NCLEX RN: Review 2025 Update NGN Questions &
Answers Bank with Rationales
What drugs would be contraindicated with St. John's wort?
1. Hydrochlorothiazide
2. Digoxin
3. Nifedipine
4. Simvastatin
5. Escitalopram
6. Metformin
Answer: 2, 3, 4, 5
Basically heart medications and SSRI
A client with chronic alcoholism has been admitted to the intensive care unit after overdosing on
alcohol. Which medication should the nurse prepare to administer?
1. Disulfiram 250 mg po daily
2. Thiamine 100 mg IV twice a day
3. Naloxone 0.4 mg IV prn
4. Clonidine TTS patch 2.5 mg per week
Answer: 2
2. Correct: Prescribing of thiamine action is to alleviate dehydration, prevent delirium and
precaution treatment for vitamin B complex deficiency. Thiamine 50-100 mg IV or IM is
indicated twice a day for clients with chronic alcoholism. It is usually given for several days,
followed by 10-20 mg once a day until a therapeutic response is obtained.
,1. Incorrect: Disulfuram is an aid in the management of selected chronic alcohol clients who
want to remain in a state of enforced sobriety so that supportive and psychotherapeutic treatment
may be applied. It is not a cure for alcoholism. Without proper motivation and supportive
therapy, it is unlikely that it will have any substantive effect on the drinking pattern of the
chronic alcoholic.
3. Incorrect: Naloxone prevents or blocks the action of narcotics (opioid medication). Naloxone
is indicated for opioid overdose. Naloxone is sometimes prescribed to verify whether the client
has overdosed with an opioid.
4. Incorrect: Clonidine is used to suppress opiate withdrawal symptoms. Serves effectively as a
bridge to enable the client to stay opiate-free long enough to facilitate termination of methadone
maintenance.
A charge nurse is planning care for several clients on the unit. Which activities can the nurse
safely delegate to an unlicensed assistive personnel (UAP)? Select all that apply
1. Administer a nebulizer treatment to a client diagnosed with pneumonia.
2. Obtain vital signs on a postoperative client who required naloxone 5 minutes ago.
3. Report a urinary output (UOP) less than 50 ml/hr on a post-op client.
4. Assist a client with obtaining a clean catch urine sample.
5. Remove an indwelling urinary catheter from a client.
Answer: 3, 4
3., & 4. Correct: A UAP can report the amount of UOP but cannot interpret it. A clean catch urine
sample is a noninvasive procedure. The UAP can assist the client to obtain the clean catch
,urinary sample. Both activities are the right person and right task of delegation. 1. Incorrect: A
UAP cannot administer medications. This is the wrong task for an UAP.2. Incorrect: The client
received naloxone to reverse the action of an opioid medication. A UAP should not be assigned
to obtain vital signs on an unstable client. This is the wrong person to perform removal of an
indwelling urinary catheter. 5. Incorrect: A UAP cannot remove an indwelling urinary catheter.
A nurse is attempting to develop trust with a psychiatric client exhibiting concrete thinking.
Which nursing intervention would promote trust in this individual?
select all that apply
1. Attend an activity with the client who is reluctant to go alone.
2. Allow the client to break an insignificant rule.
3. Consider client preferences when possible in decisions concerning care.
4. Provide a blanket when the client is cold.
5. Provide food when the client is hungry.
Answer: All but 2
1., 3., 4. & 5. Correct: Trust is demonstrated through nursing interventions that convey a sense of
warmth and care to the client. These interventions are initiated simply, concretely, and directed
toward activities that address the client's basic needs for physiological and psychological safety
and security. Concrete thinking focuses thought processes on specifics, rather than generalities,
and immediate issues, rather than eventual outcomes. Examples of nursing interventions that
would promote trust in an individual who is thinking concretely include such things as: providing
, a blanket when the client is cold, providing food when the client is hungry, keeping promises,
being honest, providing a written, structured schedule of activities, attending activities with the
client if he is reluctant to go alone, being consistent in adhering to unit guidelines, and taking the
client's preferences, requests, and opinions into consideration when possible in decisions
concerning care.
2. Incorrect: The client should be informed of all rules, simply and clearly, with reasons for
certain policies and rules. Be consistent and provide written, structured, scheduled activities.
Allowing a client to break a rule would not encourage them to think about the outcomes of their
actions.
An elderly client arrives in the emergency department (ED) after a fall. What assessment
findings would lead the nurse to suspect that the client has a fractured right hip?
Select all that apply
1. Severe pain in the right hip and groin.
2. Inability to bear weight on the right leg.
3. Right leg slightly longer in length than the left leg.
4. External rotation of right lower leg.
5. Bruising and swelling around the right hip.
Answer: All but 3
1., 2., 4., & 5. Correct: Pain in the affected hip, often severe, is one of the main signs of a hip
fracture. This pain may radiate to the groin area. The pain and bone injury generally prevent the
Answers Bank with Rationales
What drugs would be contraindicated with St. John's wort?
1. Hydrochlorothiazide
2. Digoxin
3. Nifedipine
4. Simvastatin
5. Escitalopram
6. Metformin
Answer: 2, 3, 4, 5
Basically heart medications and SSRI
A client with chronic alcoholism has been admitted to the intensive care unit after overdosing on
alcohol. Which medication should the nurse prepare to administer?
1. Disulfiram 250 mg po daily
2. Thiamine 100 mg IV twice a day
3. Naloxone 0.4 mg IV prn
4. Clonidine TTS patch 2.5 mg per week
Answer: 2
2. Correct: Prescribing of thiamine action is to alleviate dehydration, prevent delirium and
precaution treatment for vitamin B complex deficiency. Thiamine 50-100 mg IV or IM is
indicated twice a day for clients with chronic alcoholism. It is usually given for several days,
followed by 10-20 mg once a day until a therapeutic response is obtained.
,1. Incorrect: Disulfuram is an aid in the management of selected chronic alcohol clients who
want to remain in a state of enforced sobriety so that supportive and psychotherapeutic treatment
may be applied. It is not a cure for alcoholism. Without proper motivation and supportive
therapy, it is unlikely that it will have any substantive effect on the drinking pattern of the
chronic alcoholic.
3. Incorrect: Naloxone prevents or blocks the action of narcotics (opioid medication). Naloxone
is indicated for opioid overdose. Naloxone is sometimes prescribed to verify whether the client
has overdosed with an opioid.
4. Incorrect: Clonidine is used to suppress opiate withdrawal symptoms. Serves effectively as a
bridge to enable the client to stay opiate-free long enough to facilitate termination of methadone
maintenance.
A charge nurse is planning care for several clients on the unit. Which activities can the nurse
safely delegate to an unlicensed assistive personnel (UAP)? Select all that apply
1. Administer a nebulizer treatment to a client diagnosed with pneumonia.
2. Obtain vital signs on a postoperative client who required naloxone 5 minutes ago.
3. Report a urinary output (UOP) less than 50 ml/hr on a post-op client.
4. Assist a client with obtaining a clean catch urine sample.
5. Remove an indwelling urinary catheter from a client.
Answer: 3, 4
3., & 4. Correct: A UAP can report the amount of UOP but cannot interpret it. A clean catch urine
sample is a noninvasive procedure. The UAP can assist the client to obtain the clean catch
,urinary sample. Both activities are the right person and right task of delegation. 1. Incorrect: A
UAP cannot administer medications. This is the wrong task for an UAP.2. Incorrect: The client
received naloxone to reverse the action of an opioid medication. A UAP should not be assigned
to obtain vital signs on an unstable client. This is the wrong person to perform removal of an
indwelling urinary catheter. 5. Incorrect: A UAP cannot remove an indwelling urinary catheter.
A nurse is attempting to develop trust with a psychiatric client exhibiting concrete thinking.
Which nursing intervention would promote trust in this individual?
select all that apply
1. Attend an activity with the client who is reluctant to go alone.
2. Allow the client to break an insignificant rule.
3. Consider client preferences when possible in decisions concerning care.
4. Provide a blanket when the client is cold.
5. Provide food when the client is hungry.
Answer: All but 2
1., 3., 4. & 5. Correct: Trust is demonstrated through nursing interventions that convey a sense of
warmth and care to the client. These interventions are initiated simply, concretely, and directed
toward activities that address the client's basic needs for physiological and psychological safety
and security. Concrete thinking focuses thought processes on specifics, rather than generalities,
and immediate issues, rather than eventual outcomes. Examples of nursing interventions that
would promote trust in an individual who is thinking concretely include such things as: providing
, a blanket when the client is cold, providing food when the client is hungry, keeping promises,
being honest, providing a written, structured schedule of activities, attending activities with the
client if he is reluctant to go alone, being consistent in adhering to unit guidelines, and taking the
client's preferences, requests, and opinions into consideration when possible in decisions
concerning care.
2. Incorrect: The client should be informed of all rules, simply and clearly, with reasons for
certain policies and rules. Be consistent and provide written, structured, scheduled activities.
Allowing a client to break a rule would not encourage them to think about the outcomes of their
actions.
An elderly client arrives in the emergency department (ED) after a fall. What assessment
findings would lead the nurse to suspect that the client has a fractured right hip?
Select all that apply
1. Severe pain in the right hip and groin.
2. Inability to bear weight on the right leg.
3. Right leg slightly longer in length than the left leg.
4. External rotation of right lower leg.
5. Bruising and swelling around the right hip.
Answer: All but 3
1., 2., 4., & 5. Correct: Pain in the affected hip, often severe, is one of the main signs of a hip
fracture. This pain may radiate to the groin area. The pain and bone injury generally prevent the
