NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX 2025 EXAM REVIEW STUDY GUIDE COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX Review Study Guide Comprehensive 2025
A nurse is caring for a client who sustained burn injuries on the anterior lower legs and anterior thorax.
What percentage of the client's body, according to the Rule of Nines, has been affected? - ANSWER 36%
A nurse in a physician's office is talking to a client who underwent mastectomy of the right breast 2
weeks ago. The client says to the nurse, "I hate looking at this incision. I feel that I'm not even myself
anymore." The nurse interprets this statement to mean that the client is experiencing which problem? -
ANSWER Distorted body image
A nurse provides instructions to a client who will be taking levothyroxine (Synthroid) for hypothyroidism.
The nurse tells the client that it is best to take the medication: - ANSWER In the morning, before
breakfast
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of muscle
spasms. For which common side effect of this medication does the nurse monitor the client? - ANSWER
Drowsiness
A nurse admitting a newborn to the nursery notes that the physician has documented that the
newborn has a gastroschisis. The nurse performs an assessment, expecting to note that the
viscera are: - ANSWER Outside the
abdominal cavity, not covered with a sac
The mother of an adolescent with type 1 diabetes mellitus tells the nurse that her child is a member of
the school soccer team and expresses concern about her child's participation in sports. The nurse, after
providing information to the mother about diet, exercise, insulin, and blood glucose control, tells the
mother: - ANSWER That the child should eat a carbohydrate snack about a half-hour before each soccer
game
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the
room for the child and places a sign at the child's bedside that tells staff to avoid: - ANSWER Palpating
the abdomen
A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and
tracheoesophageal fistula (TEF). Which findings does the nurse expect to note in the infant? Select all
that apply. - ANSWER Drooling
Excessive oral secretions
A nurse provides information to a client with peripheral vascular disease about ways to limit the
disease's progression. Which of the following measures does the nurse tell the client to take? Select all
that apply. - ANSWER -Engaging in exercise
such as walking on a daily basis
-Washing the feet daily with a mild soap and drying them well
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
A hospitalized client scheduled for surgery is told by the physician that she is extremely anemic and will
need a blood transfusion. The client, a Jehovah's Witness, tells the nurse that she is refusing the
transfusion. What is the most appropriate initial nursing action? - ANSWER Supporting the client's
decision to refuse the transfusion
A client experiencing delusions says to the nurse, "I am the only one who can save the world from all of
the terrorists." What is the appropriate response by the nurse? - ANSWER "I don't think anyone can
save the world from the terrorists by himself."
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-White
syndrome. Which piece of equipment does the nurse make a priority of obtaining before administering the
medication? - ANSWER Cardiac
monitor
A nurse working the evening shift is helping clients get ready for sleep. A female client with mania is
hyperactive and pacing the hallway. The appropriate nursing action is to: - ANSWER Take the client to
the bathroom and provide her with a warm bath
A client living in a long-term care facility shouts at the nurse, "Get out of my room! I don't need your help!"
What is the appropriate way for the nurse to document this occurrence in the client's record? - ANSWER
Writing down the client's words and
placing them in quotation marks
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is: -
ANSWER Asking the ED physician to check the client
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
A nurse is preparing a pregnant client in the third trimester for an amniocentesis. The nurse explains to
the client that amniocentesis is often performed during the third trimester to determine: - ANSWER The
degree of fetal lung maturity
Empyema develops in a client with an infected pleural effusion, and the nurse prepares the client for
thoracentesis. What characteristics of the fluid removed during thoracentesis should the nurse, assisting
the physician with the procedure, expect to note? - ANSWER Thick and opaque
A client with depression is anorexic. Which measure does the nurse take to assist the client in meeting
nutritional needs? - ANSWER Offering high-calorie and high-
protein foods and fluids frequently throughout the day
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis.
The nurse, providing information to the client about the medication, tells the client that it is best to take
it: - ANSWER In the morning, before
9:00 a.m.
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a
follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by
the nurse is therapeutic? - ANSWER "Tell me more about what you're feeling."
A nurse in the cardiac care unit is told that a client with a diagnosis of myocardial infarction will be
admitted from the emergency department. Which item does the nurse give priority to placing at the
client's bedside? - ANSWER Oxygen cannula and flowmeter
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are performed
because the physician suspects iron-deficiency anemia.
COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX 2025 EXAM REVIEW STUDY GUIDE COMPREHENSIVE QUESTIONS AND ANSWERS
NCLEX Review Study Guide Comprehensive 2025
A nurse is caring for a client who sustained burn injuries on the anterior lower legs and anterior thorax.
What percentage of the client's body, according to the Rule of Nines, has been affected? - ANSWER 36%
A nurse in a physician's office is talking to a client who underwent mastectomy of the right breast 2
weeks ago. The client says to the nurse, "I hate looking at this incision. I feel that I'm not even myself
anymore." The nurse interprets this statement to mean that the client is experiencing which problem? -
ANSWER Distorted body image
A nurse provides instructions to a client who will be taking levothyroxine (Synthroid) for hypothyroidism.
The nurse tells the client that it is best to take the medication: - ANSWER In the morning, before
breakfast
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of muscle
spasms. For which common side effect of this medication does the nurse monitor the client? - ANSWER
Drowsiness
A nurse admitting a newborn to the nursery notes that the physician has documented that the
newborn has a gastroschisis. The nurse performs an assessment, expecting to note that the
viscera are: - ANSWER Outside the
abdominal cavity, not covered with a sac
The mother of an adolescent with type 1 diabetes mellitus tells the nurse that her child is a member of
the school soccer team and expresses concern about her child's participation in sports. The nurse, after
providing information to the mother about diet, exercise, insulin, and blood glucose control, tells the
mother: - ANSWER That the child should eat a carbohydrate snack about a half-hour before each soccer
game
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the
room for the child and places a sign at the child's bedside that tells staff to avoid: - ANSWER Palpating
the abdomen
A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and
tracheoesophageal fistula (TEF). Which findings does the nurse expect to note in the infant? Select all
that apply. - ANSWER Drooling
Excessive oral secretions
A nurse provides information to a client with peripheral vascular disease about ways to limit the
disease's progression. Which of the following measures does the nurse tell the client to take? Select all
that apply. - ANSWER -Engaging in exercise
such as walking on a daily basis
-Washing the feet daily with a mild soap and drying them well
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
A hospitalized client scheduled for surgery is told by the physician that she is extremely anemic and will
need a blood transfusion. The client, a Jehovah's Witness, tells the nurse that she is refusing the
transfusion. What is the most appropriate initial nursing action? - ANSWER Supporting the client's
decision to refuse the transfusion
A client experiencing delusions says to the nurse, "I am the only one who can save the world from all of
the terrorists." What is the appropriate response by the nurse? - ANSWER "I don't think anyone can
save the world from the terrorists by himself."
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-White
syndrome. Which piece of equipment does the nurse make a priority of obtaining before administering the
medication? - ANSWER Cardiac
monitor
A nurse working the evening shift is helping clients get ready for sleep. A female client with mania is
hyperactive and pacing the hallway. The appropriate nursing action is to: - ANSWER Take the client to
the bathroom and provide her with a warm bath
A client living in a long-term care facility shouts at the nurse, "Get out of my room! I don't need your help!"
What is the appropriate way for the nurse to document this occurrence in the client's record? - ANSWER
Writing down the client's words and
placing them in quotation marks
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction
(MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of
premature ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and
determines that the PVCs are not resulting in perfusion. The appropriate action by the nurse is: -
ANSWER Asking the ED physician to check the client
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND ANSWERS
A nurse is preparing a pregnant client in the third trimester for an amniocentesis. The nurse explains to
the client that amniocentesis is often performed during the third trimester to determine: - ANSWER The
degree of fetal lung maturity
Empyema develops in a client with an infected pleural effusion, and the nurse prepares the client for
thoracentesis. What characteristics of the fluid removed during thoracentesis should the nurse, assisting
the physician with the procedure, expect to note? - ANSWER Thick and opaque
A client with depression is anorexic. Which measure does the nurse take to assist the client in meeting
nutritional needs? - ANSWER Offering high-calorie and high-
protein foods and fluids frequently throughout the day
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis.
The nurse, providing information to the client about the medication, tells the client that it is best to take
it: - ANSWER In the morning, before
9:00 a.m.
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a
follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by
the nurse is therapeutic? - ANSWER "Tell me more about what you're feeling."
A nurse in the cardiac care unit is told that a client with a diagnosis of myocardial infarction will be
admitted from the emergency department. Which item does the nurse give priority to placing at the
client's bedside? - ANSWER Oxygen cannula and flowmeter
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are performed
because the physician suspects iron-deficiency anemia.
