NCLEX 2025-2026 WELL SUMMARISED EXAM GRADED A+ WITH
CLEAR QUESTIONS AND ANSWERS
1.The nurse is assessing a client with suspected gout. Which of the following findings
would support a diagnosis of gout? Select all that apply.
1. elevated serum uric acid level
2. a swollen, red joint
3. reports of moderate fatigue
4. distal extremities cool to touch
5. pain associated with movement of the affected extremity
6. intolerance of dairy products
1,2,3,5
4. distal joints are warm to touch
6. low fat milk can decrease occurrence of gout attacks!
2.The nurse is assessing a client with suspected endometriosis.
Which of the following findings would support a diagnosis of endometriosis?
1. dyspareunia
2. hot flashes
3. weight gain
4. amenorrhea
1. dyspareunia
Pain with intercourse
3.The nurse is assessing a client with cirrhosis. Which of the following findings would be
consistent with a diagnosis of cirrhosis?
1. steatorrhea
2. deep vein thrombosis (DVT)
3. high fever
4. spontaneous bruising
4. spontaneous bruising
, The liver has a role in synthesizing coagulating factors. Damage to the liver impairs
coagulation
Rationale:
1. Steatorrhea indicates a pancreatic problem
4. The nurse is assessing a male client who has suspected syphilis. Which of the
following findings would support a diagnosis of syphilis?
1. urethritis
2. conjunctivitis
3. chancre lesions
4. penile discharge
3. chancre lesions
5. The nurse has attended a staff education program about spinal shock following acute
spinal cord injury. Follow-up is required if the nurse states that manifestations of spinal
shock include
1. bowel dysfunction
2. bladder dysfunction
3. spastic paralysis below the level of injury
4. loss of sensation below the level of injury
3. spastic paralysis below the level of injury
6. The nurse is planning care for a client who has an arteriovenous (AV) shunt in the
left arm. Which of the following interventions should the nurse include in the client's
plan of care?
1. Instruct the client to protect the AV shunt by tucking the left arm under the body while
sleeping.
2. Check for a bruit by palpating the AV shunt.
3. Administer prescribed intravenous fluids through the AV shunt.
4. Avoid obtaining blood pressure measurements in the arm with the AV shunt.
4. Avoid obtaining blood pressure measurements in the arm with the AV shunt.
CLEAR QUESTIONS AND ANSWERS
1.The nurse is assessing a client with suspected gout. Which of the following findings
would support a diagnosis of gout? Select all that apply.
1. elevated serum uric acid level
2. a swollen, red joint
3. reports of moderate fatigue
4. distal extremities cool to touch
5. pain associated with movement of the affected extremity
6. intolerance of dairy products
1,2,3,5
4. distal joints are warm to touch
6. low fat milk can decrease occurrence of gout attacks!
2.The nurse is assessing a client with suspected endometriosis.
Which of the following findings would support a diagnosis of endometriosis?
1. dyspareunia
2. hot flashes
3. weight gain
4. amenorrhea
1. dyspareunia
Pain with intercourse
3.The nurse is assessing a client with cirrhosis. Which of the following findings would be
consistent with a diagnosis of cirrhosis?
1. steatorrhea
2. deep vein thrombosis (DVT)
3. high fever
4. spontaneous bruising
4. spontaneous bruising
, The liver has a role in synthesizing coagulating factors. Damage to the liver impairs
coagulation
Rationale:
1. Steatorrhea indicates a pancreatic problem
4. The nurse is assessing a male client who has suspected syphilis. Which of the
following findings would support a diagnosis of syphilis?
1. urethritis
2. conjunctivitis
3. chancre lesions
4. penile discharge
3. chancre lesions
5. The nurse has attended a staff education program about spinal shock following acute
spinal cord injury. Follow-up is required if the nurse states that manifestations of spinal
shock include
1. bowel dysfunction
2. bladder dysfunction
3. spastic paralysis below the level of injury
4. loss of sensation below the level of injury
3. spastic paralysis below the level of injury
6. The nurse is planning care for a client who has an arteriovenous (AV) shunt in the
left arm. Which of the following interventions should the nurse include in the client's
plan of care?
1. Instruct the client to protect the AV shunt by tucking the left arm under the body while
sleeping.
2. Check for a bruit by palpating the AV shunt.
3. Administer prescribed intravenous fluids through the AV shunt.
4. Avoid obtaining blood pressure measurements in the arm with the AV shunt.
4. Avoid obtaining blood pressure measurements in the arm with the AV shunt.
