NCLEX-RN QUESTIONS AND ANSWERS WELL EXPLAINED 1700 QUESTIONS.VERIFIED UPGRADED,,LATEST A+ 2025/2026

NCLEX

NCLEX-RN
National Council Licensure Examination(NCLEX-RN)
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,Question: 1 g




On the third postpartum day, the nurse would expect the lochia to be:
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A. Rubra
B. Serosa
C. Alba
D. Scant


Answer: A g




Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots.
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(B) This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C) This discharge occurs from
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gday 10 through the 6thweek. The lochia is yellowish white. (D) This is not a classification of lochia but relates to
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gthe amount of discharge.
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Question: 2 g




A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20
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seconds, every time the fetus moves. The nurse explains that:
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A. The test is inconclusive and should be repeated
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B. Further testing is needed g g g


C. The test is normal and the fetus is reacting appropriately
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D. The fetus is distressed
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Answer: C g




Explanation:
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to
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gindicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if
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gthere are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a 15-minute
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gperiod. (D) The NST results were normal, so there was no fetal distress.
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Question: 3 g




Which stage of labor lasts from delivery of the baby to delivery of the placenta?
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A. Second
B. Third
C. Fourth
D. Fifth


Answer: B g




Explanation:
(A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct stage for the
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gdefinition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D) There is no fifth stage of
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glabor.
Question: 4 g




A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The
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nurse expects that the physician would order an appropriate antibiotic to treat P. aeruginosa such as:
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A. Cefoperazone (Cefobid) g


B. Clindamycin (Cleocin) g


C. Dicloxacillin (Dycill) g


D. Erythromycin (Erythrocin) g

,Answer: A g




Explanation:
(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.(B) Clindamycin is not
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gindicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not indicated in the treatment of
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ginfection withP. aeruginosa.(D) Erythromycin is not indicated in the treatment of infection withP. aeruginosa.
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g Question: 5 g




A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT) by
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instructing the female client to take her temperature:
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A. Orally in the morning and at bedtime g g g g g g


B. Only one time during the day as long as it is always at the same time of day
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C. Rectally at bedtime g g


D. As soon as she awakens, prior to any activity
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Answer: D g




Explanation:
(A) Monitoring temperature twice a day predicts the biphasic pattern of ovulation. (B) Prediction of ovulation
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grelies on consistency in taking temperature. (C)Nightly rectal temperatures are more accurate in predicting
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govulation. (D) Activity changes the accuracy of basal body temperature and ability to detect the luteinizing
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ghormone surge. g


Question: 6 g




A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate
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nursing actions to help control hyperventilating include:
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A. Administering diazepam (Valium) 1015 mg po q4h and q1h prn for hyperventilating episode g g g g g g g g g g g g


B. Keeping the temperature in the client’s room at a high level to reduce respiratory stimulation
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C. Having the client hold her breath or breathe into a paper bag when hyperventilation episodes occur
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D. Using distraction to help control the client’s hyperventilation episodes
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Answer: C g




Explanation:
(A) An adult diazepam dosage for treatment of anxiety is 210 mg PO 24 times daily. The order as written would
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gplace a client at risk for overdose. (B) A high room temperature could increase hyperventilating episodes by
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gstimulating the respiratory system. (C) Breath holding and breathing into a paper bag may be useful in controlling
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ghyperventilation. Both measures increase CO2 retention. (D) Distraction will not prevent or control
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ghyperventilation caused by anxiety or fear. g g g g g


Question: 7 g




A client delivered a stillborn male at term. An appropriate action of the nurse would be to:
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A. State, "You have an angel in heaven."
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B. Discourage the parents from seeing the baby. g g g g g g


C. Provide an opportunity for the parents to see and hold the baby for an undetermined amount of time.
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D. Reassure the parents that they can have other children. g g g g g g g g




Answer: C g




Explanation:
(A) This is not a supportive statement. There are also no data to indicate the family’s religious beliefs. (B) Seeing
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gtheir baby assists the parents in the grieving process. This gives them the opportunity to say "good-bye." (C)
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gParents need time to get to know their baby. (D) This is not a comforting statement when a baby has died. There
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, are also no guarantees that the couple will be able to have another child.
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Question: 8 g




A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about
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having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the
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surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation,
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lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client
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is:
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A. Having a heart attack g g g


B. Wanting attention from the nurses g g g g


C. Suffering from complete upper airway obstruction g g g g g


D. Hyperventilating


Answer: D g




Explanation:
(A) Classic symptoms of a heart attack include heaviness or squeezing pain in the chest, pain spreading to the jaw,
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gneck, and arm. Nausea and vomiting, sweating, and shortness of breath may be present. The client does not exhibit
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gthese symptoms. (B) Clients suffering from anxiety or fear prior to surgical procedures may develop
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ghyperventilation. This client is not seeking attention. (C) Symptoms of complete airway obstruction include not
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g being able to speak, and no airflow between the nose and mouth. Breath sounds are absent. (D) Tightness in the
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gchest; a feeling of suffocation; lightheadedness; tingling in the hands; and rapid, deep respirations are signs and
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gsymptoms of hyperventilation. This is almost always a manifestation of anxiety.
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Question: 9 g




A 44-year-old client had an emergency cholecystectomy 3 days ago for a ruptured gallbladder. She complains of
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severe abdominal pain. Assessment reveals abdominal rigidity and distention, increased temperature, and
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tachycardia. Diagnostic testing reveals an elevated WBC count. The nurse suspects that the client has developed:
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A. Gastritis
B. Evisceration
C. Peritonitis
D. Pulmonary embolism g




Answer: C g




Explanation:
(A) Assessment findings for gastritis would reveal anorexia, nausea and vomiting, epigastric fullness and
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gtenderness, and discomfort. (B) Evisceration is the extrusion of abdominal viscera as a result of trauma or sutures
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gfailing in a surgical incision. (C) Peritonitis, inflammation of the peritoneum, can occur when an abdominal organ,
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gsuch as the gallbladder, perforates and leaks blood and fluid into the abdominal cavity. This causes infection and
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girritation. (D) Assessment findings of pulmonary embolism would reveal severe substernal chest pain, tachycardia,
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gtachypnea, shortness of breath, anxiety or panic, and wheezing and coughing often accompanied by blood-tinged
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gsputum.
Question: 10 g




A 35-year-old client is admitted to the hospital for elective tubal ligation. While the nurse is doing preoperative
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teaching, the client says, "The anesthesiologist said she was going to give me balanced anesthesia. What exactly is
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that?" The best explanation for the nurse to give the client would be that balanced anesthesia:
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A. Is a type of regional anesthesia
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B. Uses equal amounts of inhalation agents and liquid agents
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C. Does not depress the central nervous system
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D. Is a combination of several anesthetic agents or drugs producing a smooth induction and minimal
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complications
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