NCLEX QUESTION BANK WITH RATIONALES 2025NEWEST EXAM 2025 WITH
MULTIPLE CHOICE OF QUESTIONS AND DETAILED SOLVED SOLUTIONS ALREADY
GRADED A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!)
The nurse providing care for clients with diabetes mellitus receives report. Which client does
the nurse see first?
A) A female client who reports urinary frequency and burning with urination.
B) A client with a BP of 90/60 mm Hg and whose skin is hot and dry to touch.
C) A client with a BP of 120/50 mm Hg and who reports frequent urination and thirst.
D) A client who reports experiencing constant hunger.
B) A client with a BP of 90/60 mm Hg and whose skin is hot and dry to touch.
RATIONALE:
The lower blood pressure and hot, dry skin indicate dehydration caused by hyperglycemia.
This is the first stage of diabetic ketoacidosis (DKA). This client has a circulatory concern and is
the highest priority.
The nurse reviews telephone messages in the pediatric clinic. Which message will the nurse
return first?
A) Parent states the extremities of a 2-day-old client extend and return to the previous
position when the crib is bumped.
B) Parent states that the circumcision site of a 3-day-old client is covered with yellowish
exudate.
C) Parent states that a 4-day-old client who is formula fed has had one stool per day for the
past 2 days.
D) Parent states that the umbilical cord stump of a 5-day-old client is moist at the base and
slightly red.
D) Parent states that the umbilical cord stump of a 5-day-old client is moist at the base and
slightly red.
RATIONALE:
A moist and red umbilical cord stump in a client of this age indicates an infection or other
problem with the umbilical stump. The cord should be dry and without redness.
,The hospital has just received word that a major disaster has occurred and a large influx of
clients is expected in less than 1 hour. The nurse considers which current client is best for
immediate discharge?
A)An older adult client admitted 4 days ago with a diagnosis of a stage 3 pressure injury.
B) An older adult client admitted 12 hours ago with a diagnosis of pyelonephritis.
C) An older adult client 3 days postoperative after a total hip replacement.
D) An adult client 24 hours postoperative after a vaginal hysterectomy.
C) An older adult client 3 days postoperative after a total hip replacement.
RATIONALE:
This is the most stable client. Clients post-total hip replacement are typically discharged on
postoperative day 2 to 3 to a rehab facility or home.
The home care nurse visits a client diagnosed with acquired immune deficiency syndrome
(AIDS). The nurse instructs the client's caregiver about how to prevent infection. Which is the
most important instruction the nurse will give to the caregiver?
A) "Cover your nose and mouth when you sneeze or cough."
B) "Get rid of all pets in the home."
C) "Wash your hands frequently."
D) "Wash the client's dishes separately."
C) “Wash your hands frequently."
RATIONALE:
Hand hygiene is the single best way to kill germs. The caregiver should wash hands after going
to the bathroom and before and after fixing food. The caregiver should also wash hands
before and after caring for the client.
A nurse is planning care for a patient with anorexia nervosa. Which goal is most appropriate
for the initial plan of care?
A) The patient will express satisfaction with body image within one week.
B) The patient will engage in social activities with peers during meal times.
C) The patient will independently plan and prepare all meals.
D) The patient will gain a specified amount of weight each week as agreed upon by the
healthcare team.
,After a transfusion, the body reacts by destroying the transfused red blood cells. What is this
reaction?
A) Rh negative
B) antihistamine
C) hemolytic
D) antibody
C) Hemolytic
RATIONALE: A hemolytic reaction occurs when the body destroys transfused red blood
cells.
The triage nurse is prioritizing adult clients to be evaluated in the emergency department.
Which client does the nurse assess first?
A) A client with a temperature of 100°F (37.8°C).
B) A client reporting arm pain after falling off a chair.
C) A client reporting vomiting for the past several hours.
D) A client with a persistent nosebleed.
D) A client with a persistent nosebleed.
RATIONALE:
Compromised circulation takes precedence over the other clients' needs.
A client returns to the unit after placement of a split-thickness autograft to a burn on the right
arm. Which intervention does the nurse give the highest immediate priority?
A) Managing pain at the recipient site.
B) Immobilizing the graft.
C) Minimizing light exposure.
D) Observing for signs of graft failure.
B) Immobilizing the graft.
RATIONALE:
Graft adherence to the site is essential for vascularization and "taking" or survival of the graft.
Immobilization of the graft and the limb is a priority. A thin fibrin network develops quickly
, after graft placement, but it takes 7 to 10 days for the graft to really adhere and longer than
that to mature.
The nurse prepares to perform the initial assessment on a school-age client. The client has an
open wound infected with methicillin-resistant Staphylococcus aureus (MRSA). Which
precaution will the nurse take?
A) Wear gloves only.
B) Wear gown and gloves.
C) Wear gown, gloves, and mask.
D) No precautions are necessary.
B) Wear gown and gloves
RATIONALE:
MRSA requires contact precautions. The nurse should wear clean, nonsterile gloves and gown
when entering the client?s room and when having any contact with the client or with surfaces
that the client touches.
The nurse prepares to perform the initial assessment on a school-age client. The client has an
open wound infected with methicillin-resistant Staphylococcus aureus (MRSA). Which
precaution will the nurse take?
A. Wear gloves only.
B. Wear gown and gloves.
C. Wear gown, gloves, and mask.
D. No precautions are necessary.
B. Wear gown and gloves.
RATIONALE: MRSA requires contact precautions. The nurse should wear clean, nonsterile
gloves and gown when entering the client?s room and when having any contact with the
client or with surfaces that the client touches.
The nurse has four phone messages. Which message does the nurse return first?
A) An older adult client undergoing bowel prep and reporting watery diarrhea.
B) A client with a newborn and experiencing breast engorgement.
C) A client who had a cataract extraction 3 days ago and reporting nausea.
D) A client diagnosed with a C6 spinal cord injury and reporting a headache.
MULTIPLE CHOICE OF QUESTIONS AND DETAILED SOLVED SOLUTIONS ALREADY
GRADED A+ AND 100% GUARANTEE PASS (BRAND NEW!!!!!)
The nurse providing care for clients with diabetes mellitus receives report. Which client does
the nurse see first?
A) A female client who reports urinary frequency and burning with urination.
B) A client with a BP of 90/60 mm Hg and whose skin is hot and dry to touch.
C) A client with a BP of 120/50 mm Hg and who reports frequent urination and thirst.
D) A client who reports experiencing constant hunger.
B) A client with a BP of 90/60 mm Hg and whose skin is hot and dry to touch.
RATIONALE:
The lower blood pressure and hot, dry skin indicate dehydration caused by hyperglycemia.
This is the first stage of diabetic ketoacidosis (DKA). This client has a circulatory concern and is
the highest priority.
The nurse reviews telephone messages in the pediatric clinic. Which message will the nurse
return first?
A) Parent states the extremities of a 2-day-old client extend and return to the previous
position when the crib is bumped.
B) Parent states that the circumcision site of a 3-day-old client is covered with yellowish
exudate.
C) Parent states that a 4-day-old client who is formula fed has had one stool per day for the
past 2 days.
D) Parent states that the umbilical cord stump of a 5-day-old client is moist at the base and
slightly red.
D) Parent states that the umbilical cord stump of a 5-day-old client is moist at the base and
slightly red.
RATIONALE:
A moist and red umbilical cord stump in a client of this age indicates an infection or other
problem with the umbilical stump. The cord should be dry and without redness.
,The hospital has just received word that a major disaster has occurred and a large influx of
clients is expected in less than 1 hour. The nurse considers which current client is best for
immediate discharge?
A)An older adult client admitted 4 days ago with a diagnosis of a stage 3 pressure injury.
B) An older adult client admitted 12 hours ago with a diagnosis of pyelonephritis.
C) An older adult client 3 days postoperative after a total hip replacement.
D) An adult client 24 hours postoperative after a vaginal hysterectomy.
C) An older adult client 3 days postoperative after a total hip replacement.
RATIONALE:
This is the most stable client. Clients post-total hip replacement are typically discharged on
postoperative day 2 to 3 to a rehab facility or home.
The home care nurse visits a client diagnosed with acquired immune deficiency syndrome
(AIDS). The nurse instructs the client's caregiver about how to prevent infection. Which is the
most important instruction the nurse will give to the caregiver?
A) "Cover your nose and mouth when you sneeze or cough."
B) "Get rid of all pets in the home."
C) "Wash your hands frequently."
D) "Wash the client's dishes separately."
C) “Wash your hands frequently."
RATIONALE:
Hand hygiene is the single best way to kill germs. The caregiver should wash hands after going
to the bathroom and before and after fixing food. The caregiver should also wash hands
before and after caring for the client.
A nurse is planning care for a patient with anorexia nervosa. Which goal is most appropriate
for the initial plan of care?
A) The patient will express satisfaction with body image within one week.
B) The patient will engage in social activities with peers during meal times.
C) The patient will independently plan and prepare all meals.
D) The patient will gain a specified amount of weight each week as agreed upon by the
healthcare team.
,After a transfusion, the body reacts by destroying the transfused red blood cells. What is this
reaction?
A) Rh negative
B) antihistamine
C) hemolytic
D) antibody
C) Hemolytic
RATIONALE: A hemolytic reaction occurs when the body destroys transfused red blood
cells.
The triage nurse is prioritizing adult clients to be evaluated in the emergency department.
Which client does the nurse assess first?
A) A client with a temperature of 100°F (37.8°C).
B) A client reporting arm pain after falling off a chair.
C) A client reporting vomiting for the past several hours.
D) A client with a persistent nosebleed.
D) A client with a persistent nosebleed.
RATIONALE:
Compromised circulation takes precedence over the other clients' needs.
A client returns to the unit after placement of a split-thickness autograft to a burn on the right
arm. Which intervention does the nurse give the highest immediate priority?
A) Managing pain at the recipient site.
B) Immobilizing the graft.
C) Minimizing light exposure.
D) Observing for signs of graft failure.
B) Immobilizing the graft.
RATIONALE:
Graft adherence to the site is essential for vascularization and "taking" or survival of the graft.
Immobilization of the graft and the limb is a priority. A thin fibrin network develops quickly
, after graft placement, but it takes 7 to 10 days for the graft to really adhere and longer than
that to mature.
The nurse prepares to perform the initial assessment on a school-age client. The client has an
open wound infected with methicillin-resistant Staphylococcus aureus (MRSA). Which
precaution will the nurse take?
A) Wear gloves only.
B) Wear gown and gloves.
C) Wear gown, gloves, and mask.
D) No precautions are necessary.
B) Wear gown and gloves
RATIONALE:
MRSA requires contact precautions. The nurse should wear clean, nonsterile gloves and gown
when entering the client?s room and when having any contact with the client or with surfaces
that the client touches.
The nurse prepares to perform the initial assessment on a school-age client. The client has an
open wound infected with methicillin-resistant Staphylococcus aureus (MRSA). Which
precaution will the nurse take?
A. Wear gloves only.
B. Wear gown and gloves.
C. Wear gown, gloves, and mask.
D. No precautions are necessary.
B. Wear gown and gloves.
RATIONALE: MRSA requires contact precautions. The nurse should wear clean, nonsterile
gloves and gown when entering the client?s room and when having any contact with the
client or with surfaces that the client touches.
The nurse has four phone messages. Which message does the nurse return first?
A) An older adult client undergoing bowel prep and reporting watery diarrhea.
B) A client with a newborn and experiencing breast engorgement.
C) A client who had a cataract extraction 3 days ago and reporting nausea.
D) A client diagnosed with a C6 spinal cord injury and reporting a headache.
