NCLEX-RN 2025 Questions with Correct Answers
Terms in this set (144)
The nurse reviews the C, E
electrolyte results of a client
with chronic kidney disease and Rationale:
notes that the potassium level The client with chronic kidney disease is at risk for hyperkalemia. The
normal
is 5.7 mEq/L (5.7 mmol/L).
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum
Which patterns would the potassium level
nurse watch for on the cardiac greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
monitor as a result of the Electrocardiographic changes associated with hyperkalemia
laboratory value? Select all include flat P waves, prolonged PR intervals, widened QRS
that apply. complexes, and tall peaked T waves. ST depression and a
prominent U wave occurs in hypokalemia. A prolonged ST
A. ST depression
segment occurs in hypocalcemia.
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
should explain that which is the
nurse should instruct the client to perform the exam on the
best time to perform this
same day each month. The nurse should also instruct the client
exam?
that the best time to perform a TSE is after a shower or bath
when the hands are warm and soapy and the scrotum is warm.
A. After a shower or bath
Palpation is easier and the client will be better able to identify
B. While standing to void
any abnormalities. The client would stand to perform the
C. After having a bowel movement
D. While lying in bed before arising
exam, but it would be difficult to 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 Rationale:
complaining of symptoms of A focused assessment focuses on a limited or short-term problem, such as
the
a cold, a
client's complaint. Because the client is complaining of symptoms of
cough, and lung congestion.
a cold, a cough, and lung congestion, the nurse would focus on
Which should the nurse include
the respiratory system and the
for this type of assessment?
presence of an infection. A complete assessment includes a
Select all that apply.
complete health history and physical examination and forms a
baseline database. Assessing the strength of peripheral pulses
A. Auscultating lung sounds
relates to a vascular assessment, which is not related to this
B. Obtaining the client's temperature
client's complaints. A musculoskeletal and neurological
C. Assessing the strength of
examination also is not related to
peripheral pulses
this client's complaints. However, strength of peripheral pulses
D. Obtaining information about
and a musculoskeletal and neurological examination would be
the client's respirations
included in a complete assessment.
E. Performing a
Likewise, asking the client about a family history of any illness
musculoskeletal and
or disease would be included in a complete assessment.
neurological examination
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. In the preconventional stage, morals are thought to be motivated by
The nurse 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
preconventional level? 1, 2, and 3 are not associated factors for this stage of moral
development.
A. Peer pressure
B. Socialpressure
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 the anticipate the newborn infant's needs at all times but must
newborn infant. Using Erikson's allow the newborn infant to signal needs. If a newborn infant is
psychosocial not allowed to signal a need, the newborn will not learn how to
development theory, the nurse control the environment. Erikson believed that a delayed or
instructs the mother to take prolonged response to a newborn infant's signal would inhibit
which measure? the 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
specifically the anal stage. The to Freud, the child gains pleasure from the elimination of feces
student explains to the group and 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 D
a
glycosylated hemoglobin A1c level Rationale:
of 8%.
The normal reference range for the glycosylated hemoglobin
On the basis of this test result, the
A1c is less than 6.0%. This test measures the amount of glucose
nurse
plans to teach the client about the that has become permanently bound to the red blood cells
need for which measure? from circulating glucose. Erythrocytes live for about 120 days,
giving feedback about blood glucose for the past 120 days.
A. Avoiding infection Elevations in the blood glucose level will cause elevations in
B. Takingin adequate fluids the amount of glycosylation. Thus, the test is
C. Preventing and useful in identifying clients who have periods of hyperglycemia
recognizing that are undetected in other ways. The estimated average glucose
hypoglycemia for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42
D. Preventing and mmol/L). Elevations indicate continued need for teaching
recognizing related to the prevention of hyperglycemic episodes.
Terms in this set (144)
The nurse reviews the C, E
electrolyte results of a client
with chronic kidney disease and Rationale:
notes that the potassium level The client with chronic kidney disease is at risk for hyperkalemia. The
normal
is 5.7 mEq/L (5.7 mmol/L).
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum
Which patterns would the potassium level
nurse watch for on the cardiac greater than 5.0 mEq/L (5.0 mmol/L) indicates hyperkalemia.
monitor as a result of the Electrocardiographic changes associated with hyperkalemia
laboratory value? Select all include flat P waves, prolonged PR intervals, widened QRS
that apply. complexes, and tall peaked T waves. ST depression and a
prominent U wave occurs in hypokalemia. A prolonged ST
A. ST depression
segment occurs in hypocalcemia.
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
should explain that which is the
nurse should instruct the client to perform the exam on the
best time to perform this
same day each month. The nurse should also instruct the client
exam?
that the best time to perform a TSE is after a shower or bath
when the hands are warm and soapy and the scrotum is warm.
A. After a shower or bath
Palpation is easier and the client will be better able to identify
B. While standing to void
any abnormalities. The client would stand to perform the
C. After having a bowel movement
D. While lying in bed before arising
exam, but it would be difficult to 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 Rationale:
complaining of symptoms of A focused assessment focuses on a limited or short-term problem, such as
the
a cold, a
client's complaint. Because the client is complaining of symptoms of
cough, and lung congestion.
a cold, a cough, and lung congestion, the nurse would focus on
Which should the nurse include
the respiratory system and the
for this type of assessment?
presence of an infection. A complete assessment includes a
Select all that apply.
complete health history and physical examination and forms a
baseline database. Assessing the strength of peripheral pulses
A. Auscultating lung sounds
relates to a vascular assessment, which is not related to this
B. Obtaining the client's temperature
client's complaints. A musculoskeletal and neurological
C. Assessing the strength of
examination also is not related to
peripheral pulses
this client's complaints. However, strength of peripheral pulses
D. Obtaining information about
and a musculoskeletal and neurological examination would be
the client's respirations
included in a complete assessment.
E. Performing a
Likewise, asking the client about a family history of any illness
musculoskeletal and
or disease would be included in a complete assessment.
neurological examination
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. In the preconventional stage, morals are thought to be motivated by
The nurse 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
preconventional level? 1, 2, and 3 are not associated factors for this stage of moral
development.
A. Peer pressure
B. Socialpressure
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 the anticipate the newborn infant's needs at all times but must
newborn infant. Using Erikson's allow the newborn infant to signal needs. If a newborn infant is
psychosocial not allowed to signal a need, the newborn will not learn how to
development theory, the nurse control the environment. Erikson believed that a delayed or
instructs the mother to take prolonged response to a newborn infant's signal would inhibit
which measure? the 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
specifically the anal stage. The to Freud, the child gains pleasure from the elimination of feces
student explains to the group and 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 D
a
glycosylated hemoglobin A1c level Rationale:
of 8%.
The normal reference range for the glycosylated hemoglobin
On the basis of this test result, the
A1c is less than 6.0%. This test measures the amount of glucose
nurse
plans to teach the client about the that has become permanently bound to the red blood cells
need for which measure? from circulating glucose. Erythrocytes live for about 120 days,
giving feedback about blood glucose for the past 120 days.
A. Avoiding infection Elevations in the blood glucose level will cause elevations in
B. Takingin adequate fluids the amount of glycosylation. Thus, the test is
C. Preventing and useful in identifying clients who have periods of hyperglycemia
recognizing that are undetected in other ways. The estimated average glucose
hypoglycemia for a glycosylated hemoglobin A1c of 8% is 205 mg/dL (11.42
D. Preventing and mmol/L). Elevations indicate continued need for teaching
recognizing related to the prevention of hyperglycemic episodes.
