2025 Actual Exam Questions And Answers |
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Certification Prep Exam — NCLEX-RN Readiness
Exam Year: 2025
Total Questions: 100 Multiple-Choice (A–D)
Sections: 7
Section 1: Safe & Effective Care Environment – Management of Care (Questions 1–15)
Section 2: Safe & Effective Care Environment – Safety & Infection Control (Questions 16–30)
Section 3: Health Promotion & Maintenance (Questions 31–45)
Section 4: Psychosocial Integrity (Questions 46–60)
Section 5: Physiological Integrity – Basic Care & Comfort (Questions 61–70)
Section 6: Physiological Integrity – Pharmacological & Parenteral Therapies (Questions
71–85)
Section 7: Physiological Integrity – Reduction of Risk Potential & Physiological Adaptation
(Questions 86–100)
Answers with rationales are provided beneath each question.
Aligned to the 2025 certification body of knowledge.
Page 1 of 36
,Table of Contents
Section 1: Safe & Effective Care Environment – Management of Care (Questions 1–15)3
Section 2: Safe & Effective Care Environment – Safety & Infection Control (Questions
16–30)8
Section 3: Health Promotion & Maintenance (Questions 31–45)13
Section 4: Psychosocial Integrity (Questions 46–60)18
Section 5: Physiological Integrity – Basic Care & Comfort (Questions 61–70)23
Section 6: Physiological Integrity – Pharmacological & Parenteral Therapies (Questions
71–85)27
Section 7: Physiological Integrity – Reduction of Risk Potential & Physiological Adaptation
(Questions 86–100)32
Page 2 of 36
,Section 1: Safe & Effective Care Environment – Management of Care
(Questions 1–15)
Q1: A nurse is caring for four clients. Which client should the nurse assess first?
A. A client whose lunch tray has arrived but who ate only 25% of breakfast
B. A client requesting pain medication for a headache rated 2/10
C. A client waiting to review discharge instructions
D. A client admitted for pneumonia with an oxygen saturation of 84% on room air
**[CORRECT]**
Correct Answer: D
Rationale: Oxygenation is an airway and breathing priority and 84% indicates hypoxemia
requiring immediate assessment. Routine pain, discharge teaching, and intake concerns
are important but nonurgent.
Q2: Which task should the nurse delegate to unlicensed assistive personnel (UAP)?
A. Assisting a stable client with a bed bath and ambulation to the bathroom
**[CORRECT]**
B. Evaluating a new admission's lung sounds
C. Administering a PRN antiemetic
D. Teaching a client how to use an incentive spirometer
Correct Answer: A
Rationale: Assisting with hygiene and ambulating a stable client are within UAP scope.
Assessment, medication administration, and client teaching require licensed personnel
and cannot be delegated.
Q3: A client scheduled for an elective surgery tells the nurse, "I changed my mind about the
procedure." Which action should the nurse take?
A. Encourage the client to proceed because the surgeon's schedule is set
B. Notify the surgeon and document the client's withdrawal of consent **[CORRECT]**
C. Ask the family to persuade the client to continue
D. Send the client to the operating room and let the surgeon decide
Correct Answer: B
Rationale: Consent may be withdrawn at any time, and the nurse must communicate the
client's decision to the surgeon and document it. Coercion, family pressure, and
proceeding anyway violate the client's right to self-determination.
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, Q4: A client with terminal cancer asks the nurse about hospice services. Which response is
most appropriate?
A. "Hospice is only for clients who are actively dying in the hospital."
B. "You should focus on treatment instead of giving up."
C. "Let me explain what hospice provides and how you can be referred." **[CORRECT]**
D. "I will contact your family to make that decision for you."
Correct Answer: C
Rationale: The nurse should provide accurate information about hospice and support client
choice. Discouraging the client, misstating eligibility, and transferring decision-making to
family violate autonomy and accurate teaching.
Q5: The nurse overhears two colleagues discussing a client's HIV status in the hospital
cafeteria. Which action is correct?
A. Report the colleagues to the state licensing board immediately
B. Join the conversation to clarify the client's diagnosis
C. Remind them privately that discussing client information in public areas violates
confidentiality **[CORRECT]**
D. Ignore the conversation because no names were used
Correct Answer: C
Rationale: Nurses must protect client information and prompt a private correction of
potential privacy breaches. Joining in worsens the violation, immediate board reporting
bypasses internal channels, and any identifying details still breach confidentiality.
Q6: The nurse receives an order that appears to be incorrect for the client's weight. Which
action should the nurse take?
A. Administer the medication because the order is written and signed
B. Clarify the order with the prescriber before administration **[CORRECT]**
C. Ask a colleague to administer the dose so another nurse shares the responsibility
D. Hold the medication and document a medication error
Correct Answer: B
Rationale: Nurses must clarify questionable orders before administering to prevent harm.
Administering a suspected error, delegating the dose to share liability, and documenting
an error before an event has occurred are all improper.
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