NCLEX-RN 2025 Questions with Correct Answers Latest
Update!
Terms in this set (144)
The nurse reviews the electrolyte C, E
results of a client with chronic
kidney disease and Rationale:
notes that the potassium level is The client with chronic kidney disease is at risk for hyperkalemia. The normal
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum potassium level
5.7 mEq/L (5.7 mmol/L). Which
greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
patterns would the
Electrocardiographic changes associated with hyperkalemia include
nurse watch for on the cardiac
flat P waves, prolonged PR intervals, widened QRS complexes, and
monitor as a result of the
tall peaked T waves. ST depression and a prominent U wave occurs
laboratory value? Select all
that apply. in hypokalemia. A prolonged ST segment occurs in
hypocalcemia.
A. ST depression
B. Prominent U wave
C. Tall peaked T waves
D. Prolonged ST segment
E. Widened QRS complexes
A
The nurse is instructing a client
how to perform a testicular self-
Rationale:
examination (TSE). The nurse
The nurse needs to teach the client how to perform a TSE. The nurse
should explain that which is the
should instruct the client to perform the exam on the same day each
best time to perform this
month. The nurse should also instruct the client that the best time
exam?
to perform a TSE is after a shower or bath when the hands are warm
and soapy and the scrotum is warm. Palpation is easier and the
A. After a shower or bath
client will be better able to identify any abnormalities. The client
B.While standing to void
would stand to perform the exam, but it would be difficult to
C. After having a bowel movement
D. While lying in bed before arising
perform the exam while voiding.
Having a bowel movement is unrelated to performing a TSE.
,The clinic nurse prepares to A, B, D
perform a focused assessment
on a client who is complaining Rationale:
of symptoms of a cold, a A focused assessment focuses on a limited or short-term problem, such as the
client's complaint. Because the client is complaining of symptoms of
cough, and lung congestion. Which
a cold, a cough, and lung congestion, the nurse would focus on
should the nurse include for this
the respiratory system and the
type of assessment? Select all
presence of an infection. A complete assessment includes a
that apply.
complete health history and physical examination and forms a
A. Auscultating lung sounds baseline database. Assessing the strength of peripheral pulses
B. Obtaining the client's temperature relates to a vascular assessment, which is not related to this client's
C. Assessing the strength of complaints. A musculoskeletal and neurological examination
peripheral pulses also is not related to
D. Obtaining information about this client's complaints. However, strength of peripheral pulses and
the client's respirations a musculoskeletal and neurological examination would be
E. Performing a included in a complete assessment.
musculoskeletal and Likewise, asking the client about a family history of any illness or
neurological examination disease would be included in a complete assessment.
F. Asking the client about a
family history of any illness or
disease
The clinic nurse is preparing to D
explain the concepts of
Kohlberg's theory of moral Rationale:
development with a parent. The In the preconventional stage, morals are thought to be motivated
nurse by punishment and reward. If the child is obedient and is not
should tell the parent that which punished, then the child is being moral. The child sees actions as
factor motivates good and bad good or bad. If the child's actions are good, the child is praised.
actions for the child at the If the child's actions are bad, the child is punished. Options 1, 2,
preconventional level? and 3 are not associated factors for this stage of moral
development.
A. Peer pressure
B. Social pressure
C. Parents' behavior
D. Punishment and reward
,The maternity nurse is A
providing instructions to a new
mother regarding the Rationale:According to Erikson, the caregiver should not try to
psychosocial development of anticipate the newborn infant's needs at all times but must allow
the newborn infant. Using the newborn infant to signal needs. If a newborn infant is not
Erikson's psychosocial allowed to signal a need, the newborn will not learn how to control
development theory, the nurse the environment. Erikson believed that a delayed or prolonged
instructs the mother to take response to a newborn infant's signal would inhibit the
which measure? development of trust and
lead to mistrust of others.
A. Allow the newborn infant to
signal a need.
B. Anticipate all needs of
the newborn infant.
C. Attend to the newborn
infant immediately
when crying.
D.Avoid the newborn infant during
the first 10 minutes of crying.
, A nursing student is presenting a A
clinical conference to peers
regarding Freud's psychosexual Rationale:
stages of development, In general, toilet training occurs during the anal stage. According to
specifically the anal stage. The Freud, the child gains pleasure from the elimination of feces and
student explains to the group from their retention. Option 2
that which relates to the oral stage. Option 3 relates to the latency period.
characteristic relates to the anal Option 4 relates to the phallic stage.
stage?
A. This stage is associated
with toilet training.
B. This stage is
characterized by the
gratification of self.
C. This stage is characterized by a
tapering off of conscious
biological and sexual
urges.
D.This stage is associated with
pleasurable and conflicting
feelings about the genital
organs.
A client with diabetes mellitus has a D
glycosylated hemoglobin A1c level
of 8%. Rationale:
On the basis of this test result, the The normal reference range for the glycosylated hemoglobin A1c is
nurse
less than 6.0%. This test measures the amount of glucose that has
plans to teach the client about the
become permanently bound to the red blood cells from circulating
need for which measure?
glucose. Erythrocytes live for about 120 days, giving feedback about
blood glucose for the past 120 days. Elevations in the blood glucose
A. Avoiding infection
level will cause elevations in the amount of glycosylation. Thus, the
B. Taking in adequate fluids
C. Preventing and
test is
recognizing useful in identifying clients who have periods of hyperglycemia
hypoglycemia that are undetected in other ways. The estimated average glucose
D. Preventing and for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42
recognizing mmol/L). Elevations indicate continued need for teaching
related to the prevention of hyperglycemic episodes.
hyperglycemia
Update!
Terms in this set (144)
The nurse reviews the electrolyte C, E
results of a client with chronic
kidney disease and Rationale:
notes that the potassium level is The client with chronic kidney disease is at risk for hyperkalemia. The normal
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum potassium level
5.7 mEq/L (5.7 mmol/L). Which
greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
patterns would the
Electrocardiographic changes associated with hyperkalemia include
nurse watch for on the cardiac
flat P waves, prolonged PR intervals, widened QRS complexes, and
monitor as a result of the
tall peaked T waves. ST depression and a prominent U wave occurs
laboratory value? Select all
that apply. in hypokalemia. A prolonged ST segment occurs in
hypocalcemia.
A. ST depression
B. Prominent U wave
C. Tall peaked T waves
D. Prolonged ST segment
E. Widened QRS complexes
A
The nurse is instructing a client
how to perform a testicular self-
Rationale:
examination (TSE). The nurse
The nurse needs to teach the client how to perform a TSE. The nurse
should explain that which is the
should instruct the client to perform the exam on the same day each
best time to perform this
month. The nurse should also instruct the client that the best time
exam?
to perform a TSE is after a shower or bath when the hands are warm
and soapy and the scrotum is warm. Palpation is easier and the
A. After a shower or bath
client will be better able to identify any abnormalities. The client
B.While standing to void
would stand to perform the exam, but it would be difficult to
C. After having a bowel movement
D. While lying in bed before arising
perform the exam while voiding.
Having a bowel movement is unrelated to performing a TSE.
,The clinic nurse prepares to A, B, D
perform a focused assessment
on a client who is complaining Rationale:
of symptoms of a cold, a A focused assessment focuses on a limited or short-term problem, such as the
client's complaint. Because the client is complaining of symptoms of
cough, and lung congestion. Which
a cold, a cough, and lung congestion, the nurse would focus on
should the nurse include for this
the respiratory system and the
type of assessment? Select all
presence of an infection. A complete assessment includes a
that apply.
complete health history and physical examination and forms a
A. Auscultating lung sounds baseline database. Assessing the strength of peripheral pulses
B. Obtaining the client's temperature relates to a vascular assessment, which is not related to this client's
C. Assessing the strength of complaints. A musculoskeletal and neurological examination
peripheral pulses also is not related to
D. Obtaining information about this client's complaints. However, strength of peripheral pulses and
the client's respirations a musculoskeletal and neurological examination would be
E. Performing a included in a complete assessment.
musculoskeletal and Likewise, asking the client about a family history of any illness or
neurological examination disease would be included in a complete assessment.
F. Asking the client about a
family history of any illness or
disease
The clinic nurse is preparing to D
explain the concepts of
Kohlberg's theory of moral Rationale:
development with a parent. The In the preconventional stage, morals are thought to be motivated
nurse by punishment and reward. If the child is obedient and is not
should tell the parent that which punished, then the child is being moral. The child sees actions as
factor motivates good and bad good or bad. If the child's actions are good, the child is praised.
actions for the child at the If the child's actions are bad, the child is punished. Options 1, 2,
preconventional level? and 3 are not associated factors for this stage of moral
development.
A. Peer pressure
B. Social pressure
C. Parents' behavior
D. Punishment and reward
,The maternity nurse is A
providing instructions to a new
mother regarding the Rationale:According to Erikson, the caregiver should not try to
psychosocial development of anticipate the newborn infant's needs at all times but must allow
the newborn infant. Using the newborn infant to signal needs. If a newborn infant is not
Erikson's psychosocial allowed to signal a need, the newborn will not learn how to control
development theory, the nurse the environment. Erikson believed that a delayed or prolonged
instructs the mother to take response to a newborn infant's signal would inhibit the
which measure? development of trust and
lead to mistrust of others.
A. Allow the newborn infant to
signal a need.
B. Anticipate all needs of
the newborn infant.
C. Attend to the newborn
infant immediately
when crying.
D.Avoid the newborn infant during
the first 10 minutes of crying.
, A nursing student is presenting a A
clinical conference to peers
regarding Freud's psychosexual Rationale:
stages of development, In general, toilet training occurs during the anal stage. According to
specifically the anal stage. The Freud, the child gains pleasure from the elimination of feces and
student explains to the group from their retention. Option 2
that which relates to the oral stage. Option 3 relates to the latency period.
characteristic relates to the anal Option 4 relates to the phallic stage.
stage?
A. This stage is associated
with toilet training.
B. This stage is
characterized by the
gratification of self.
C. This stage is characterized by a
tapering off of conscious
biological and sexual
urges.
D.This stage is associated with
pleasurable and conflicting
feelings about the genital
organs.
A client with diabetes mellitus has a D
glycosylated hemoglobin A1c level
of 8%. Rationale:
On the basis of this test result, the The normal reference range for the glycosylated hemoglobin A1c is
nurse
less than 6.0%. This test measures the amount of glucose that has
plans to teach the client about the
become permanently bound to the red blood cells from circulating
need for which measure?
glucose. Erythrocytes live for about 120 days, giving feedback about
blood glucose for the past 120 days. Elevations in the blood glucose
A. Avoiding infection
level will cause elevations in the amount of glycosylation. Thus, the
B. Taking in adequate fluids
C. Preventing and
test is
recognizing useful in identifying clients who have periods of hyperglycemia
hypoglycemia that are undetected in other ways. The estimated average glucose
D. Preventing and for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42
recognizing mmol/L). Elevations indicate continued need for teaching
related to the prevention of hyperglycemic episodes.
hyperglycemia
