NCLEX-RN V12.35 National Council Licensure\\\NCLEX-
RN WITH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM 2025
Hematocrit 60% ---ANS---NO.10 A 16-month-old infant is being prepared for tetralogy of Fallot repair. In
the nursing assessment, which lab value should elicit further assessment and requires notification of
physician? 7.39
Walk him as he paces. ---ANS---NO.11 A male client is experiencing extreme distress. He begins to pace
up and down the corridor. What nursing intervention is appropriate when communicating with the
pacing client?
NO.1 A depressed client is seen at the mental health center for follow-up after an attempted suicide 1
week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7
straight days. She states that she is not feeling any better. The nurse explains that the drug must
accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to
occur within: ---ANS---2-4 weeks months months B Explanation:
NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that ---ANS---Both parents
must be carriers for a child to have the disease
Delusion ---ANS---NO.3 A 24-year-old client presents to the emergency department protesting "I am
God. The nurse identifies this as a
Haloperidol (Haldol) ---ANS---acute episodes of mania, lithium is effective in 1-2 weeks, but it may take
up to 4 weeks, or even a few months treat symptoms fully. Sometimes an antipsychotic agent is
,prescribed the first few days or weeks of an acute episode to manage severe behavioral excitement and
acute psychotic symptoms. In addition to the lithium, which one of the following medications might the
physician prescribe?
Release restraints every 2 hours for client to exercise. ---ANS---NO.5 A violent client remains in restraints
for several hours. Which of the following interventions is most appropriate while he is in restraints?
Observe for headaches, dizziness, and anorexia ---ANS---NO.6 The pediatrician has diagnosed tinea
capitis in an 8-year-old girl and has placed her on oral griseofulvin. The nurse should emphasize which of
these instructions to the mother and/or child?
Decrease ammonia formation ---ANS---n.7 A client with cirrhosis of the liver becomes comatose and is
started on neomycin 300 mg q6h nasogastric tube. The rationale for this therapy is to:
Observe for evidence of bleeding. ---ANS---NO.8 A 5-year-old has just had a tonsillectomy and
adenoidectomy. Which of these nursing measures should be included in the postoperative care?
Decreased absent pedal pulse in the left leg ---ANS---NO.9 An 80-year-old male client with a history of
arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago.
When performing the admission assessment, the nurse would expect to observe which of the following:
Walk with him as he paces. ---ANS---NO.11 A male client is experiencing extreme distress. He begins to
pace up and down the corridor. What nursing intervention is appropriate when communicating with the
pacing client?
Locate the position of the placenta and fetus ---ANS---NO.12 Prior to an amniocentesis, a fetal
ultrasound is done in order to
February 27 ---ANS---NO.13 A 25-year-old client believes she may be pregnant with her first child. She
schedules an obstetric examination with the nurse practitioner to determine the status of her possible
pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using
Nagele's rule is:
Gestational diabetes mellitus ---ANS---NO.14 A client is now pregnant for the second time. Her first child
weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels.
Because she only shows signs of diabetes when she is pregnant, she is classified as having:
, Vitamin C ---ANS---NO.16 The nurse is assisting a 4th-day postoperative cholecystectomy client in
planning her meals for tomorrow's menu. Which vitamin is the most essential in promoting tissue
healing?
Allowing him to do as much for himself as he is able, including learning to do pin-site care under
supervision ---ANS---NO.17 A 10-year-old client with a pin in the right femur is immobilized in traction.
He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to
concentrate on activities, and monotony. Which of the following nursing implementations would be
most effective in helping him cope with immobility?
First trimester ---ANS---NO.18 In client teaching, the nurse should emphasize that fetal damage occurs
more frequently with ingestion of drugs during:
High Fowler ---ANS---NO.19 On admission, the client has signs and symptoms of pulmonary edema. The
nurse places the client in the most appropriate position for a client in pulmonary edema, which is:
Respiratory obstruction ---ANS---NO.20 A client has returned to the unit from the recovery room after
having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:
Mother calls infant by name. ---ANS---NO.2 The nurse should facilitate bonding during the postpartum
period. What should the nurse expect to observe in the taking-hold phase?
Respect the client's family's wishes. ---ANS---NO.22 A female client has just died. Her family is requesting
that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a
ceremony for the deceased in the room, requesting that only family members be present. The nurse
assigned to the client should perform the appropriate nursing action, which might include:
Wear a patch over one eye ---ANS---NO.23 A woman diagnosed with multiple sclerosis is disturbed with
diplopia. The nurse will teach her to
Level of consciousness ---ANS---NO.24 One of the most reliable assessment tools for adequacy of fluid
resuscitation in burned children is:
RN WITH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM 2025
Hematocrit 60% ---ANS---NO.10 A 16-month-old infant is being prepared for tetralogy of Fallot repair. In
the nursing assessment, which lab value should elicit further assessment and requires notification of
physician? 7.39
Walk him as he paces. ---ANS---NO.11 A male client is experiencing extreme distress. He begins to pace
up and down the corridor. What nursing intervention is appropriate when communicating with the
pacing client?
NO.1 A depressed client is seen at the mental health center for follow-up after an attempted suicide 1
week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7
straight days. She states that she is not feeling any better. The nurse explains that the drug must
accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to
occur within: ---ANS---2-4 weeks months months B Explanation:
NO.2 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that ---ANS---Both parents
must be carriers for a child to have the disease
Delusion ---ANS---NO.3 A 24-year-old client presents to the emergency department protesting "I am
God. The nurse identifies this as a
Haloperidol (Haldol) ---ANS---acute episodes of mania, lithium is effective in 1-2 weeks, but it may take
up to 4 weeks, or even a few months treat symptoms fully. Sometimes an antipsychotic agent is
,prescribed the first few days or weeks of an acute episode to manage severe behavioral excitement and
acute psychotic symptoms. In addition to the lithium, which one of the following medications might the
physician prescribe?
Release restraints every 2 hours for client to exercise. ---ANS---NO.5 A violent client remains in restraints
for several hours. Which of the following interventions is most appropriate while he is in restraints?
Observe for headaches, dizziness, and anorexia ---ANS---NO.6 The pediatrician has diagnosed tinea
capitis in an 8-year-old girl and has placed her on oral griseofulvin. The nurse should emphasize which of
these instructions to the mother and/or child?
Decrease ammonia formation ---ANS---n.7 A client with cirrhosis of the liver becomes comatose and is
started on neomycin 300 mg q6h nasogastric tube. The rationale for this therapy is to:
Observe for evidence of bleeding. ---ANS---NO.8 A 5-year-old has just had a tonsillectomy and
adenoidectomy. Which of these nursing measures should be included in the postoperative care?
Decreased absent pedal pulse in the left leg ---ANS---NO.9 An 80-year-old male client with a history of
arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago.
When performing the admission assessment, the nurse would expect to observe which of the following:
Walk with him as he paces. ---ANS---NO.11 A male client is experiencing extreme distress. He begins to
pace up and down the corridor. What nursing intervention is appropriate when communicating with the
pacing client?
Locate the position of the placenta and fetus ---ANS---NO.12 Prior to an amniocentesis, a fetal
ultrasound is done in order to
February 27 ---ANS---NO.13 A 25-year-old client believes she may be pregnant with her first child. She
schedules an obstetric examination with the nurse practitioner to determine the status of her possible
pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using
Nagele's rule is:
Gestational diabetes mellitus ---ANS---NO.14 A client is now pregnant for the second time. Her first child
weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels.
Because she only shows signs of diabetes when she is pregnant, she is classified as having:
, Vitamin C ---ANS---NO.16 The nurse is assisting a 4th-day postoperative cholecystectomy client in
planning her meals for tomorrow's menu. Which vitamin is the most essential in promoting tissue
healing?
Allowing him to do as much for himself as he is able, including learning to do pin-site care under
supervision ---ANS---NO.17 A 10-year-old client with a pin in the right femur is immobilized in traction.
He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to
concentrate on activities, and monotony. Which of the following nursing implementations would be
most effective in helping him cope with immobility?
First trimester ---ANS---NO.18 In client teaching, the nurse should emphasize that fetal damage occurs
more frequently with ingestion of drugs during:
High Fowler ---ANS---NO.19 On admission, the client has signs and symptoms of pulmonary edema. The
nurse places the client in the most appropriate position for a client in pulmonary edema, which is:
Respiratory obstruction ---ANS---NO.20 A client has returned to the unit from the recovery room after
having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:
Mother calls infant by name. ---ANS---NO.2 The nurse should facilitate bonding during the postpartum
period. What should the nurse expect to observe in the taking-hold phase?
Respect the client's family's wishes. ---ANS---NO.22 A female client has just died. Her family is requesting
that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a
ceremony for the deceased in the room, requesting that only family members be present. The nurse
assigned to the client should perform the appropriate nursing action, which might include:
Wear a patch over one eye ---ANS---NO.23 A woman diagnosed with multiple sclerosis is disturbed with
diplopia. The nurse will teach her to
Level of consciousness ---ANS---NO.24 One of the most reliable assessment tools for adequacy of fluid
resuscitation in burned children is:
