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
The provider's 0828 emergency orders are received. Which action should the nurse take first?
Start the 1,000 mL saline bolus
Give the IV dextrose
Give the IV hydrocortisone
Give the IV calcium gluconate
The nurse reassesses the client after carrying out the protocol. Which finding best indicates that the interventions were effective?
The client continues to report feeling lightheaded
The heart rate has risen to 118 beats per minute
The fundus is firm, midline, and at the umbilicus
The perineal pad again becomes fully saturated
A provider is scheduled to perform a flexible bronchoscopy at the bedside for a client with a suspected airway lesion. Which action should the nurse take to prepare the client for the procedure?
Have the client rinse and swallow an antacid right before the procedure
Confirm the client has been nothing by mouth for the ordered period
Give the client oral fluids to keep the mouth and throat moist before the procedure
Offer the client a light breakfast to prevent low blood glucose
The high pressure alarm continues and the oxygen saturation remains 88 percent. Which client problem should the nurse treat as the highest priority?
Elevated blood pressure from the physiologic stress response.
Rising body temperature from the underlying infection.
Increased anxiety from being awake on the ventilator.
Inadequate oxygenation from an obstructed airway.
Shortly after a general anesthetic is started, a client develops a rapidly rising temperature, muscle rigidity, and a climbing end-tidal carbon dioxide level, and malignant hyperthermia is suspected. Which action should the nurse anticipate as the priority?
Stop the triggering agent and prepare to give dantrolene
Apply a warming blanket to prevent the client from shivering
Increase the depth of anesthesia with more of the same agent
Administer an intravenous antipyretic to bring down the temperature