NCLEX RN EXAM /ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
ANSWERS (VERIFIED ANSWERS ) WITH RATIONALES
2025 /2026 UPDATE
A client returns to the clinic for follow-up treatment after a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy
report indicates that the lesion is a melanoma. The nurse
understands that melanoma has which characteristics? Select
all that apply.
A. Lesion is painful to touch.
B. Lesion is highly metastatic.
C. Lesion is a nevus that has changes in color.
D. Skin under the lesion is reddened and warm to touch.
E. Lesion occurs in body areas exposed to outdoor sunlight. -
ANSWER-B, C
Rationale:
Melanomas are pigmented malignant lesions originating in the
melanin-producing cells of the epidermis. Melanomas cause
changes in a nevus (mole), including color and borders. This
,skin cancer is highly metastatic, and a person's survival
depends on early diagnosis and treatment. Melanomas are not
painful or accompanied by sign of inflammation. Although sun
exposure increases the risk of melanoma, lesions may occur any
place on the body, especially where birthmarks or new moles are
apparent.
The primary health care provider has determined that a client
has contracted hepatitis A based on flu-like symptoms and
jaundice. Which statement made by the client supports this
medical diagnosis?
A. "I have had unprotected sex with multiple partners."
B. "I ate shellfish about 2 weeks ago at a local restaurant."
C. "I was an intravenous drug abuser in the past and shared
needles."
D. "I had a blood transfusion 30 years ago after major abdominal
surgery." -
ANSWER-B
Rationale:
Hepatitis A is transmitted by the fecal-oral route via
contaminated water or food (improperly cooked shellfish), or
infected food handlers. Hepatitis B, C, and D are transmitted
most commonly via infected blood or body fluids, such as in the
,cases of intravenous drug abuse, history of blood transfusion,
or unprotected sex with multiple partners.
The nurse is assessing a client 24 hours following a
cholecystectomy. The nurse notes that the T-tube has drained
750 mL of green-brown drainage since the surgery. Which
nursing intervention is most appropriate?
A. Clamp the T-tube.
B. Irrigate the T-tube.
C. Document the findings.
D. Notify the primary health care provider. - ANSWER-C
Rationale:
Following cholecystectomy, drainage from the T-tube is initially
bloody and then turns a greenish-brown color. The drainage is
measured as output. The amount of expected drainage will range
from 500 to 1000 mL/day. The nurse would document the output.
The nurse is monitoring a client with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate perforation
of the ulcer?
A. Bradycardia
B. Numbness in the legs
, C. Nausea and vomiting
D. A rigid, board-like abdomen - ANSWER-D
Rationale:
Perforation of an ulcer is a surgical emergency and is
characterized by sudden, sharp, intolerable severe pain
beginning in the midepigastric area and spreading over the
abdomen, which becomes rigid and boardlike. Nausea and
vomiting may occur. Tachycardia may occur as hypovolemic
shock develops. Numbness in the legs is not an associated
finding.
The nurse is caring for a client following a gastrojejunostomy
(Billroth II procedure). Which postoperative prescription should
the nurse question and verify?
A. Leg exercises
B. Early ambulation
C. Irrigating the nasogastric tube
D. Coughing and deep-breathing exercises - ANSWER-C
Rationale:
In a gastrojejunostomy (Billroth II procedure), the proximal
remnant of the stomach is anastomosed to the proximal
jejunum. Patency of the nasogastric tube is critical for
QUESTIONS AND CORRECT DETAILED ANSWERS
ANSWERS (VERIFIED ANSWERS ) WITH RATIONALES
2025 /2026 UPDATE
A client returns to the clinic for follow-up treatment after a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy
report indicates that the lesion is a melanoma. The nurse
understands that melanoma has which characteristics? Select
all that apply.
A. Lesion is painful to touch.
B. Lesion is highly metastatic.
C. Lesion is a nevus that has changes in color.
D. Skin under the lesion is reddened and warm to touch.
E. Lesion occurs in body areas exposed to outdoor sunlight. -
ANSWER-B, C
Rationale:
Melanomas are pigmented malignant lesions originating in the
melanin-producing cells of the epidermis. Melanomas cause
changes in a nevus (mole), including color and borders. This
,skin cancer is highly metastatic, and a person's survival
depends on early diagnosis and treatment. Melanomas are not
painful or accompanied by sign of inflammation. Although sun
exposure increases the risk of melanoma, lesions may occur any
place on the body, especially where birthmarks or new moles are
apparent.
The primary health care provider has determined that a client
has contracted hepatitis A based on flu-like symptoms and
jaundice. Which statement made by the client supports this
medical diagnosis?
A. "I have had unprotected sex with multiple partners."
B. "I ate shellfish about 2 weeks ago at a local restaurant."
C. "I was an intravenous drug abuser in the past and shared
needles."
D. "I had a blood transfusion 30 years ago after major abdominal
surgery." -
ANSWER-B
Rationale:
Hepatitis A is transmitted by the fecal-oral route via
contaminated water or food (improperly cooked shellfish), or
infected food handlers. Hepatitis B, C, and D are transmitted
most commonly via infected blood or body fluids, such as in the
,cases of intravenous drug abuse, history of blood transfusion,
or unprotected sex with multiple partners.
The nurse is assessing a client 24 hours following a
cholecystectomy. The nurse notes that the T-tube has drained
750 mL of green-brown drainage since the surgery. Which
nursing intervention is most appropriate?
A. Clamp the T-tube.
B. Irrigate the T-tube.
C. Document the findings.
D. Notify the primary health care provider. - ANSWER-C
Rationale:
Following cholecystectomy, drainage from the T-tube is initially
bloody and then turns a greenish-brown color. The drainage is
measured as output. The amount of expected drainage will range
from 500 to 1000 mL/day. The nurse would document the output.
The nurse is monitoring a client with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate perforation
of the ulcer?
A. Bradycardia
B. Numbness in the legs
, C. Nausea and vomiting
D. A rigid, board-like abdomen - ANSWER-D
Rationale:
Perforation of an ulcer is a surgical emergency and is
characterized by sudden, sharp, intolerable severe pain
beginning in the midepigastric area and spreading over the
abdomen, which becomes rigid and boardlike. Nausea and
vomiting may occur. Tachycardia may occur as hypovolemic
shock develops. Numbness in the legs is not an associated
finding.
The nurse is caring for a client following a gastrojejunostomy
(Billroth II procedure). Which postoperative prescription should
the nurse question and verify?
A. Leg exercises
B. Early ambulation
C. Irrigating the nasogastric tube
D. Coughing and deep-breathing exercises - ANSWER-C
Rationale:
In a gastrojejunostomy (Billroth II procedure), the proximal
remnant of the stomach is anastomosed to the proximal
jejunum. Patency of the nasogastric tube is critical for
