NCLEX 4 QUESTIONS AND ANSWERS : {LATEST 2025/ 2026 UPDATE}
COMPLETE REAL AND AUTHENTIC EXAM {100% CORRECT} RATED
A+!!!!
The nurse is caring for a client who has developed dystonia following the
administration of fluphenazine. Which medication does the nurse anticipate that
the primary healthcare provider (PHCP) will prescribe? -
Answer-Diphenhydramine is an anticholinergic and is utilized for dystonic reactions
associated with antipsychotic use (such as fluphenazine, a typical antipsychotic).
Dystonia is one of the earliest adverse effects and should be promptly reported to the
prescriber.
dystonia is treated with -
Answer-Typical antipsychotics include fluphenazine, haloperidol, and chlorpromazine
The nurse is assessing a newborn born at term and notes that central cyanosis is
present and persistent five minutes after birth. The nurse attaches a pulse
oximeter to the newborn and, in determining whether the infant requires
supplemental oxygen, knows that the expected oxygen saturation at 5 minutes
after birth is: -
Answer-80-85
when the child is first born the o2 is
-at 2 min
- at 3 min
-at 4 min -
Answer-60-65
-65-70
-75-80
The nurse is assessing a client with a chest tube for crepitus. Which assessment
technique is most appropriate for the nurse to perform? -
Answer-The nurse may assess for crepitus by palpating the skin around the chest tube
and observing for a crackling sensation. Crepitus is defined as infiltration of air in the
subcutaneous layer of the skin, also known as subcutaneous emphysema. It is caused
by air leaking into the subcutaneous space.
rheumatoid arthritis -
Answer-fever
-bilateral joint pain
-joint swelling,
-fatigue,
-low-grade fever,
-weight loss.
-A low-grade fever can occur in RA due to the inflammatory nature of the disease.
The nurse is performing discharge teaching to the parents of a child diagnosed
with cystic fibrosis. Which education should the nurse provide to the parents
,regarding at- home nebulizer treatments? -
Answer-The nebulizer can be a significant reservoir of
, pathogens, which may increase the client's infection risk. The nebulizer should be
cleaned with warm, soapy water and air-dried after each use.
the nurse has taught a client scheduled for a vasectomy. which of the following
statements by the client would indicate a correct understanding of the teaching -
Answer-A second method of birth control is necessary until the sperm count is zero. A
follow-up semen assessment to ensure no sperm is present is typically performed within
eight to twelve weeks after this procedure. Until the client is informed that the count is
zero, a birth control method should be utilized, as pregnancy may still be possible.
The nurse is caring for a client scheduled for surgery who is nothing by mouth
(NPO) status. Which of the following prescription should the nurse clarify with
the primary healthcare physician (PHCP)? -
Answer-the long acting can be give but the short acting should be given with meals
The nurse is preparing to present to the quality improvement committee to evoke
a change in the facility's policy and procedure regarding restraint usage. To
ensure that the nurse is providing findings from the highest quality of evidence,
the nurse should include findings from a -
Answer-Systematic reviews are the highest quality scholarly evidence. In a systematic
review, thorough literature is gathered, analyzed, and synthesized to form a conclusion
relevant to a topic. A systematic review utilizes the highest rigor when selecting
literature for analysis and provides the inclusion and exclusion criteria for research
finding selection. The nurse should include findings from systematic reviews published
within the past five years to ensure the results are relevant.
The nurse is caring for a client with type 1 diabetes mellitus who is admitted to
the hospital with diabetic ketoacidosis (DKA). Which laboratory result is critical
for the nurse to monitor closely during the client's treatment? -
Answer-In DKA, there is a risk of hyperkalemia because acidosis causes the shift of
potassium from intracellular to extracellular spaces (increasing the serum potassium).
Insulin therapy can rapidly decrease serum potassium levels by correcting acidosis and
reversing this shift (potassium is driven back into the intracellular space). Therefore,
close monitoring of serum potassium is required to prevent hypokalemia complications.
The nurse is assisting in positioning a client for a liver biopsy procedure. Which
positioning is most appropriate for the client during the procedure? -
Answer--supine position with the right arm abducted and the head turned to the left
The nurse is reviewing septic shock with a group of nursing students. It would be
correct if the student identifies which causes increased lactate production? -
Answer-is primarily a consequence of inadequate tissue perfusion
Which of the following clients does the nurse suspect would benefit most from
placement of a nasogastric tube? -
Answer--The nurse suspects that a 52-year-old
COMPLETE REAL AND AUTHENTIC EXAM {100% CORRECT} RATED
A+!!!!
The nurse is caring for a client who has developed dystonia following the
administration of fluphenazine. Which medication does the nurse anticipate that
the primary healthcare provider (PHCP) will prescribe? -
Answer-Diphenhydramine is an anticholinergic and is utilized for dystonic reactions
associated with antipsychotic use (such as fluphenazine, a typical antipsychotic).
Dystonia is one of the earliest adverse effects and should be promptly reported to the
prescriber.
dystonia is treated with -
Answer-Typical antipsychotics include fluphenazine, haloperidol, and chlorpromazine
The nurse is assessing a newborn born at term and notes that central cyanosis is
present and persistent five minutes after birth. The nurse attaches a pulse
oximeter to the newborn and, in determining whether the infant requires
supplemental oxygen, knows that the expected oxygen saturation at 5 minutes
after birth is: -
Answer-80-85
when the child is first born the o2 is
-at 2 min
- at 3 min
-at 4 min -
Answer-60-65
-65-70
-75-80
The nurse is assessing a client with a chest tube for crepitus. Which assessment
technique is most appropriate for the nurse to perform? -
Answer-The nurse may assess for crepitus by palpating the skin around the chest tube
and observing for a crackling sensation. Crepitus is defined as infiltration of air in the
subcutaneous layer of the skin, also known as subcutaneous emphysema. It is caused
by air leaking into the subcutaneous space.
rheumatoid arthritis -
Answer-fever
-bilateral joint pain
-joint swelling,
-fatigue,
-low-grade fever,
-weight loss.
-A low-grade fever can occur in RA due to the inflammatory nature of the disease.
The nurse is performing discharge teaching to the parents of a child diagnosed
with cystic fibrosis. Which education should the nurse provide to the parents
,regarding at- home nebulizer treatments? -
Answer-The nebulizer can be a significant reservoir of
, pathogens, which may increase the client's infection risk. The nebulizer should be
cleaned with warm, soapy water and air-dried after each use.
the nurse has taught a client scheduled for a vasectomy. which of the following
statements by the client would indicate a correct understanding of the teaching -
Answer-A second method of birth control is necessary until the sperm count is zero. A
follow-up semen assessment to ensure no sperm is present is typically performed within
eight to twelve weeks after this procedure. Until the client is informed that the count is
zero, a birth control method should be utilized, as pregnancy may still be possible.
The nurse is caring for a client scheduled for surgery who is nothing by mouth
(NPO) status. Which of the following prescription should the nurse clarify with
the primary healthcare physician (PHCP)? -
Answer-the long acting can be give but the short acting should be given with meals
The nurse is preparing to present to the quality improvement committee to evoke
a change in the facility's policy and procedure regarding restraint usage. To
ensure that the nurse is providing findings from the highest quality of evidence,
the nurse should include findings from a -
Answer-Systematic reviews are the highest quality scholarly evidence. In a systematic
review, thorough literature is gathered, analyzed, and synthesized to form a conclusion
relevant to a topic. A systematic review utilizes the highest rigor when selecting
literature for analysis and provides the inclusion and exclusion criteria for research
finding selection. The nurse should include findings from systematic reviews published
within the past five years to ensure the results are relevant.
The nurse is caring for a client with type 1 diabetes mellitus who is admitted to
the hospital with diabetic ketoacidosis (DKA). Which laboratory result is critical
for the nurse to monitor closely during the client's treatment? -
Answer-In DKA, there is a risk of hyperkalemia because acidosis causes the shift of
potassium from intracellular to extracellular spaces (increasing the serum potassium).
Insulin therapy can rapidly decrease serum potassium levels by correcting acidosis and
reversing this shift (potassium is driven back into the intracellular space). Therefore,
close monitoring of serum potassium is required to prevent hypokalemia complications.
The nurse is assisting in positioning a client for a liver biopsy procedure. Which
positioning is most appropriate for the client during the procedure? -
Answer--supine position with the right arm abducted and the head turned to the left
The nurse is reviewing septic shock with a group of nursing students. It would be
correct if the student identifies which causes increased lactate production? -
Answer-is primarily a consequence of inadequate tissue perfusion
Which of the following clients does the nurse suspect would benefit most from
placement of a nasogastric tube? -
Answer--The nurse suspects that a 52-year-old
