NCLEX-RN 2025 Questions with Correct Answers
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1. The nurse reviews the electrolyte C, E
results of a client with chronic kid-
ney disease and notes that the Rationale:
potassium level is 5.7 mEq/L (5.7 The client with chronic kidney disease is at risk for
mmol/L). Which patterns would the hyperkalemia. The normal potassium level is 3.5 to 5.0
nurse watch for on the cardiac mon- mEq/L (3.5 to 5.0 mmol/L). A serum potassium level
itor as a result of the laboratory val- greater than 5.0 mEq/L (5.0 mmol/L) indicates hy-
ue? Select all that apply. perkalemia. Electrocardiographic changes associated
with hyperkalemia include flat P waves, prolonged PR
A. ST depression intervals, widened QRS complexes, and tall peaked T
B. Prominent U wave waves. ST depression and a prominent U wave occurs
C. Tall peaked T waves in hypokalemia. A prolonged ST segment occurs in
D. Prolonged ST segment hypocalcemia.
E. Widened QRS complexes
2. The nurse is instructing a client how A
to perform a testicular self-exami-
nation (TSE). The nurse should ex- Rationale:
plain that which is the best time to The nurse needs to teach the client how to perform a
perform this exam? TSE. The nurse should instruct the client to perform
the exam on the same day each month. The nurse
A. After a shower or bath should also instruct the client that the best time to
B. While standing to void perform a TSE is after a shower or bath when the
C. After having a bowel movement hands are warm and soapy and the scrotum is warm.
D. While lying in bed before arising Palpation is easier and the client will be better able to
identify any abnormalities. The client would stand to
perform the exam, but it would be difficult to perform
the exam while voiding. Having a bowel movement is
unrelated to performing a TSE.
3. The clinic nurse prepares to per- A, B, D
form a focused assessment on a
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client who is complaining of symp- Rationale:
toms of a cold, a cough, and lung A focused assessment focuses on a limited or
congestion. Which should the nurse short-term problem, such as the client's complaint.
include for this type of assessment? Because the client is complaining of symptoms of a
Select all that apply. cold, a cough, and lung congestion, the nurse would
focus on the respiratory system and the presence of an
A. Auscultating lung sounds infection. A complete assessment includes a complete
B. Obtaining the client's tempera- health history and physical examination and forms a
ture baseline database. Assessing the strength of periph-
C. Assessing the strength of periph- eral pulses relates to a vascular assessment, which
eral pulses is not related to this client's complaints. A muscu-
D. Obtaining information about the loskeletal and neurological examination also is not
client's respirations related to this client's complaints. However, strength of
E. Performing a musculoskeletal peripheral pulses and a musculoskeletal and neuro-
and neurological examination logical examination would be included in a complete
F. Asking the client about a family assessment. Likewise, asking the client about a family
history of any illness or disease history of any illness or disease would be included in
a complete assessment.
4. The clinic nurse is preparing to ex- D
plain the concepts of Kohlberg's
theory of moral development with Rationale:
a parent. The nurse should tell the In the preconventional stage, morals are thought to be
parent that which factor motivates motivated by punishment and reward. If the child is
good and bad actions for the child obedient and is not punished, then the child is being
at the preconventional level? moral. The child sees actions as good or bad. If the
child's actions are good, the child is praised. If the
A. Peer pressure child's actions are bad, the child is punished. Options
B. Social pressure 1, 2, and 3 are not associated factors for this stage of
C. Parents' behavior moral development.
D. Punishment and reward
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5. The maternity nurse is providing A
instructions to a new mother re-
garding the psychosocial develop- Rationale:According to Erikson, the caregiver should
ment of the newborn infant. Us- not try to anticipate the newborn infant's needs at
ing Erikson's psychosocial develop- all times but must allow the newborn infant to signal
ment theory, the nurse instructs theneeds. If a newborn infant is not allowed to signal a
mother to take which measure? need, the newborn will not learn how to control the
environment. Erikson believed that a delayed or pro-
A. Allow the newborn infant to sig- longed response to a newborn infant's signal would
nal a need. inhibit the development of trust and lead to mistrust
B. Anticipate all needs of the new- of others.
born infant.
C. Attend to the newborn infant im-
mediately when crying.
D. Avoid the newborn infant during
the first 10 minutes of crying.
6. A nursing student is presenting a A
clinical conference to peers regard-
ing Freud's psychosexual stages of Rationale:
development, specifically the anal In general, toilet training occurs during the anal stage.
stage. The student explains to the According to Freud, the child gains pleasure from the
group that which characteristic re- elimination of feces and from their retention. Option 2
lates to the anal stage? relates to the oral stage. Option 3 relates to the latency
period. Option 4 relates to the phallic stage.
A. This stage is associated with toi-
let 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.
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D. This stage is associated with
pleasurable and conflicting feelings
about the genital organs.
7. A client with diabetes mellitus has D
a glycosylated hemoglobin A1c lev-
el of 8%. On the basis of this test Rationale:
result, the nurse plans to teach the The normal reference range for the glycosylated he-
client about the need for which moglobin A1c is less than 6.0%. This test measures
measure? the amount of glucose that has become permanently
bound to the red blood cells from circulating glucose.
A. Avoiding infection Erythrocytes live for about 120 days, giving feedback
B. Taking in adequate fluids about blood glucose for the past 120 days. Elevations
C. Preventing and recognizing hy- in the blood glucose level will cause elevations in the
poglycemia amount of glycosylation. Thus, the test is useful in
D. Preventing and recognizing hy- identifying clients who have periods of hyperglycemia
perglycemia that are undetected in other ways. The estimated av-
erage glucose for a glycosylated hemoglobin A1c of
8% is 205 mg/dL (11.42 mmol/L). Elevations indicate
continued need for teaching related to the prevention
of hyperglycemic episodes.
8. The nurse is describing Piaget's A
cognitive developmental theory to
pediatric nursing staff. The nurse Rationale:
should tell that staff that which In the formal operations stage, the child has the ability
child behavior is characteristic of to think abstractly and logically. Option 2 identifies the
the formal operations stage? sensorimotor stage. Option 3 identifies the concrete
operational stage. Option 4 identifies the preopera-
A. The child has the ability to think tional stage.
abstractly.
B. The child begins to understand
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1. The nurse reviews the electrolyte C, E
results of a client with chronic kid-
ney disease and notes that the Rationale:
potassium level is 5.7 mEq/L (5.7 The client with chronic kidney disease is at risk for
mmol/L). Which patterns would the hyperkalemia. The normal potassium level is 3.5 to 5.0
nurse watch for on the cardiac mon- mEq/L (3.5 to 5.0 mmol/L). A serum potassium level
itor as a result of the laboratory val- greater than 5.0 mEq/L (5.0 mmol/L) indicates hy-
ue? Select all that apply. perkalemia. Electrocardiographic changes associated
with hyperkalemia include flat P waves, prolonged PR
A. ST depression intervals, widened QRS complexes, and tall peaked T
B. Prominent U wave waves. ST depression and a prominent U wave occurs
C. Tall peaked T waves in hypokalemia. A prolonged ST segment occurs in
D. Prolonged ST segment hypocalcemia.
E. Widened QRS complexes
2. The nurse is instructing a client how A
to perform a testicular self-exami-
nation (TSE). The nurse should ex- Rationale:
plain that which is the best time to The nurse needs to teach the client how to perform a
perform this exam? TSE. The nurse should instruct the client to perform
the exam on the same day each month. The nurse
A. After a shower or bath should also instruct the client that the best time to
B. While standing to void perform a TSE is after a shower or bath when the
C. After having a bowel movement hands are warm and soapy and the scrotum is warm.
D. While lying in bed before arising Palpation is easier and the client will be better able to
identify any abnormalities. The client would stand to
perform the exam, but it would be difficult to perform
the exam while voiding. Having a bowel movement is
unrelated to performing a TSE.
3. The clinic nurse prepares to per- A, B, D
form a focused assessment on a
, NCLEX-RN 2025 Questions with Correct Answers
Study online at https://quizlet.com/_fapo8w
client who is complaining of symp- Rationale:
toms of a cold, a cough, and lung A focused assessment focuses on a limited or
congestion. Which should the nurse short-term problem, such as the client's complaint.
include for this type of assessment? Because the client is complaining of symptoms of a
Select all that apply. cold, a cough, and lung congestion, the nurse would
focus on the respiratory system and the presence of an
A. Auscultating lung sounds infection. A complete assessment includes a complete
B. Obtaining the client's tempera- health history and physical examination and forms a
ture baseline database. Assessing the strength of periph-
C. Assessing the strength of periph- eral pulses relates to a vascular assessment, which
eral pulses is not related to this client's complaints. A muscu-
D. Obtaining information about the loskeletal and neurological examination also is not
client's respirations related to this client's complaints. However, strength of
E. Performing a musculoskeletal peripheral pulses and a musculoskeletal and neuro-
and neurological examination logical examination would be included in a complete
F. Asking the client about a family assessment. Likewise, asking the client about a family
history of any illness or disease history of any illness or disease would be included in
a complete assessment.
4. The clinic nurse is preparing to ex- D
plain the concepts of Kohlberg's
theory of moral development with Rationale:
a parent. The nurse should tell the In the preconventional stage, morals are thought to be
parent that which factor motivates motivated by punishment and reward. If the child is
good and bad actions for the child obedient and is not punished, then the child is being
at the preconventional level? moral. The child sees actions as good or bad. If the
child's actions are good, the child is praised. If the
A. Peer pressure child's actions are bad, the child is punished. Options
B. Social pressure 1, 2, and 3 are not associated factors for this stage of
C. Parents' behavior moral development.
D. Punishment and reward
, NCLEX-RN 2025 Questions with Correct Answers
Study online at https://quizlet.com/_fapo8w
5. The maternity nurse is providing A
instructions to a new mother re-
garding the psychosocial develop- Rationale:According to Erikson, the caregiver should
ment of the newborn infant. Us- not try to anticipate the newborn infant's needs at
ing Erikson's psychosocial develop- all times but must allow the newborn infant to signal
ment theory, the nurse instructs theneeds. If a newborn infant is not allowed to signal a
mother to take which measure? need, the newborn will not learn how to control the
environment. Erikson believed that a delayed or pro-
A. Allow the newborn infant to sig- longed response to a newborn infant's signal would
nal a need. inhibit the development of trust and lead to mistrust
B. Anticipate all needs of the new- of others.
born infant.
C. Attend to the newborn infant im-
mediately when crying.
D. Avoid the newborn infant during
the first 10 minutes of crying.
6. A nursing student is presenting a A
clinical conference to peers regard-
ing Freud's psychosexual stages of Rationale:
development, specifically the anal In general, toilet training occurs during the anal stage.
stage. The student explains to the According to Freud, the child gains pleasure from the
group that which characteristic re- elimination of feces and from their retention. Option 2
lates to the anal stage? relates to the oral stage. Option 3 relates to the latency
period. Option 4 relates to the phallic stage.
A. This stage is associated with toi-
let 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.
, NCLEX-RN 2025 Questions with Correct Answers
Study online at https://quizlet.com/_fapo8w
D. This stage is associated with
pleasurable and conflicting feelings
about the genital organs.
7. A client with diabetes mellitus has D
a glycosylated hemoglobin A1c lev-
el of 8%. On the basis of this test Rationale:
result, the nurse plans to teach the The normal reference range for the glycosylated he-
client about the need for which moglobin A1c is less than 6.0%. This test measures
measure? the amount of glucose that has become permanently
bound to the red blood cells from circulating glucose.
A. Avoiding infection Erythrocytes live for about 120 days, giving feedback
B. Taking in adequate fluids about blood glucose for the past 120 days. Elevations
C. Preventing and recognizing hy- in the blood glucose level will cause elevations in the
poglycemia amount of glycosylation. Thus, the test is useful in
D. Preventing and recognizing hy- identifying clients who have periods of hyperglycemia
perglycemia that are undetected in other ways. The estimated av-
erage glucose for a glycosylated hemoglobin A1c of
8% is 205 mg/dL (11.42 mmol/L). Elevations indicate
continued need for teaching related to the prevention
of hyperglycemic episodes.
8. The nurse is describing Piaget's A
cognitive developmental theory to
pediatric nursing staff. The nurse Rationale:
should tell that staff that which In the formal operations stage, the child has the ability
child behavior is characteristic of to think abstractly and logically. Option 2 identifies the
the formal operations stage? sensorimotor stage. Option 3 identifies the concrete
operational stage. Option 4 identifies the preopera-
A. The child has the ability to think tional stage.
abstractly.
B. The child begins to understand
