NCLEX RN EXAM 2025 QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
/.A nurse is preparing to perform a physical examination on a postpartum client. The
client asks the nurse why gloves are necessary for the examination. What is the nurse's
best response?
"Gloves help protect you against infectious organisms."
"Gloves guard you against my cold hands."
"Gloves may protect me against infectious organisms."
"Gloves are required for standard precautions." - Answer-✅Wearing gloves whenever
exposure to blood or body fluids is anticipated is a standard precaution recommended
by the Centers for Disease Control and Prevention. Although gloves protect both the
client and the nurse from infectious organisms and guard against the nurse's cold
hands, the nurse wears them primarily to maintain standard precautions, which is
required by the Occupational Safety and Health Administration.
/.Which situations should a supervisor consider in making assignments for nurses in the
neonatal unit?
A pregnant nurse shouldn't care for a neonate whose mother was positive for human
immunodeficiency virus (HIV).
A nurse with young children shouldn't care for a neonate whose mother has gonorrhea.
A nurse with young children shouldn't care for a neonate with erythema toxicum.
A pregnant nurse shouldn't care for a neonate with cytomegalovirus (CMV). - Answer-
✅CMV exposure can affect the fetus; women who are pregnant should avoid contact
with CMV-positive clients. HIV is transmitted via blood and body fluids; all staff should
take contact precautions. When a mother has gonorrhea, a nurse should administer eye
prophylaxis to the neonate to prevent neonatal ophthalmic infection. It isn't a concern for
staff. Erythema toxicum is a common rash in infancy; communicability isn't a concern.
/.The nurse is developing a care plan for a client with an episiotomy. Which
interventions would be included for the nursing diagnosis acute pain related to perineal
sutures? Select all that apply.
Apply an ice pack intermittently to the perineal area for 3 days.
Avoid the application of topical pain gels.
Administer sitz baths three to four times per day.
Encourage the client to do Kegel exercises.
Limit the number of times the perineal pad is changed. - Answer-✅Sitz baths help
decrease inflammation and tension in the perineal area. Kegel exercises improve
circulation to the area and help reduce edema. Ice packs should be applied to the
, perineum for only the first 24 hours; after that time, heat should be used. Topical pain
gels should be applied to the suture area to reduce discomfort, as ordered. The perineal
pad should be changed frequently to prevent irritation caused by the discharge.
/.A nurse meets a neighbor and new baby at the local market. The neighbor states that
she received outstanding nursing care from one of the nurse's colleagues during her
labor and childbirth. What is the best way for the nurse to recognize her nursing
colleague's professional efforts?
Post accolades to the nurse at the nurses' station.
Send the colleague an anonymous card.
Share the feedback with the nursing colleague directly.
It is a breach of confidentiality to share this information with the colleague. - Answer-✅It
is not a breach of confidentiality for the nurse to share the feedback with the colleague,
and by doing so the nurse will recognize the value of the colleague's professional efforts
and accomplishments. It is not appropriate to place an announcement at the nurses'
station or to send an anonymous card. It is crucial that nurses uphold the standards for
professional practice and consider the American Nurses Association (Canadian Nurses'
Association) Code of Ethics, in particular surrounding the principles of preserving dignity
and maintaining privacy and confidentiality.
/.The nurse is caring for a neonate diagnosed with early onset sepsis and is being
treated with intravenous antibiotics. Which instructions will the nurse include in the
parents' teaching plan?
Wear protective gear near the isolation incubator.
Visit but do not touch the neonate.
Wash hands thoroughly before touching the neonate.
Wear a mask when holding the neonate. - Answer-✅The parents of a neonate with an
infection should be allowed to participate in daily care as long as they use good
handwashing technique. This includes touching and holding the neonate. It is not
necessary for parents to wear protective gear near the isolation incubator. Restricting
parental visits has not been shown to have any effect on the infection rate and may
have detrimental effects on the neonate's psychological development. Normally, the
neonate does not need to be isolated. The baby will not spread sepsis via respiratory
droplets to parents, so it is not necessary for the parents to wear a mask.
/.After suction and evacuation of a complete hydatidiform mole, the 28-year-old
multigravid client asks the nurse when she can become pregnant again. The nurse
would advise the client not to become pregnant again for at least how long?
6 months
12 months
18 months
24 months - Answer-✅A client who has experienced a molar pregnancy is at risk for
development of choriocarcinoma and requires close monitoring of human chorionic
gonadotropin (hCG) levels. Pregnancy would interfere with monitoring these levels.
High hCG titers are common for up to 7 weeks after the evacuation of the mole, but
then these levels gradually begin to decline. Clients should have a pelvic examination
ANSWERS WITH COMPLETE SOLUTIONS
/.A nurse is preparing to perform a physical examination on a postpartum client. The
client asks the nurse why gloves are necessary for the examination. What is the nurse's
best response?
"Gloves help protect you against infectious organisms."
"Gloves guard you against my cold hands."
"Gloves may protect me against infectious organisms."
"Gloves are required for standard precautions." - Answer-✅Wearing gloves whenever
exposure to blood or body fluids is anticipated is a standard precaution recommended
by the Centers for Disease Control and Prevention. Although gloves protect both the
client and the nurse from infectious organisms and guard against the nurse's cold
hands, the nurse wears them primarily to maintain standard precautions, which is
required by the Occupational Safety and Health Administration.
/.Which situations should a supervisor consider in making assignments for nurses in the
neonatal unit?
A pregnant nurse shouldn't care for a neonate whose mother was positive for human
immunodeficiency virus (HIV).
A nurse with young children shouldn't care for a neonate whose mother has gonorrhea.
A nurse with young children shouldn't care for a neonate with erythema toxicum.
A pregnant nurse shouldn't care for a neonate with cytomegalovirus (CMV). - Answer-
✅CMV exposure can affect the fetus; women who are pregnant should avoid contact
with CMV-positive clients. HIV is transmitted via blood and body fluids; all staff should
take contact precautions. When a mother has gonorrhea, a nurse should administer eye
prophylaxis to the neonate to prevent neonatal ophthalmic infection. It isn't a concern for
staff. Erythema toxicum is a common rash in infancy; communicability isn't a concern.
/.The nurse is developing a care plan for a client with an episiotomy. Which
interventions would be included for the nursing diagnosis acute pain related to perineal
sutures? Select all that apply.
Apply an ice pack intermittently to the perineal area for 3 days.
Avoid the application of topical pain gels.
Administer sitz baths three to four times per day.
Encourage the client to do Kegel exercises.
Limit the number of times the perineal pad is changed. - Answer-✅Sitz baths help
decrease inflammation and tension in the perineal area. Kegel exercises improve
circulation to the area and help reduce edema. Ice packs should be applied to the
, perineum for only the first 24 hours; after that time, heat should be used. Topical pain
gels should be applied to the suture area to reduce discomfort, as ordered. The perineal
pad should be changed frequently to prevent irritation caused by the discharge.
/.A nurse meets a neighbor and new baby at the local market. The neighbor states that
she received outstanding nursing care from one of the nurse's colleagues during her
labor and childbirth. What is the best way for the nurse to recognize her nursing
colleague's professional efforts?
Post accolades to the nurse at the nurses' station.
Send the colleague an anonymous card.
Share the feedback with the nursing colleague directly.
It is a breach of confidentiality to share this information with the colleague. - Answer-✅It
is not a breach of confidentiality for the nurse to share the feedback with the colleague,
and by doing so the nurse will recognize the value of the colleague's professional efforts
and accomplishments. It is not appropriate to place an announcement at the nurses'
station or to send an anonymous card. It is crucial that nurses uphold the standards for
professional practice and consider the American Nurses Association (Canadian Nurses'
Association) Code of Ethics, in particular surrounding the principles of preserving dignity
and maintaining privacy and confidentiality.
/.The nurse is caring for a neonate diagnosed with early onset sepsis and is being
treated with intravenous antibiotics. Which instructions will the nurse include in the
parents' teaching plan?
Wear protective gear near the isolation incubator.
Visit but do not touch the neonate.
Wash hands thoroughly before touching the neonate.
Wear a mask when holding the neonate. - Answer-✅The parents of a neonate with an
infection should be allowed to participate in daily care as long as they use good
handwashing technique. This includes touching and holding the neonate. It is not
necessary for parents to wear protective gear near the isolation incubator. Restricting
parental visits has not been shown to have any effect on the infection rate and may
have detrimental effects on the neonate's psychological development. Normally, the
neonate does not need to be isolated. The baby will not spread sepsis via respiratory
droplets to parents, so it is not necessary for the parents to wear a mask.
/.After suction and evacuation of a complete hydatidiform mole, the 28-year-old
multigravid client asks the nurse when she can become pregnant again. The nurse
would advise the client not to become pregnant again for at least how long?
6 months
12 months
18 months
24 months - Answer-✅A client who has experienced a molar pregnancy is at risk for
development of choriocarcinoma and requires close monitoring of human chorionic
gonadotropin (hCG) levels. Pregnancy would interfere with monitoring these levels.
High hCG titers are common for up to 7 weeks after the evacuation of the mole, but
then these levels gradually begin to decline. Clients should have a pelvic examination
