NCLEX-PN EXAM 2025| 200
Questions and Verified
Answers for Guaranteed Pass
1. Question A 4-year old child is brought by her grandmother in the emergency room due to
fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of
the child but is reluctant. After a thorough assessment, the nurse also noted bruises
around the genital area. Which of the following interventions should the nurse do first?
A. Collect the clothing and underwear of the child B. Provide privacy and disregard the
behavior of the child C. Inform the law enforcement for a possible child abuse D. Record
all the findings
Correct Answer: C. Inform the law enforcement for a possible child abuse Explanation: Calling
law enforcement is a priority and legal responsibility in suspected child abuse cases, as signs like
unexplained genital injury and difficulty walking indicate possible sexual abuse.
2. Question A client receiving hydrochlorothiazide is instructed to increase her dietary
intake of potassium. The best snack for the client requiring increased potassium is: A.
Pear B. Apple C. Orange D. Avocado
Correct Answer: D. Avocado Explanation: Avocado contains the highest potassium (487 mg
per half serving) among the options, compared to pear (280 mg), apple (165 mg), and orange
(235 mg).
3. Question The nurse is caring for a client following the removal of the thyroid.
Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowlerʼs position
with the head and neck supported by pillows B. Encourage the client to turn her head side
to side, to promote drainage of oral secretions C. Maintain the client in a supine position
with sandbags placed on either side of the head and neck D. Encourage the client to
cough and breathe deeply every 2 hours, with the neck in a flexed position
Correct Answer: A. Maintain the client in a semi-Fowlerʼs position with the head and neck
supported by pillows Explanation: Semi-Fowlerʼs position reduces swelling and pressure on the
airway post-thyroidectomy; other positions increase risks of bleeding, swelling, or obstruction.
4. Question A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer.
Which of the following is associated with an increased incidence of gastric cancer? A.
Dairy products B. Carbonated beverages C. Refined sugars D. Luncheon meats
,Correct Answer: D. Luncheon meats Explanation: Luncheon meats contain nitrites linked to
gastric cancer; dairy, carbonated beverages, and refined sugars are not associated with increased
risk.
5. Question A client is sent to the psychiatric unit for forensic evaluation after he is accused
of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
clientʼs record, the nurse would expect to find: A. A history of consistent employment B.
A below-average intelligence C. A history of cruelty to animals D. An expression of
remorse for his actions
Correct Answer: C. A history of cruelty to animals Explanation: Antisocial personality disorder
often includes a history of cruelty to animals, truancy, and firesetting; clients typically lack
remorse, have inconsistent employment, and average or higher IQ.
6. Question The licensed vocational nurse may not assume the primary care for a client: A.
In the fourth stage of labor B. Two days post-appendectomy C. With a venous access
device D. With bipolar disorder
Correct Answer: C. With a venous access device Explanation: Only trained nurses can care for
venous access devices; LVNs can handle labor, post-op, and bipolar clients.
7. Question The physician has ordered dressings with Sulfamylon cream for a client with
full-thickness burns of the hands and arms. Before dressing changes, the nurse should
give priority to: A. Administering pain medication B. Checking the adequacy of urinary
output C. Requesting a daily complete blood count D. Obtaining a blood glucose by
finger stick
Correct Answer: A. Administering pain medication Explanation: Sulfamylon causes pain on
application, so pain medication is prioritized before dressing changes; other actions are
unrelated.
8. Question The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a toddler? A.
She can pull a toy behind her B. She can copy a horizontal line C. She can build a tower
of eight blocks D. She can broad-jump
Correct Answer: A. She can pull a toy behind her Explanation: Per Denver Developmental
Screening Test, toddlers (age 2) can pull toys; options B-D are skills for ages 4-5.
9. Question A client hospitalized with a fractured mandible is to be discharged. Which piece
of equipment should be kept on the client with a fractured mandible? A. Wire cutters B.
Oral airway C. Pliers D. Tracheostomy set
Correct Answer: A. Wire cutters Explanation: Wire cutters are needed to release wires in
emergencies like choking; other equipment is not suitable.
10. Question The nurse is to administer digoxin elixir to a 6-month-old with a congenital
heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse
, should: A. Record the heart rate and call the physician B. Record the heart rate and
administer the medication C. Administer the medication and recheck the heart rate in 15
minutes D. Hold the medication and recheck the heart rate in 30 minutes
Correct Answer: B. Record the heart rate and administer the medication Explanation: An apical
rate of 100 is within normal range for infants, so administer and record.
11. Question A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to
explain the treatment for her daughter. The nurseʼs explanation is based on the
knowledge that lead poisoning is treated with: A. Gastric lavage B. Chelating agents C.
Antiemetics D. Activated charcoal
Correct Answer: B. Chelating agents Explanation: Chelating agents treat heavy metal
poisonings like lead; lavage/charcoal for noncorrosive poisons, antiemetics for vomiting only.
12. Question An 18-month-old is scheduled for a cleft palate repair. The usual type of
restraints for the child with a cleft palate repair are: A. Elbow restraints B. Full arm
restraints C. Wrist restraints D. Mummy restraints
Correct Answer: A. Elbow restraints Explanation: Elbow restraints are least restrictive for cleft
palate repair; others are unnecessary.
13. Question A client with glaucoma has been prescribed Timoptic (timolol) eye drops.
Timolol should be used with caution in the client with a history of: A. Benign Prostatic
Hyperplasia B. Gastric Ulcers C. Diabetes Mellitus D. Pancreatitis
Correct Answer: C. Diabetes Mellitus Explanation: Timolol (beta-blocker) can mask
hypoglycemia signs in diabetics; not contraindicated for others.
14. Question An elderly client who experiences nighttime confusion wanders from his room
into the room of another client. The nurse can best help decrease the clientʼs confusion
by: A. Assigning a nursing assistant to sit with him until he falls asleep B. Allowing the
client to room with another elderly client C. Administering a bedtime sedative D.
Leaving a nightlight on during the evening and night shifts
Correct Answer: D. Leaving a nightlight on during the evening and night shifts Explanation:
Nightlight aids orientation and independence; sedatives increase confusion, others don't help.
15. Question Which of the following is a common complaint of the client with end-stage
renal failure? A. Weight loss B. Itching C. Ringing in the ears D. Bruising
Correct Answer: B. Itching Explanation: Pruritus from uric acid crystals on skin is common in
end-stage renal failure; others not associated.
16. Question Which of the following medication orders needs further clarification? A.
Darvocet 65 mg PO q 4–6 hrs. PRN B. Nembutal 100 mg PO at bedtime C. Coumadin
10mg PO D. Estrace 2 mg PO q day
, Correct Answer: C. Coumadin 10mg PO Explanation: Lacks time/frequency; others are
complete.
17. Question Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by
Meniereʼs disease. The following food items she is discouraged to eat, except: A. Green
tea B. Unsalted pretzels C. Grapefruit D. Smoked fish
Correct Answer: B. Unsalted pretzels Explanation: Low-sodium unsalted pretzels are allowed;
others (caffeine, tyramine-rich) worsen symptoms.
18. Question Which of the following findings is associated with right-sided heart failure? A.
Shortness of breath B. Nocturnal polyuria C. Daytime oliguria D. Crackles in the lungs
Correct Answer: B. Nocturnal polyuria Explanation: Daytime reduced renal perfusion causes
fluid retention, excreted at night; A/D for left-sided failure.
19. Question An 8-year-old admitted with an upper-respiratory infection has an order for O2
saturation via pulse oximeter. To ensure an accurate reading, the nurse should: A. Place
the probe on the childʼs abdomen B. Calibrate the oximeter at the beginning of each shift
C. Apply the probe and wait 15 minutes before obtaining a reading D. Place the probe on
the childʼs finger
Correct Answer: D. Place the probe on the childʼs finger Explanation: Finger/earlobe best for
blood flow access; abdomen unsuitable, reading quick, calibrate before use.
20. Question An infant with Tetralogy of Fallot is discharged with a prescription of lanoxin
elixir 0.5 mL once a day PO. The nurse should instruct the mother to: A. Administer the
medication using a nipple B. Administer the medication using the calibrated dropper in
the bottle C. Administer the medication using a plastic baby spoon D. Administer the
medication in a baby bottle with 1oz. of water
Correct Answer: B. Administer the medication using the calibrated dropper in the bottle
Explanation: Calibrated dropper ensures accuracy; others risk inaccurate dosing.
21. Question The client scheduled for electroconvulsive therapy tells the nurse, “Iʼm so
afraid. What will happen to me during the treatment?” Which of the following statements
is most therapeutic for the nurse to make? A. "You will be given medicine to relax you
during the treatment." B. "The treatment will produce a controlled grand mal seizure." C.
"The treatment might produce nausea and headache." D. "You can expect to be sleepy
and confused for a time after the treatment."
Correct Answer: A. "You will be given medicine to relax you during the treatment."
Explanation: Reassures with sedation info; B/D increase anxiety, C unrelated.
22. Question Which of the following skin lesions is associated with Lymeʼs disease? A.
Bullʼs eye rash B. Spider veins C. Bullae D. Scaly, silvery skin patches
Correct Answer: A. Bullʼs eye rash Explanation: Lyme disease causes annular "bullʼs eye" rash;
others for different conditions.
Questions and Verified
Answers for Guaranteed Pass
1. Question A 4-year old child is brought by her grandmother in the emergency room due to
fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of
the child but is reluctant. After a thorough assessment, the nurse also noted bruises
around the genital area. Which of the following interventions should the nurse do first?
A. Collect the clothing and underwear of the child B. Provide privacy and disregard the
behavior of the child C. Inform the law enforcement for a possible child abuse D. Record
all the findings
Correct Answer: C. Inform the law enforcement for a possible child abuse Explanation: Calling
law enforcement is a priority and legal responsibility in suspected child abuse cases, as signs like
unexplained genital injury and difficulty walking indicate possible sexual abuse.
2. Question A client receiving hydrochlorothiazide is instructed to increase her dietary
intake of potassium. The best snack for the client requiring increased potassium is: A.
Pear B. Apple C. Orange D. Avocado
Correct Answer: D. Avocado Explanation: Avocado contains the highest potassium (487 mg
per half serving) among the options, compared to pear (280 mg), apple (165 mg), and orange
(235 mg).
3. Question The nurse is caring for a client following the removal of the thyroid.
Immediately post-op, the nurse should: A. Maintain the client in a semi-Fowlerʼs position
with the head and neck supported by pillows B. Encourage the client to turn her head side
to side, to promote drainage of oral secretions C. Maintain the client in a supine position
with sandbags placed on either side of the head and neck D. Encourage the client to
cough and breathe deeply every 2 hours, with the neck in a flexed position
Correct Answer: A. Maintain the client in a semi-Fowlerʼs position with the head and neck
supported by pillows Explanation: Semi-Fowlerʼs position reduces swelling and pressure on the
airway post-thyroidectomy; other positions increase risks of bleeding, swelling, or obstruction.
4. Question A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer.
Which of the following is associated with an increased incidence of gastric cancer? A.
Dairy products B. Carbonated beverages C. Refined sugars D. Luncheon meats
,Correct Answer: D. Luncheon meats Explanation: Luncheon meats contain nitrites linked to
gastric cancer; dairy, carbonated beverages, and refined sugars are not associated with increased
risk.
5. Question A client is sent to the psychiatric unit for forensic evaluation after he is accused
of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
clientʼs record, the nurse would expect to find: A. A history of consistent employment B.
A below-average intelligence C. A history of cruelty to animals D. An expression of
remorse for his actions
Correct Answer: C. A history of cruelty to animals Explanation: Antisocial personality disorder
often includes a history of cruelty to animals, truancy, and firesetting; clients typically lack
remorse, have inconsistent employment, and average or higher IQ.
6. Question The licensed vocational nurse may not assume the primary care for a client: A.
In the fourth stage of labor B. Two days post-appendectomy C. With a venous access
device D. With bipolar disorder
Correct Answer: C. With a venous access device Explanation: Only trained nurses can care for
venous access devices; LVNs can handle labor, post-op, and bipolar clients.
7. Question The physician has ordered dressings with Sulfamylon cream for a client with
full-thickness burns of the hands and arms. Before dressing changes, the nurse should
give priority to: A. Administering pain medication B. Checking the adequacy of urinary
output C. Requesting a daily complete blood count D. Obtaining a blood glucose by
finger stick
Correct Answer: A. Administering pain medication Explanation: Sulfamylon causes pain on
application, so pain medication is prioritized before dressing changes; other actions are
unrelated.
8. Question The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a toddler? A.
She can pull a toy behind her B. She can copy a horizontal line C. She can build a tower
of eight blocks D. She can broad-jump
Correct Answer: A. She can pull a toy behind her Explanation: Per Denver Developmental
Screening Test, toddlers (age 2) can pull toys; options B-D are skills for ages 4-5.
9. Question A client hospitalized with a fractured mandible is to be discharged. Which piece
of equipment should be kept on the client with a fractured mandible? A. Wire cutters B.
Oral airway C. Pliers D. Tracheostomy set
Correct Answer: A. Wire cutters Explanation: Wire cutters are needed to release wires in
emergencies like choking; other equipment is not suitable.
10. Question The nurse is to administer digoxin elixir to a 6-month-old with a congenital
heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse
, should: A. Record the heart rate and call the physician B. Record the heart rate and
administer the medication C. Administer the medication and recheck the heart rate in 15
minutes D. Hold the medication and recheck the heart rate in 30 minutes
Correct Answer: B. Record the heart rate and administer the medication Explanation: An apical
rate of 100 is within normal range for infants, so administer and record.
11. Question A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to
explain the treatment for her daughter. The nurseʼs explanation is based on the
knowledge that lead poisoning is treated with: A. Gastric lavage B. Chelating agents C.
Antiemetics D. Activated charcoal
Correct Answer: B. Chelating agents Explanation: Chelating agents treat heavy metal
poisonings like lead; lavage/charcoal for noncorrosive poisons, antiemetics for vomiting only.
12. Question An 18-month-old is scheduled for a cleft palate repair. The usual type of
restraints for the child with a cleft palate repair are: A. Elbow restraints B. Full arm
restraints C. Wrist restraints D. Mummy restraints
Correct Answer: A. Elbow restraints Explanation: Elbow restraints are least restrictive for cleft
palate repair; others are unnecessary.
13. Question A client with glaucoma has been prescribed Timoptic (timolol) eye drops.
Timolol should be used with caution in the client with a history of: A. Benign Prostatic
Hyperplasia B. Gastric Ulcers C. Diabetes Mellitus D. Pancreatitis
Correct Answer: C. Diabetes Mellitus Explanation: Timolol (beta-blocker) can mask
hypoglycemia signs in diabetics; not contraindicated for others.
14. Question An elderly client who experiences nighttime confusion wanders from his room
into the room of another client. The nurse can best help decrease the clientʼs confusion
by: A. Assigning a nursing assistant to sit with him until he falls asleep B. Allowing the
client to room with another elderly client C. Administering a bedtime sedative D.
Leaving a nightlight on during the evening and night shifts
Correct Answer: D. Leaving a nightlight on during the evening and night shifts Explanation:
Nightlight aids orientation and independence; sedatives increase confusion, others don't help.
15. Question Which of the following is a common complaint of the client with end-stage
renal failure? A. Weight loss B. Itching C. Ringing in the ears D. Bruising
Correct Answer: B. Itching Explanation: Pruritus from uric acid crystals on skin is common in
end-stage renal failure; others not associated.
16. Question Which of the following medication orders needs further clarification? A.
Darvocet 65 mg PO q 4–6 hrs. PRN B. Nembutal 100 mg PO at bedtime C. Coumadin
10mg PO D. Estrace 2 mg PO q day
, Correct Answer: C. Coumadin 10mg PO Explanation: Lacks time/frequency; others are
complete.
17. Question Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by
Meniereʼs disease. The following food items she is discouraged to eat, except: A. Green
tea B. Unsalted pretzels C. Grapefruit D. Smoked fish
Correct Answer: B. Unsalted pretzels Explanation: Low-sodium unsalted pretzels are allowed;
others (caffeine, tyramine-rich) worsen symptoms.
18. Question Which of the following findings is associated with right-sided heart failure? A.
Shortness of breath B. Nocturnal polyuria C. Daytime oliguria D. Crackles in the lungs
Correct Answer: B. Nocturnal polyuria Explanation: Daytime reduced renal perfusion causes
fluid retention, excreted at night; A/D for left-sided failure.
19. Question An 8-year-old admitted with an upper-respiratory infection has an order for O2
saturation via pulse oximeter. To ensure an accurate reading, the nurse should: A. Place
the probe on the childʼs abdomen B. Calibrate the oximeter at the beginning of each shift
C. Apply the probe and wait 15 minutes before obtaining a reading D. Place the probe on
the childʼs finger
Correct Answer: D. Place the probe on the childʼs finger Explanation: Finger/earlobe best for
blood flow access; abdomen unsuitable, reading quick, calibrate before use.
20. Question An infant with Tetralogy of Fallot is discharged with a prescription of lanoxin
elixir 0.5 mL once a day PO. The nurse should instruct the mother to: A. Administer the
medication using a nipple B. Administer the medication using the calibrated dropper in
the bottle C. Administer the medication using a plastic baby spoon D. Administer the
medication in a baby bottle with 1oz. of water
Correct Answer: B. Administer the medication using the calibrated dropper in the bottle
Explanation: Calibrated dropper ensures accuracy; others risk inaccurate dosing.
21. Question The client scheduled for electroconvulsive therapy tells the nurse, “Iʼm so
afraid. What will happen to me during the treatment?” Which of the following statements
is most therapeutic for the nurse to make? A. "You will be given medicine to relax you
during the treatment." B. "The treatment will produce a controlled grand mal seizure." C.
"The treatment might produce nausea and headache." D. "You can expect to be sleepy
and confused for a time after the treatment."
Correct Answer: A. "You will be given medicine to relax you during the treatment."
Explanation: Reassures with sedation info; B/D increase anxiety, C unrelated.
22. Question Which of the following skin lesions is associated with Lymeʼs disease? A.
Bullʼs eye rash B. Spider veins C. Bullae D. Scaly, silvery skin patches
Correct Answer: A. Bullʼs eye rash Explanation: Lyme disease causes annular "bullʼs eye" rash;
others for different conditions.
