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PASSPOINT NCLEX RN (ACTUAL 2025/2026) REVIEW
QUESTIONS WITH VERIFIED SOLUTIONS
Which is an expected outcome when a client is receiving an IV administration of
furosemide? - (answers)increased urine output
The nurse is caring for a 5-year-old child who had a hernia repair 1 day ago. The
child is vomiting, has a nasogastric (NG) tube to low intermittent suction, and has
diarrhea. Which of the following laboratory results would be the immediate
priority for the nurse to assess? - (answers)potassium level
The nurse is caring for a primigravid client at about 9 weeks' gestation. After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she makes which
statement? - (answers)"Nausea and vomiting can be decreased if I eat a few
crackers before arising."
A client has been taking imipramine for depression for 2 days. His sister asks the
nurse, "Why is he still so depressed?" Which response by the nurse is most
appropriate? - (answers)"It takes 2 to 4 weeks for the drug to reach its full effect."
A child with asthma states, "I want to play some sports like my friends. What can I
do?" The nurse responds to the child based on the understanding of what
information? - (answers)Most children with asthma can participate in sports if the
asthma is controlled.
A client with pernicious anemia asks why she must take vitamin B12 injections
forever. Which is the nurse's best response? - (answers)"The reason for your
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vitamin deficiency is an inability to absorb the vitamin because the stomach is not
producing sufficient amounts of a factor that allows the vitamin to be absorbed."
A 3-month-old infant with meningococcal meningitis has just been admitted to
the pediatric unit. Which nursing intervention has the highest priority? -
(answers)instituting droplet precautions
The nurse is preparing to administer the initial dose of digoxin PO to a client.
What is the nurse's priority assessment before administering this medication? -
(answers)apical heart rate
A client underwent insertion of a nasogastric (NG) tube for partial bowel
obstruction the previous evening. The nurse notes that the tube is not secured to
the client's face. How will the nurse proceed? - (answers)Verify placement of the
tube.
A female client who has diagnosis of borderline personality disorder is
manipulative and very disruptive on the hospital unit. She is not dangerous to
herself or others, but is clearly not making any therapeutic progress. She
consistently refuses any medications. The nurse realizes that legally this client has
which option? - (answers)Refuse treatment.
Which statement by a client taking trazodone as prescribed by the health care
provider indicates to the nurse that further teaching about the medication is
needed? - (answers)"My depression will be gone in about 5 to 7 days."
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A client with a suspected brain tumor is scheduled for a computed tomography
(CT) scan. What should the nurse do when preparing the client for this test? -
(answers)Determine whether the client is allergic to iodine, contrast dyes, or
shellfish.
When caring for a client with a 3-cm stage I pressure ulcer on the coccyx, which
action may the nurse institute independently? - (answers)Using normal saline
solution to clean the ulcer and applying a protective dressing as necessary
A client hospitalized with Crohn's disease is experiencing a migraine aura. The
client requests that the client's chiropractor be allowed to visit even though it is
after visiting hours. What is the nurse's best response? - (answers)"Tell me what
helps your migraines outside of the hospital."
A 22-year-old client reports substernal chest pain and states that their heart feels
like "it's racing out of my chest." The client reports no history of cardiac disorders.
The nurse attaches the client to a cardiac monitor and notes sinus tachycardia
with a rate of 136 beats/minute. Breath sounds are clear, and the respiratory rate
is 26 breaths/minute. When a cardiorespiratory basis is eliminated, which drug
would the nurse question about usage? - (answers)cocaine
A nurse is caring for a client who is receiving chemotherapy and has a platelet
count of 30,000/mm3. Which statement by the client indicates a need for
additional teaching? - (answers)"I floss my teeth every morning."
Which child most needs a screening for scoliosis? - (answers)a preadolescent
client at the beginning of a growth spurt
PASSPOINT NCLEX RN (ACTUAL 2025/2026) REVIEW
QUESTIONS WITH VERIFIED SOLUTIONS
Which is an expected outcome when a client is receiving an IV administration of
furosemide? - (answers)increased urine output
The nurse is caring for a 5-year-old child who had a hernia repair 1 day ago. The
child is vomiting, has a nasogastric (NG) tube to low intermittent suction, and has
diarrhea. Which of the following laboratory results would be the immediate
priority for the nurse to assess? - (answers)potassium level
The nurse is caring for a primigravid client at about 9 weeks' gestation. After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she makes which
statement? - (answers)"Nausea and vomiting can be decreased if I eat a few
crackers before arising."
A client has been taking imipramine for depression for 2 days. His sister asks the
nurse, "Why is he still so depressed?" Which response by the nurse is most
appropriate? - (answers)"It takes 2 to 4 weeks for the drug to reach its full effect."
A child with asthma states, "I want to play some sports like my friends. What can I
do?" The nurse responds to the child based on the understanding of what
information? - (answers)Most children with asthma can participate in sports if the
asthma is controlled.
A client with pernicious anemia asks why she must take vitamin B12 injections
forever. Which is the nurse's best response? - (answers)"The reason for your
,2|Page
vitamin deficiency is an inability to absorb the vitamin because the stomach is not
producing sufficient amounts of a factor that allows the vitamin to be absorbed."
A 3-month-old infant with meningococcal meningitis has just been admitted to
the pediatric unit. Which nursing intervention has the highest priority? -
(answers)instituting droplet precautions
The nurse is preparing to administer the initial dose of digoxin PO to a client.
What is the nurse's priority assessment before administering this medication? -
(answers)apical heart rate
A client underwent insertion of a nasogastric (NG) tube for partial bowel
obstruction the previous evening. The nurse notes that the tube is not secured to
the client's face. How will the nurse proceed? - (answers)Verify placement of the
tube.
A female client who has diagnosis of borderline personality disorder is
manipulative and very disruptive on the hospital unit. She is not dangerous to
herself or others, but is clearly not making any therapeutic progress. She
consistently refuses any medications. The nurse realizes that legally this client has
which option? - (answers)Refuse treatment.
Which statement by a client taking trazodone as prescribed by the health care
provider indicates to the nurse that further teaching about the medication is
needed? - (answers)"My depression will be gone in about 5 to 7 days."
, 3|Page
A client with a suspected brain tumor is scheduled for a computed tomography
(CT) scan. What should the nurse do when preparing the client for this test? -
(answers)Determine whether the client is allergic to iodine, contrast dyes, or
shellfish.
When caring for a client with a 3-cm stage I pressure ulcer on the coccyx, which
action may the nurse institute independently? - (answers)Using normal saline
solution to clean the ulcer and applying a protective dressing as necessary
A client hospitalized with Crohn's disease is experiencing a migraine aura. The
client requests that the client's chiropractor be allowed to visit even though it is
after visiting hours. What is the nurse's best response? - (answers)"Tell me what
helps your migraines outside of the hospital."
A 22-year-old client reports substernal chest pain and states that their heart feels
like "it's racing out of my chest." The client reports no history of cardiac disorders.
The nurse attaches the client to a cardiac monitor and notes sinus tachycardia
with a rate of 136 beats/minute. Breath sounds are clear, and the respiratory rate
is 26 breaths/minute. When a cardiorespiratory basis is eliminated, which drug
would the nurse question about usage? - (answers)cocaine
A nurse is caring for a client who is receiving chemotherapy and has a platelet
count of 30,000/mm3. Which statement by the client indicates a need for
additional teaching? - (answers)"I floss my teeth every morning."
Which child most needs a screening for scoliosis? - (answers)a preadolescent
client at the beginning of a growth spurt
