NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
A client states, "I feel funny." The nurse uses electronic equipment to obtain vital signs and
notes these findings: blood pressure 100/56 mm Hg, pulse 38, respirations 26. The client's
previous reading: blood pressure 130/88 mm Hg, pulse 82, respirations 21. List the correct order
of actions the nurse should now take (with 1 being the top priority). - ✅✅Simultaneously check
an apical and radial pulse manually
Assess for chest pain, dyspnea, low oxygen saturation, restlessness or other signs of respiratory
or cardiac impairment
Notify the health care provider
Anticipate the need for ECG, oxygen administration, and emergency pacing
The nurse enters the client's room and finds the client, who was previously alert, lethargic and
slow to respond.
Prioritize the nursing actions by dragging and dropping the options below. - ✅✅Attempt to
elicit a response by physically shaking the client and loudly stating "open your eyes and talk to
me."
Complete a quick neurological assessment: orientation, pupil response, ability to follow
commands
Call the rapid response team and report the client's situation; request immediate assistance
Remain with the client; send another staff member to get the list of medications and the chart
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients
would the nurse put first on the discharge list in order to make room for a new admission? -
✅✅A middle-aged client with a seven-year history of being ventilator dependent and who was
admitted with bacterial pneumonia eight days ago
The registered nurse (RN) and the unlicensed assistive person (UAP) are caring for clients on a
surgical unit. Which action(s) by the UAP warrant immediate intervention? (Select all that
apply.) - ✅✅The UAP assists a client, who received an IV narcotic analgesic 30 minutes ago, to
ambulate in the hall
The UAP applies a fingertip pulse oximeter on a client whose fingernail is painted dark blue
The UAP assists a client, who had a total knee replacement two days ago, to shave using a
straight-edge razor
A nurse has been assigned to four clients in the emergency department, with each client
experiencing one of these conditions. Which client should the nurse check first? - ✅✅Tension
pneumothorax with slight tracheal deviation to the right
The new graduate nurse interviews for a position in a nursing department of a large health care
agency that uses the approach of shared governance. Which of these statements best illustrate
the shared governance model? - ✅✅Nursing departments share responsibility for client
outcomes
The triage nurse identifies that a 16-year-old client is legally married and has signed the consent
form for treatment. What would be an appropriate action by the nurse? - ✅✅Proceed with the
triage process in the same manner as any adult client
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
An elderly client is admitted to a home care agency following hospitalization for exacerbation of
heart failure. The client lives alone, has difficulty completing activities of daily living (ADLs) and
is unable to drive. Reorder the steps in the case management process by dragging and dropping
the options below. - ✅✅1. Assessment of biophysical and sociocultural considerations
2. Identification of nursing diagnosis
3. Referral to personal care attendant and transportation services
4. Reassessment of health status and ADL abilities
5. Evaluation of progress towards client's goals
The nurse, who is caring for a client with complex and unique health needs, describes the nature
of the illness in an online social forum for nurses. Neither the client's real name nor any other
personal identifiers are used. What, if any, consequence could result from posting this
information online? - ✅✅The nurse could be fired for breach of confidentiality
A nurse is named in a lawsuit. Which of these factors will offer the best protection for that nurse
in a court of law? - ✅✅Complete and accurate documentation of assessments and
interventions
A nurse manager suspects a staff nurse of substance use disorder (SUD). Which approach would
be the best initial action by the nurse manager? - ✅✅Consult with human resources personnel
about the issue and needed actions
A client asks the nurse for information about a living will. Which statement made by the client
demonstrates an understanding of a living will? (Select all that apply.) - ✅✅"I should sit down
and discuss my wishes for end-of-life care with my loved ones."
"A living will is a legal document that becomes a permanent part of my health care record."
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
"My wishes for end-of-life treatment are stated in writing."
"I will need to identify someone to be my health care proxy."
A client who is unconscious is brought to the emergency department by an ambulance. What
document should the nurse give priority to when preparing the care for this client? - ✅✅A
notarized original of the advance directive brought in by the partner
A client's uncle calls for an update on the condition of his nephew. What should the nurse do
first before providing the information to the caller? - ✅✅Consult with the client and obtain
permission to update the client's uncle of his condition
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
having surgery?" The nurse has a duty to first: - ✅✅Notify the surgeon that the client has
additional questions about alternatives to surgery
A nurse has unintentionally given an incorrect dose of medication to their client. No harm was
done to the client. What is the next action, if any, required by the nurse? - ✅✅The nurse will
report the incident to their nurse manager and follow their organizational procedures for
reporting
Which of these activities can be assigned to an unlicensed assistive person (UAP)? - ✅✅Provide
basic care to the client
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
A client states, "I feel funny." The nurse uses electronic equipment to obtain vital signs and
notes these findings: blood pressure 100/56 mm Hg, pulse 38, respirations 26. The client's
previous reading: blood pressure 130/88 mm Hg, pulse 82, respirations 21. List the correct order
of actions the nurse should now take (with 1 being the top priority). - ✅✅Simultaneously check
an apical and radial pulse manually
Assess for chest pain, dyspnea, low oxygen saturation, restlessness or other signs of respiratory
or cardiac impairment
Notify the health care provider
Anticipate the need for ECG, oxygen administration, and emergency pacing
The nurse enters the client's room and finds the client, who was previously alert, lethargic and
slow to respond.
Prioritize the nursing actions by dragging and dropping the options below. - ✅✅Attempt to
elicit a response by physically shaking the client and loudly stating "open your eyes and talk to
me."
Complete a quick neurological assessment: orientation, pupil response, ability to follow
commands
Call the rapid response team and report the client's situation; request immediate assistance
Remain with the client; send another staff member to get the list of medications and the chart
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients
would the nurse put first on the discharge list in order to make room for a new admission? -
✅✅A middle-aged client with a seven-year history of being ventilator dependent and who was
admitted with bacterial pneumonia eight days ago
The registered nurse (RN) and the unlicensed assistive person (UAP) are caring for clients on a
surgical unit. Which action(s) by the UAP warrant immediate intervention? (Select all that
apply.) - ✅✅The UAP assists a client, who received an IV narcotic analgesic 30 minutes ago, to
ambulate in the hall
The UAP applies a fingertip pulse oximeter on a client whose fingernail is painted dark blue
The UAP assists a client, who had a total knee replacement two days ago, to shave using a
straight-edge razor
A nurse has been assigned to four clients in the emergency department, with each client
experiencing one of these conditions. Which client should the nurse check first? - ✅✅Tension
pneumothorax with slight tracheal deviation to the right
The new graduate nurse interviews for a position in a nursing department of a large health care
agency that uses the approach of shared governance. Which of these statements best illustrate
the shared governance model? - ✅✅Nursing departments share responsibility for client
outcomes
The triage nurse identifies that a 16-year-old client is legally married and has signed the consent
form for treatment. What would be an appropriate action by the nurse? - ✅✅Proceed with the
triage process in the same manner as any adult client
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
An elderly client is admitted to a home care agency following hospitalization for exacerbation of
heart failure. The client lives alone, has difficulty completing activities of daily living (ADLs) and
is unable to drive. Reorder the steps in the case management process by dragging and dropping
the options below. - ✅✅1. Assessment of biophysical and sociocultural considerations
2. Identification of nursing diagnosis
3. Referral to personal care attendant and transportation services
4. Reassessment of health status and ADL abilities
5. Evaluation of progress towards client's goals
The nurse, who is caring for a client with complex and unique health needs, describes the nature
of the illness in an online social forum for nurses. Neither the client's real name nor any other
personal identifiers are used. What, if any, consequence could result from posting this
information online? - ✅✅The nurse could be fired for breach of confidentiality
A nurse is named in a lawsuit. Which of these factors will offer the best protection for that nurse
in a court of law? - ✅✅Complete and accurate documentation of assessments and
interventions
A nurse manager suspects a staff nurse of substance use disorder (SUD). Which approach would
be the best initial action by the nurse manager? - ✅✅Consult with human resources personnel
about the issue and needed actions
A client asks the nurse for information about a living will. Which statement made by the client
demonstrates an understanding of a living will? (Select all that apply.) - ✅✅"I should sit down
and discuss my wishes for end-of-life care with my loved ones."
"A living will is a legal document that becomes a permanent part of my health care record."
, NCSBN NCLEX RN ACTUAL EXAM QUESTIONS
WITH COMPLETE SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST
VERSION 2025
"My wishes for end-of-life treatment are stated in writing."
"I will need to identify someone to be my health care proxy."
A client who is unconscious is brought to the emergency department by an ambulance. What
document should the nurse give priority to when preparing the care for this client? - ✅✅A
notarized original of the advance directive brought in by the partner
A client's uncle calls for an update on the condition of his nephew. What should the nurse do
first before providing the information to the caller? - ✅✅Consult with the client and obtain
permission to update the client's uncle of his condition
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
having surgery?" The nurse has a duty to first: - ✅✅Notify the surgeon that the client has
additional questions about alternatives to surgery
A nurse has unintentionally given an incorrect dose of medication to their client. No harm was
done to the client. What is the next action, if any, required by the nurse? - ✅✅The nurse will
report the incident to their nurse manager and follow their organizational procedures for
reporting
Which of these activities can be assigned to an unlicensed assistive person (UAP)? - ✅✅Provide
basic care to the client
