NCLEX-PN 2025 QUESTIONS WITH
ACTUAL ANSWERS
Abrupt, high-pitched snapping noise - CORRECT ANSWER>>>>heart murmur
is normal and represent the S1 (first heart sound) and S2 (second heart sound) - CORRECT
ANSWER>>>>Lubb-dubb sounds
is described as a scratchy, leathery heart sound - CORRECT ANSWER>>>>pericardial friction
rub
Vomiting will cause the loss of - CORRECT ANSWER>>>>hydrochloric acid and subsequent
metabolic
_____ would occur in a child experiencing diarrhea because of the loss of bicarbonate. -
CORRECT ANSWER>>>>Metabolic acidosis
An ____ involves insertion of needle electrodes into selected skeletal muscles to evaluate
changes & electrical potential of the muscles & the nerves that lead to them. The test is useful in
evaluating suspected lumbar or cervical disk disease, myasthenia gravis, muscular dystrophy,
and other musculoskeletal diseases. The needle will not electrocute him or her, & will experience
sensations comparable to an injection as the needles are inserted. An informed consent is
required, & no other special preparation is required for this test. - CORRECT
ANSWER>>>>electromyogram
The nurse is preparing a client for surgery. Which would be a component of the plan of care? -
CORRECT ANSWER>>>>Review the results of the preoperative laboratory studies.
one of the most common skin infections among kids, usually produces blisters or sores on the
face, neck, hands, and diaper area. This contagious superficial skin infection is generally caused
by one of two bacteria: Staphylococcus aureus or Streptococcus pyogenes - CORRECT
ANSWER>>>>impetigo
a RN in a charge position is reinforcinbg goals to the health care team. which of these itmes best
decribes the goals of continous quality improvement (CQI) in a health care setting? - CORRECT
ANSWER>>>>improve the quality of care in a proactive manner.
the clienbt who recently expericned a stroke has an order to amublate with assistanc. which
statement by the nurse provides the best instructions to the UAP to assist the client to ambulate?
- CORRECT ANSWER>>>>"have the client lift & move the walker out at arms length then
wlak into the walker." the nurse should give clear & concise inof to the UAP about what is
expected to safely conmplete any task, which is why the optionn about using the walker is
correct. the person assisting the client to ambulate should walk on the client's weak side. UAP
cannot assess or eval a client; only nurses can peform the steps of the nursing process. if a client
gets dizzy, the UAP should assist the client to sit.
, the practical nurse (PN) is reassigned to work on an acute care unit. which of these clients would
be most appropriate for this PN to accept? - CORRECT ANSWER>>>>an older adult client Dx
w/ cystitis who has an indwelling urethral catheter
=PNs who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most
stable & the outcomes for care are failry predictable. the other clients have more complex
problems, as well as a higher risk for instability. PNs should not accept an assignment that is
beyond their knowledge or skills
which nursing practice best reduces the chance of communication errors that might otherwise
lead to negative client outcomes? - CORRECT ANSWER>>>>use standardized forms for client
handoffs.
the clients states to the nurse: "I am ready to stop all of these Tx. I just want to go home & enjoy
my family for the little bit of time I have left." which action is most appropriate? - CORRECT
ANSWER>>>>encourage the cleint to discuss this decision w/ the health care provider &
family.
=the cleint has the right to stop Tx & should be supported in clearly communicating this decision
w/ the HCP & family. the nurse needs to act as an advocate for the client.
the nurse, who is caring for a wclient w/ complex & unique health needs, describes the nautre of
the illness in an online social forum for nurses. neither the cleint's real name nor any other
personal identifiers are used. what, if any, consequence could result from posting this info
online? - CORRECT ANSWER>>>>the nurse could be fired for breach of confidentiality.
a 90yr. old is readmitted to the hospital, less than 2wks after being DC, for the same health
concern. what factors contirbute to hospital readmissions among older adults? (select all that
apply) - CORRECT ANSWER>>>>=poor communication among providers
=client health status
=family preferences
two members of the interdisciplinary team are arguing about the plan of care for a client. which
action culd any one of the members of the team use as a de-escalation strategy? - CORRECT
ANSWER>>>>bring the communication focus back to the client
during a discussion about a living will w/ a 75yr old client & the client's son, the son says, "I do
not understand the need for a living will." which of these statements would be accurate &
appropriate for the nurse to say in a response to this question? - CORRECT
ANSWER>>>>"health care decisions can be made based on the client's wishes"
the nurse is assessing the client during a home health visit & the client states: "i had PT
yesterday. I thought it was supposed to help but my back hurts so much after each visit." the
nurse's responsibility include which of the following actions? select all that apply - CORRECT
ANSWER>>>>=report the client's finding to the nursing supervisor for further assessment.
=report the client's findings to the PT
=gather more info about the location, duration, intensity of the pain
ACTUAL ANSWERS
Abrupt, high-pitched snapping noise - CORRECT ANSWER>>>>heart murmur
is normal and represent the S1 (first heart sound) and S2 (second heart sound) - CORRECT
ANSWER>>>>Lubb-dubb sounds
is described as a scratchy, leathery heart sound - CORRECT ANSWER>>>>pericardial friction
rub
Vomiting will cause the loss of - CORRECT ANSWER>>>>hydrochloric acid and subsequent
metabolic
_____ would occur in a child experiencing diarrhea because of the loss of bicarbonate. -
CORRECT ANSWER>>>>Metabolic acidosis
An ____ involves insertion of needle electrodes into selected skeletal muscles to evaluate
changes & electrical potential of the muscles & the nerves that lead to them. The test is useful in
evaluating suspected lumbar or cervical disk disease, myasthenia gravis, muscular dystrophy,
and other musculoskeletal diseases. The needle will not electrocute him or her, & will experience
sensations comparable to an injection as the needles are inserted. An informed consent is
required, & no other special preparation is required for this test. - CORRECT
ANSWER>>>>electromyogram
The nurse is preparing a client for surgery. Which would be a component of the plan of care? -
CORRECT ANSWER>>>>Review the results of the preoperative laboratory studies.
one of the most common skin infections among kids, usually produces blisters or sores on the
face, neck, hands, and diaper area. This contagious superficial skin infection is generally caused
by one of two bacteria: Staphylococcus aureus or Streptococcus pyogenes - CORRECT
ANSWER>>>>impetigo
a RN in a charge position is reinforcinbg goals to the health care team. which of these itmes best
decribes the goals of continous quality improvement (CQI) in a health care setting? - CORRECT
ANSWER>>>>improve the quality of care in a proactive manner.
the clienbt who recently expericned a stroke has an order to amublate with assistanc. which
statement by the nurse provides the best instructions to the UAP to assist the client to ambulate?
- CORRECT ANSWER>>>>"have the client lift & move the walker out at arms length then
wlak into the walker." the nurse should give clear & concise inof to the UAP about what is
expected to safely conmplete any task, which is why the optionn about using the walker is
correct. the person assisting the client to ambulate should walk on the client's weak side. UAP
cannot assess or eval a client; only nurses can peform the steps of the nursing process. if a client
gets dizzy, the UAP should assist the client to sit.
, the practical nurse (PN) is reassigned to work on an acute care unit. which of these clients would
be most appropriate for this PN to accept? - CORRECT ANSWER>>>>an older adult client Dx
w/ cystitis who has an indwelling urethral catheter
=PNs who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most
stable & the outcomes for care are failry predictable. the other clients have more complex
problems, as well as a higher risk for instability. PNs should not accept an assignment that is
beyond their knowledge or skills
which nursing practice best reduces the chance of communication errors that might otherwise
lead to negative client outcomes? - CORRECT ANSWER>>>>use standardized forms for client
handoffs.
the clients states to the nurse: "I am ready to stop all of these Tx. I just want to go home & enjoy
my family for the little bit of time I have left." which action is most appropriate? - CORRECT
ANSWER>>>>encourage the cleint to discuss this decision w/ the health care provider &
family.
=the cleint has the right to stop Tx & should be supported in clearly communicating this decision
w/ the HCP & family. the nurse needs to act as an advocate for the client.
the nurse, who is caring for a wclient w/ complex & unique health needs, describes the nautre of
the illness in an online social forum for nurses. neither the cleint's real name nor any other
personal identifiers are used. what, if any, consequence could result from posting this info
online? - CORRECT ANSWER>>>>the nurse could be fired for breach of confidentiality.
a 90yr. old is readmitted to the hospital, less than 2wks after being DC, for the same health
concern. what factors contirbute to hospital readmissions among older adults? (select all that
apply) - CORRECT ANSWER>>>>=poor communication among providers
=client health status
=family preferences
two members of the interdisciplinary team are arguing about the plan of care for a client. which
action culd any one of the members of the team use as a de-escalation strategy? - CORRECT
ANSWER>>>>bring the communication focus back to the client
during a discussion about a living will w/ a 75yr old client & the client's son, the son says, "I do
not understand the need for a living will." which of these statements would be accurate &
appropriate for the nurse to say in a response to this question? - CORRECT
ANSWER>>>>"health care decisions can be made based on the client's wishes"
the nurse is assessing the client during a home health visit & the client states: "i had PT
yesterday. I thought it was supposed to help but my back hurts so much after each visit." the
nurse's responsibility include which of the following actions? select all that apply - CORRECT
ANSWER>>>>=report the client's finding to the nursing supervisor for further assessment.
=report the client's findings to the PT
=gather more info about the location, duration, intensity of the pain
