider makes rounds
A client is one day postoperative after open reduction and internal fixation of a tibial fracture and reports deep, unrelenting calf pain that worsens sharply when the toes are passively stretched. Which action should the nurse take first?
Notify the surgeon of the findings promptly
Elevate the leg well above the level of the heart
Apply an ice pack to the calf to relieve the pain
Give the ordered opioid and reassess the leg in an hour