NCLEX-RN 2025 Questions with Correct Veridied Answers for A+
Results
Terms in this set (144)
The nurse reviews the C, E
electrolyte results of a
client with chronic kidney Rationale:
disease and The client with chronic kidney disease is at risk for
hyperkalemia. The normal
notes that the potassium
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum
level is 5.7 mEq/L (5.7 potassium level
mmol/L). Which patterns greater than 5.0 mEq/L (5.0 mmol/L) indicates
would the hyperkalemia. Electrocardiographic changes
nurse watch for on the associated with hyperkalemia include flat P waves,
cardiac monitor as a result of prolonged PR intervals, widened QRS complexes, and
the laboratory value? tall peaked T waves. ST depression and a prominent U
Select all wave occurs in hypokalemia. A prolonged ST segment
that apply. 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
Rationale:
testicular self-examination
The nurse needs to teach the client how to perform a
(TSE). The nurse should
TSE. The nurse should instruct the client to perform the
explain that which is the
exam on the same day each month. The nurse should
best time to perform this
also instruct the client that the best time to perform a
exam?
TSE is after a shower or bath when the hands are warm
and soapy and the scrotum is warm. Palpation is easier
A. After a shower or bath
and the client will be better able to identify any
B. While standing to void
abnormalities. The client would stand to perform the
C. After having a bowel
movement exam, but it would be difficult to perform the exam
,D. Whilelying in bed before while voiding.
arising Having a bowel movement is unrelated to performing a TSE.
,The clinic nurse prepares A, B, D
to perform a focused
assessment on a client Rationale:
who is complaining of A focused assessment focuses on a limited or short-term
problem, such as the
symptoms of a cold, a
client's complaint. Because the client is complaining of
cough, and lung congestion.
symptoms of a cold, a cough, and lung congestion, the
Which should the nurse
nurse would focus on the respiratory system and the
include for this type of
presence of an infection. A complete assessment
assessment? Select all that
includes a complete health history and physical
apply.
examination and forms a baseline database.
Assessing the strength of peripheral pulses relates to a
A. Auscultating lung sounds
vascular assessment, which is not related to this
B. Obtaining the client's
temperature client's complaints. A musculoskeletal and
C. Assessing the strength neurological examination also is not related to
of peripheral pulses this client's complaints. However, strength of peripheral
D. Obtaining information pulses and a musculoskeletal and neurological
about the client's examination would be included in a complete
respirations assessment.
E. Performing a Likewise, asking the client about a family history of any
musculoskeletal and illness or disease would be included in a complete
neurological assessment.
examination
F. Asking the client about a
family history of any illness
or disease
The clinic nurse is preparing D
to explain the concepts of
Kohlberg's theory of moral Rationale:
development with a In the preconventional stage, morals are thought to be
parent. The nurse motivated by punishment and reward. If the child is
should tell the parent that obedient and is not punished, then the child is being
which factor motivates good moral. The child sees actions as good or bad. If the
and bad actions for the child child's actions are good, the child is praised.
at the preconventional If the child's actions are bad, the child is
level? punished. Options 1, 2, 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
psychosocial development not try to anticipate the newborn infant's needs at all
of the newborn infant. Using times but must allow the newborn infant to signal
Erikson's psychosocial needs. If a newborn infant is not allowed to signal a
development theory, the need, the newborn will not learn how to control the
nurse instructs the mother to environment. Erikson believed that a delayed or
take which measure? prolonged response to a newborn infant's signal
would inhibit the development of trust and
A. Allow the newborn lead to mistrust of others.
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.
Results
Terms in this set (144)
The nurse reviews the C, E
electrolyte results of a
client with chronic kidney Rationale:
disease and The client with chronic kidney disease is at risk for
hyperkalemia. The normal
notes that the potassium
potassium level is 3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L). A serum
level is 5.7 mEq/L (5.7 potassium level
mmol/L). Which patterns greater than 5.0 mEq/L (5.0 mmol/L) indicates
would the hyperkalemia. Electrocardiographic changes
nurse watch for on the associated with hyperkalemia include flat P waves,
cardiac monitor as a result of prolonged PR intervals, widened QRS complexes, and
the laboratory value? tall peaked T waves. ST depression and a prominent U
Select all wave occurs in hypokalemia. A prolonged ST segment
that apply. 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
Rationale:
testicular self-examination
The nurse needs to teach the client how to perform a
(TSE). The nurse should
TSE. The nurse should instruct the client to perform the
explain that which is the
exam on the same day each month. The nurse should
best time to perform this
also instruct the client that the best time to perform a
exam?
TSE is after a shower or bath when the hands are warm
and soapy and the scrotum is warm. Palpation is easier
A. After a shower or bath
and the client will be better able to identify any
B. While standing to void
abnormalities. The client would stand to perform the
C. After having a bowel
movement exam, but it would be difficult to perform the exam
,D. Whilelying in bed before while voiding.
arising Having a bowel movement is unrelated to performing a TSE.
,The clinic nurse prepares A, B, D
to perform a focused
assessment on a client Rationale:
who is complaining of A focused assessment focuses on a limited or short-term
problem, such as the
symptoms of a cold, a
client's complaint. Because the client is complaining of
cough, and lung congestion.
symptoms of a cold, a cough, and lung congestion, the
Which should the nurse
nurse would focus on the respiratory system and the
include for this type of
presence of an infection. A complete assessment
assessment? Select all that
includes a complete health history and physical
apply.
examination and forms a baseline database.
Assessing the strength of peripheral pulses relates to a
A. Auscultating lung sounds
vascular assessment, which is not related to this
B. Obtaining the client's
temperature client's complaints. A musculoskeletal and
C. Assessing the strength neurological examination also is not related to
of peripheral pulses this client's complaints. However, strength of peripheral
D. Obtaining information pulses and a musculoskeletal and neurological
about the client's examination would be included in a complete
respirations assessment.
E. Performing a Likewise, asking the client about a family history of any
musculoskeletal and illness or disease would be included in a complete
neurological assessment.
examination
F. Asking the client about a
family history of any illness
or disease
The clinic nurse is preparing D
to explain the concepts of
Kohlberg's theory of moral Rationale:
development with a In the preconventional stage, morals are thought to be
parent. The nurse motivated by punishment and reward. If the child is
should tell the parent that obedient and is not punished, then the child is being
which factor motivates good moral. The child sees actions as good or bad. If the
and bad actions for the child child's actions are good, the child is praised.
at the preconventional If the child's actions are bad, the child is
level? punished. Options 1, 2, 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
psychosocial development not try to anticipate the newborn infant's needs at all
of the newborn infant. Using times but must allow the newborn infant to signal
Erikson's psychosocial needs. If a newborn infant is not allowed to signal a
development theory, the need, the newborn will not learn how to control the
nurse instructs the mother to environment. Erikson believed that a delayed or
take which measure? prolonged response to a newborn infant's signal
would inhibit the development of trust and
A. Allow the newborn lead to mistrust of others.
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.
