NLN - NCLEX Practice Exam Questions And
Answers 2025 Update.
While assessing a patient, a nurse notes the following findings: poor skin turgor, decreased
blood pressure, and a rapid pulse. The patient reports having flu-like symptoms, including
nausea, vomiting, and diarrhea for the past three days. Based on the above data, which of
these laboratory tests should the patient have?
1. serum amylase, cholesterol, and urine glucose
2. serum sodium, chloride, and magnesium levels
3. hemoglobin, RBC, and platelet sounds
4. urine osmolarity, BUN, and hematocrit - Answer✔Urine osmolarity, BUN, and hematocrit
Which of these manifestations is suggestive of a UTI in a 6-year-old?
1. polyphagia
2. anuria
3. hypotension
4. enuresis - Answer✔Enuresis
To assess for Chvostek's sign, which of these actions should a nurse do?
1. Rub a cotton applicator gently over the eyelid and observe for flutters.
2. Inflate the blood pressure cuff on the upper arm and observe for carpal spasms.
3. Tap over the facial nerve anterior to the ear and observe for twitching
4. Dorsiflex the foot and observe for toe extension - Answer✔Tap over the facial nerve anterior
to the ear and observe for twitching
When assessing an adolescent for scoliosis, which of these actions should a nurse include?
1. Ask the adolescent to raise both arms over his/her head.
2. Ask the adolescent bend both knees and squat
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3. Ask the adolescent to walk on his/her tiptoes
4. Ask the adolescent to bend forward at the waist - Answer✔Ask the adolescent to bend
forward at the waist
A nurse if planning to perform a physical assessment of the abdomen. The nurse should
perform which of these assessments last?
1. palpation
2. inspection
3. auscultation
4. percussion - Answer✔palpation
Which of these manifestations should a nurse expect to assess in a patient who has chronic
anorexia nervosa?
1. diarrhea
2. oliguria
3. tachycardia
4. constipation - Answer✔constipation
Which if these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration?
1. hyperreflexia
2. tachycardia
3. agitation
4. bradypnea - Answer✔tachycardia
A patient's chart indicates the presence of petechiae on the anterior thorax, arms, and neck.
Which of these manifestations should a nurse expect to observe?
1. star-snapped, reddish, raised spots on the skin and mucous membranes
2. dime-sized purple-white, raised blotches across all affected skin surfaces
3. small reddish-purplish, flat spots on the skin or mucous membranes
4. large brown spots on the front of the chest, around the arms, and over the neck -
Answer✔small reddish-purplish, flat spots on the skin or mucous membranes
Which of these assessment data, if noted by a nurse, would indicate that a patient is
responding effectively to fluid imbalance correction?
1. weight has stabilized
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2. alert to place and person
3. skin turgor returns slowly
4. breath sounds are noisy - Answer✔weight has stabilized
A 70-year-old patient reports flank pain and a fever. Which additional findings, if noted, would
indicate to a nurse that the patient might have renal colic or calculi?
1. positive CVA tenderness
2. negative Babinski sign
3. Urine specific gravity is 1.025
4. blood pressure is 148/80 mmHg - Answer✔positive CVA tenderness
Which of these interpretations should a nurse make when a patient who has a mastectomy has
an onset of sweating, palpitations, tachycardia, and diarrhea?
1. This is suggestive of shock.
2. This is suggestive of adhesions.
3. This is suggestive of infection.
4. This is suggestive of dumping syndrome. - Answer✔This is suggestive of dumping syndrome.
Which of these manifestations should a nurse assess as suggestive of arterial insufficiency of
the lower extremities?
1. marked edema of both ankles
2. diminished pedal pulses
3. pain in the popliteal area upon movement
4. bluish discoloration of the legs - Answer✔diminished pedal pulses
A nurse should expect a patient who is diagnosed with hyperthyroidism to report which of
these manifestations?
1. weight gain
2. heat intolerance
3. fatigue
4. slow movement - Answer✔heat intolerance
Which of these assessment findings, if present, would indicate to a nurse that an infant has
developmental hip dysplasia?
1. the presence of asymmetric gluteal folds
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