NCSBN NCLEX QUESTIONS AND
CORRECT ANSWERS NEWEST
VERSION
The nurse in the outpatient clinic is assisting in the admission of a client scheduled for a
prostatectomy this morning. Which statement by the client should be of greatest
concern to the nurse?
1"I am feeling nervous about the procedure."
2"I have not had anything to eat since 9:00 pm last night."
3"I have had an allergic reaction to an antibiotic before."
4"I have not had to urinate since yesterday evening." - CORRECT ANSWER 4
The nurse is reviewing the electronic medical record of a client diagnosed with
endometriosis. The nurse should expect which findings with this diagnosis? (Select all
that apply.) - CORRECT ANSWER The following findings that would indicate the client
has endometriosis are pain with menstruation (dysmenorrhea), pain with intercourse
(dyspareunia), excessive bleeding, and infertility. The client may also complain of pelvic
and/or back pain, along with pain during bowel movements.
The nurse in the emergency department is admitting a client with a reduced level of
consciousness due to severe hypothyroidism. Which interventions should the nurse
implement first?
1Implement warming blankets as indicated.
2Orient the patient to person, time and place.
3Monitor O2 saturation and provide supplemental oxygen.
4Administer propranolol as prescribed. - CORRECT ANSWER 3
The nurse is caring for a client who has type I diabetes mellitus. Upon entering the
room, the nurse notes the client has rapid, deep respirations, and is lethargic and
difficult to arouse. What should the nurse do first?
1Check the client's blood sugar.
2Administer glucagon per protocol.
3Review the client's insulin pump settings.
4Review when the last dose of insulin was given. - CORRECT ANSWER 1
The nurse in the primary health care provider's office is speaking with a 40-year-old
male client whose most recent hemoglobin A1C level was 9%. The client states that he
is motivated to make lifestyle changes to better manage his disease. What interventions
should the nurse recommend for this client? (Select all that apply.)
Eliminate all consumption of alcohol.
Minimize intake of caffeinated beverages.
Schedule an appointment with a registered dietitian.
Start a weight loss program until BMI is below 25.
,Check the blood sugar several times a day, ideally before eating.
Engage in regular physical activity, such as walking. - CORRECT ANSWER Schedule
an appointment with a registered dietitian.
Start a weight loss program until BMI is below 25.
Check the blood sugar several times a day, ideally before eating.
Engage in regular physical activity, such as walking.
The nurse is reinforcing education for a client with type 2 diabetes mellitus who is being
discharged home. Which statement by the client would require clarification from the
nurse?
1"At home, I should check my blood sugar before meals and at bedtime."
2"It is important to increase my physical activity gradually."
3"I will make sure to have an eye exam every five years."
4"When I administer my insulin, I will rotate injection sites." - CORRECT ANSWER 3
Eye exams should be performed annually for diabetic clients due to the risk of diabetic
retinopathy.
The nurse is caring for a client who has suspected Cushing's disease. The nurse should
monitor for which potential symptoms? (Select all that apply.)
Large fat pads on the back and shoulders
History of pathologic fractures
Tachycardia and panic attacks
Changes in visual acuity
Polyuria and polydipsia - CORRECT ANSWER Large fat pads on the back and
shoulders
History of pathologic fractures
Cushing's disease occurs when there is an excess amount of cortisol. The nurse must
understand that glucocorticoids, including cortisol, regulate metabolism and immune
function, and play a role in the regulation and distribution of serum calcium levels.
Therefore, deposition of fat pads on the back and shoulders, as well as fractures
secondary to osteoporosis, are signs and symptoms of Cushing's disease that the nurse
should be able to recognize.
The nurse is caring for a client who was admitted for hyperglycemic hyperosmolar state
(HHS). Which clinical finding would support this diagnosis?
1Blood sugar > 600 mg/dL
2Positive urine ketones
3Deep, rapid breathing pattern
4Serum pH level < 7.35 - CORRECT ANSWER 1
A client diagnosed with hypoparathyroidism would be most likely to display which of the
following symptoms?
1Pruritus
2Flank pain
3Decreased reflexes
,4Polydipsia - CORRECT ANSWER 1
The nurse is caring for a client with diabetes who was admitted for intractable vomiting.
The nurse notes that the client's skin is cool to the touch, and the fingerstick blood sugar
result is 55 mg/dL. What intervention should the nurse implement first?
1Administer glucagon.
2Recheck the blood sugar in 15 minutes.
3Offer the client a warm blanket.
4Administer an antiemetic. - CORRECT ANSWER 1
The nurse is reviewing the plan of care for a client with acute adrenocortical
insufficiency. Which intervention should be a priority for this client?
1Administration of potassium supplements
2Electrocardiogram monitoring
3Implementation of a low-sodium diet
4Administration of insulin - CORRECT ANSWER 2
The nurse understands that the prescribed levothyroxine is effective when the client
with hypothyroidism makes which statement?
1"I still feel lethargic and fatigued."
2"I have been having daily, formed bowel movements."
3"I have to change my sheets in the morning because I sweat a lot at night."
4"I was reprimanded at work after becoming angry with my boss." - CORRECT
ANSWER 2
The nurse is caring for a client who presents with polyuria, polydipsia and a urine
specific gravity of 1.002. The nurse suspects that the client is experiencing diabetes
insipidus. Which risk factors would support this diagnosis? (Select all that apply.)
Recent neurologic injury
Current use of lithium
History of recent surgery
History of radiation treatment
History of pulmonary disease - CORRECT ANSWER Recent neurologic injury
Current use of lithium
History of recent surgery
History of radiation treatment
The nurse is planning care for a client admitted with uncontrolled hyperglycemia. Which
activities can the nurse delegate to the unlicensed assistive person (UAP)? (Select all
that apply.)
Soak the client's feet in warm water prior to performing nail care.
Administer insulin, but do not aspirate for blood prior to injecting.
Report any skin lesions or breakdown to the nurse.
Cut the client's toenails short and trim the corners with cuticle scissors.
Apply moisturizing cream between the client's toes.
After bathing, ensure that the client's skin is completely dry.
, Check the client's blood sugar before meals and at bedtime. - CORRECT ANSWER
Report any skin lesions or breakdown to the nurse.
After bathing, ensure that the client's skin is completely dry.
Check the client's blood sugar before meals and at bedtime.
The nurse is caring for a client who has been diagnosed with syndrome of inappropriate
antidiuretic hormone (SIADH). Which interventions are appropriate for this client?
(Select all that apply.)
Monitoring of intake and output
Administration of a loop diuretic
Implementation of a fluid restriction
Implementation of a low-sodium diet
Administration of vasopressin - CORRECT ANSWER Monitoring of intake and output
Administration of a loop diuretic
Implementation of a fluid restriction
The nurse is caring for a client who has been diagnosed with Cushing syndrome. Which
medication most likely contributed to this condition?
Pantoprazole
Prednisone
Paroxetine
Pravastatin - CORRECT ANSWER prednisone
The nurse is reviewing the medical record of a client with diabetes who was admitted for
a surgical site infection. Which findings should the nurse report to the health care
provider? (Select all that apply.) - CORRECT ANSWER In reviewing the lab values, the
nurse should notify the HCP of the positive glucose in urine (normally, glucose is not
seen in urine), A1C of 8% (desired range for a client with diabetes is 7% or less), and
the serum glucose level of 220 mg/dL, which is higher than the normal range of 70 to
110 mg/dL. These abnormal lab results indicate that the client's diabetes is not
managed well and most likely contributed to the client developing an infection.
The nurse is reviewing the medical record of a client who has been diagnosed with
osteoporosis. The nurse identifies which risk factors for this condition? (Select all that
apply.)
The client takes 10 mg of prednisone daily.
The client performs weight-bearing exercises six days a week.
The client weighs 200 lbs. (90.7 kg) with a height of 5 feet 2 inches (157 cm).
The client is a 75-year-old Caucasian female.
The client has a 30 pack per year smoking history. - CORRECT ANSWER Osteoporosis
is the loss of bone density that leads to weakness of the bone. Risk factors for
osteoporosis include being a postmenopausal woman (lack of estrogen), smoking, thin
stature, steroid use, lack of weight-bearing exercise, such as prolonged immobility or a
sedentary lifestyle, and ethnicity.
prednison
75
CORRECT ANSWERS NEWEST
VERSION
The nurse in the outpatient clinic is assisting in the admission of a client scheduled for a
prostatectomy this morning. Which statement by the client should be of greatest
concern to the nurse?
1"I am feeling nervous about the procedure."
2"I have not had anything to eat since 9:00 pm last night."
3"I have had an allergic reaction to an antibiotic before."
4"I have not had to urinate since yesterday evening." - CORRECT ANSWER 4
The nurse is reviewing the electronic medical record of a client diagnosed with
endometriosis. The nurse should expect which findings with this diagnosis? (Select all
that apply.) - CORRECT ANSWER The following findings that would indicate the client
has endometriosis are pain with menstruation (dysmenorrhea), pain with intercourse
(dyspareunia), excessive bleeding, and infertility. The client may also complain of pelvic
and/or back pain, along with pain during bowel movements.
The nurse in the emergency department is admitting a client with a reduced level of
consciousness due to severe hypothyroidism. Which interventions should the nurse
implement first?
1Implement warming blankets as indicated.
2Orient the patient to person, time and place.
3Monitor O2 saturation and provide supplemental oxygen.
4Administer propranolol as prescribed. - CORRECT ANSWER 3
The nurse is caring for a client who has type I diabetes mellitus. Upon entering the
room, the nurse notes the client has rapid, deep respirations, and is lethargic and
difficult to arouse. What should the nurse do first?
1Check the client's blood sugar.
2Administer glucagon per protocol.
3Review the client's insulin pump settings.
4Review when the last dose of insulin was given. - CORRECT ANSWER 1
The nurse in the primary health care provider's office is speaking with a 40-year-old
male client whose most recent hemoglobin A1C level was 9%. The client states that he
is motivated to make lifestyle changes to better manage his disease. What interventions
should the nurse recommend for this client? (Select all that apply.)
Eliminate all consumption of alcohol.
Minimize intake of caffeinated beverages.
Schedule an appointment with a registered dietitian.
Start a weight loss program until BMI is below 25.
,Check the blood sugar several times a day, ideally before eating.
Engage in regular physical activity, such as walking. - CORRECT ANSWER Schedule
an appointment with a registered dietitian.
Start a weight loss program until BMI is below 25.
Check the blood sugar several times a day, ideally before eating.
Engage in regular physical activity, such as walking.
The nurse is reinforcing education for a client with type 2 diabetes mellitus who is being
discharged home. Which statement by the client would require clarification from the
nurse?
1"At home, I should check my blood sugar before meals and at bedtime."
2"It is important to increase my physical activity gradually."
3"I will make sure to have an eye exam every five years."
4"When I administer my insulin, I will rotate injection sites." - CORRECT ANSWER 3
Eye exams should be performed annually for diabetic clients due to the risk of diabetic
retinopathy.
The nurse is caring for a client who has suspected Cushing's disease. The nurse should
monitor for which potential symptoms? (Select all that apply.)
Large fat pads on the back and shoulders
History of pathologic fractures
Tachycardia and panic attacks
Changes in visual acuity
Polyuria and polydipsia - CORRECT ANSWER Large fat pads on the back and
shoulders
History of pathologic fractures
Cushing's disease occurs when there is an excess amount of cortisol. The nurse must
understand that glucocorticoids, including cortisol, regulate metabolism and immune
function, and play a role in the regulation and distribution of serum calcium levels.
Therefore, deposition of fat pads on the back and shoulders, as well as fractures
secondary to osteoporosis, are signs and symptoms of Cushing's disease that the nurse
should be able to recognize.
The nurse is caring for a client who was admitted for hyperglycemic hyperosmolar state
(HHS). Which clinical finding would support this diagnosis?
1Blood sugar > 600 mg/dL
2Positive urine ketones
3Deep, rapid breathing pattern
4Serum pH level < 7.35 - CORRECT ANSWER 1
A client diagnosed with hypoparathyroidism would be most likely to display which of the
following symptoms?
1Pruritus
2Flank pain
3Decreased reflexes
,4Polydipsia - CORRECT ANSWER 1
The nurse is caring for a client with diabetes who was admitted for intractable vomiting.
The nurse notes that the client's skin is cool to the touch, and the fingerstick blood sugar
result is 55 mg/dL. What intervention should the nurse implement first?
1Administer glucagon.
2Recheck the blood sugar in 15 minutes.
3Offer the client a warm blanket.
4Administer an antiemetic. - CORRECT ANSWER 1
The nurse is reviewing the plan of care for a client with acute adrenocortical
insufficiency. Which intervention should be a priority for this client?
1Administration of potassium supplements
2Electrocardiogram monitoring
3Implementation of a low-sodium diet
4Administration of insulin - CORRECT ANSWER 2
The nurse understands that the prescribed levothyroxine is effective when the client
with hypothyroidism makes which statement?
1"I still feel lethargic and fatigued."
2"I have been having daily, formed bowel movements."
3"I have to change my sheets in the morning because I sweat a lot at night."
4"I was reprimanded at work after becoming angry with my boss." - CORRECT
ANSWER 2
The nurse is caring for a client who presents with polyuria, polydipsia and a urine
specific gravity of 1.002. The nurse suspects that the client is experiencing diabetes
insipidus. Which risk factors would support this diagnosis? (Select all that apply.)
Recent neurologic injury
Current use of lithium
History of recent surgery
History of radiation treatment
History of pulmonary disease - CORRECT ANSWER Recent neurologic injury
Current use of lithium
History of recent surgery
History of radiation treatment
The nurse is planning care for a client admitted with uncontrolled hyperglycemia. Which
activities can the nurse delegate to the unlicensed assistive person (UAP)? (Select all
that apply.)
Soak the client's feet in warm water prior to performing nail care.
Administer insulin, but do not aspirate for blood prior to injecting.
Report any skin lesions or breakdown to the nurse.
Cut the client's toenails short and trim the corners with cuticle scissors.
Apply moisturizing cream between the client's toes.
After bathing, ensure that the client's skin is completely dry.
, Check the client's blood sugar before meals and at bedtime. - CORRECT ANSWER
Report any skin lesions or breakdown to the nurse.
After bathing, ensure that the client's skin is completely dry.
Check the client's blood sugar before meals and at bedtime.
The nurse is caring for a client who has been diagnosed with syndrome of inappropriate
antidiuretic hormone (SIADH). Which interventions are appropriate for this client?
(Select all that apply.)
Monitoring of intake and output
Administration of a loop diuretic
Implementation of a fluid restriction
Implementation of a low-sodium diet
Administration of vasopressin - CORRECT ANSWER Monitoring of intake and output
Administration of a loop diuretic
Implementation of a fluid restriction
The nurse is caring for a client who has been diagnosed with Cushing syndrome. Which
medication most likely contributed to this condition?
Pantoprazole
Prednisone
Paroxetine
Pravastatin - CORRECT ANSWER prednisone
The nurse is reviewing the medical record of a client with diabetes who was admitted for
a surgical site infection. Which findings should the nurse report to the health care
provider? (Select all that apply.) - CORRECT ANSWER In reviewing the lab values, the
nurse should notify the HCP of the positive glucose in urine (normally, glucose is not
seen in urine), A1C of 8% (desired range for a client with diabetes is 7% or less), and
the serum glucose level of 220 mg/dL, which is higher than the normal range of 70 to
110 mg/dL. These abnormal lab results indicate that the client's diabetes is not
managed well and most likely contributed to the client developing an infection.
The nurse is reviewing the medical record of a client who has been diagnosed with
osteoporosis. The nurse identifies which risk factors for this condition? (Select all that
apply.)
The client takes 10 mg of prednisone daily.
The client performs weight-bearing exercises six days a week.
The client weighs 200 lbs. (90.7 kg) with a height of 5 feet 2 inches (157 cm).
The client is a 75-year-old Caucasian female.
The client has a 30 pack per year smoking history. - CORRECT ANSWER Osteoporosis
is the loss of bone density that leads to weakness of the bone. Risk factors for
osteoporosis include being a postmenopausal woman (lack of estrogen), smoking, thin
stature, steroid use, lack of weight-bearing exercise, such as prolonged immobility or a
sedentary lifestyle, and ethnicity.
prednison
75
