NCLEX COMPREHENSIVE EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2025

NCLEX COMPREHENSIVE EXAM 1: QUESTIONS
WITH CORRECT ANSWERS 2025
ASnurseSisSreviewingStheShealthScareSprovider'sS(HCP's)SadmittingSprescriptionsSforSaSpost-
menopausalSwomanSscheduledSforSaSdilatationSandScurettage.STheSnurseSisSunableStoSdecipherStheShandwr
itingSbutSthinksStheSmedicationSprescriptionSreadsSeitherSmetoprololSorStopiramate.SWhatSshouldStheSnurs
eSdoSnext?



-AskStheSclientSifSsheShasShypertension.

-AskStheSclientSifSsheShasSmigraines.

-CallStheSHCPStoSclarifyStheSprescription.

-AskStheSpharmacistStoSinterpretStheSprescription.S-SCORRECTSANSWERS-
CallStheSHCPStoSclarifyStheSprescription.



Rational:STheSnurseSmustSclarifySthisSprescriptionSwithStheSadmittingSHCPStoSensureSmedicationSaccuracySa
ndSclientSsafety.SInShealthScareSsettingsSwithoutScomputerizedSmedicalSrecordsSorScomputerSprescribing,Sm
isinterpretationSofShandwritingSremainsSaSleadingScauseSofSmedicationSerrors.SItSisSnotSsafeSpracticeStoSque
stionStheSclientSregardingSaSdiagnosisSandSassumeStheSmedicationSisScorrectlySprescribed.STheSpharmacistS
willSneedSclarificationSofStheSprescriptionSasSwell.SItSisSnotStheSroleSofStheSpharmacistStoSinterpretStheSpresc
ription.



ASphysicianSordersSmeperidineS30SmgSI.M.SasSpreoperativeSmedicationSforSaSschool-
ageSchildSwhoSweighsS66SlbS(30Skg).STheSmeperidineSisSsuppliedSasS50Smg/mL.SHowSmuchSmeperidineSshou
ldStheSnurseSadminister?



-S0.3SmL

-S0.5SmL

-S0.6SmL

-S0.8SmLS-SCORRECTSANSWERS-0.6SmL



ASclientSwithSacuteSasthmaSisSexperiencingSinspiratorySandSexpiratorySwheezing,SandSdecreasedSforcedSexp
iratorySvolume.SWhatSisStheSnurse'sSprioritySintervention?



-SBeta-adrenergicSblockers

,-SBronchodilators

-SInhaledSsteroids

-SOralSsteroidsS-SCORRECTSANSWERS-Bronchodilators



Rational:SBronchodilatorsSareStheSfirstSlineSofStreatmentSforSasthmaSbecauseSbronchoconstrictionSisStheSca
useSofSreducedSairflow.SBeta-
adrenergicSblockersSaren'tSusedStoStreatSasthma,SandScanScauseSbronchoconstriction.SInhaledSorSoralSsteroi
dsSmaySbeSgivenStoSreduceSinflammationSbutSaren'tSusedSforSemergencySrelief.



ASclientSwho'sSatShighSriskSforSsuicideSneedsScloseSsupervision.SToSbestSensureStheSclient'sSsafety,StheSnurseS
should:



-ScheckStheSclientSfrequentlySatSirregularSintervals.

-SassureStheSclientSthatStheSnurseSwillSholdSinSconfidenceSanythingStheSclientSsays.

-SrepeatedlySdiscussStheSclient'sSpreviousSsuicideSattempts.

-
SdisregardSdecreasedScommunicationSbyStheSclientSbecauseSdecreasedScommunicationSisStypicalSofSsuicidal

Sclients.S-SCORRECTSANSWERS-checkStheSclientSfrequentlySatSirregularSintervals.




Rational:SCheckingStheSclientSfrequentlySbutSatSirregularSintervalsSpreventsStheSclientSfromSanticipatingSwh
enSobservationSwillStakeSplaceSandSalteringSbehaviorSinSaSmisleadingSwaySatStheseStimes.SAssuringStheSclien
tSthatSinformationSwillSbeSheldSinSconfidenceSmaySencourageStheSclientStoStryStoSmanipulateStheSnurseSorSs
eekSattentionSbySclaimingSaSsecretSsuicideSplan.SRepeatedlySdiscussingSpreviousSsuicideSattemptsSmaySreinf
orceStheSclient'sSsuicidalSideas.SDecreasedScommunicationSisSaSsignSofSwithdrawalSthatSmaySindicateStheScli
entShasSdecidedStoScommitSsuicide;StheSnurseSshouldn'tSdisregardSit.



TheSnurseSisSassignedStoScareSforSaSclientSwithSearlySstageSAlzheimer'sSdisease.SWhichSnursingSintervention
sSshouldSbeSincludedSinStheSclient'sScareSplan?SSelectSallSthatSapply.



-MakeSfrequentSchangesSinStheSclient'sSroutine.

-EngageStheSclientSinScomplexSdiscussionsStoShelpSimproveSmemory.

-FurnishStheSclient'sSenvironmentSwithSfamiliarSpossessions.

-AssistStheSclientSwithSactivitiesSofSdailySlivingS(ADLs)SasSnecessary.

,-AssignStasksSinSsimpleSsteps.S-SCORRECTSANSWERS--
FurnishStheSclient'sSenvironmentSwithSfamiliarSpossessions.

-AssistStheSclientSwithSactivitiesSofSdailySlivingS(ADLs)SasSnecessary.

-AssignStasksSinSsimpleSsteps.



Rational:SASclientSwithSAlzheimer'sSdiseaseSexperiencesSprogressiveSdeteriorationSinScognitiveSfunctioning.
SFamiliarSpossessionsSmayShelpStoSorientStheSclient.STheSclientSshouldSbeSencouragedStoSperformSADLsSasSm

uchSasSpossibleSbutSmaySneedSassistanceSwithScertainSactivities.SUsingSaSstep-by-
stepSapproachShelpsStheSclientScompleteStasksSindependently.SASclientSwithSAlzheimer'sSdiseaseSfunctionsS
bestSwithSconsistentSroutines.SComplexSdiscussionsSdoSnotSimproveStheSmemorySofSaSclientSwithSAlzheimer
'sSdisease.



ASclientSisSreceivingSchemotherapySandStellsStheSnurseSaboutSalsoStakingSherbalStherapy.SWhatSshouldStheS
nurseSdoSnext?



-
SDetermineSwhatSsubstancesStheSclientSisSusing,SandSmakeSsureSthatStheShealthScareSproviderS(HCP)SisSawar

eSofSallStherapiesStheSclientSisSusing.

-SGuideStheSclientSinStheSdecision-makingSprocessStoSselectSeitherSWesternSorSalternativeSmedicine.

-SEncourageStheSclientStoSseekSalternativeSmodalitiesSthatSdoSnotSrequireStheSingestionSofSsubstances.

-SRecommendSthatStheSclientSstopSusingStheSalternativeSmedicinesSimmediately.S-SCORRECTSANSWERS-
DetermineSwhatSsubstancesStheSclientSisSusing,SandSmakeSsureSthatStheShealthScareSproviderS(HCP)SisSawar
eSofSallStherapiesStheSclientSisSusing.



Rational:STheSroleSofStheSnurseSisStoSassessSwhatSsubstancesSorSmedicationsStheSclientSisSusingSandStoSdocu
mentSandSinformSotherSmembersSofStheShealthScareSteam.SItSisSverySimportantStoSencourageStheSclientStoSk
eepStheSHCPSinformedSofSallStherapeuticSagents,Smedications,SandSsupplementsSsheSisSusing,StoSavoidSadve
rseSinteractions.SItSisSnotSappropriateSforStheSnurseStoSsuggestSthatStheSclientSchooseSeitherSWesternSorSalte
rnativeStherapiesSorStoSdiscourageStheSclient'sSuseSofSalternativeStherapies.STheSnurseSshouldSremainSobjec
tiveSaboutStheSclient'sStreatmentSchoicesSandSrespectSherSautonomy.



WhenSassessingSaSclientSwithSasthma,SwhichSfindingsSwouldSmostSlikelySindicateStheSpresenceSofSaSrespirat
orySinfection?



-ScoughSproductiveSofSyellowSsputum

, -SbilateralSexpiratorySwheezing

-SchestStightness

-SrespiratorySrateSofS30Sbreaths/minS-SCORRECTSANSWERS-coughSproductiveSofSyellowSsputum



Rational:SAScoughSproductiveSofSyellowSsputumSisStheSmostSlikelySindicatorSofSaSrespiratorySinfection.STheSo
therSsignsSandSsymptoms—wheezing,SchestStightness,SandSincreasedSrespiratorySrate—
areSallSfindingsSassociatedSwithSanSasthmaSattackSandSdoSnotSnecessarilySmeanSanSinfectionSisSpresent.



ASclientShasSaSsoftSwrist-safetySdevice.SWhichSassessmentSfindingSshouldStheSnurseSinvestigateSfurther?



-aSpalpableSradialSpulse

-aSpalpableSulnarSpulse

-cool,SpaleSfingers

-pinkSnailSbedsS-SCORRECTSANSWERS-cool,SpaleSfingers



Rational:ASwrist-
safetySdeviceSonStheSwristSmaySimpairScirculationSandSrestrictSbloodSsupplyStoSbodyStissues.STherefore,StheS
nurseSshouldSassessStheSclientSforSsignsSofSimpairedScirculationSsuchSasScool,SpaleSfingers.SASpalpableSradialS
orSulnarSpulseSandSpinkSnailSbedsSareSnormalSfindings.



ASparentSofSaS9-year-
oldSchildSwhoSisSscheduledStoShaveSsurgerySexpressesSconcernSaboutStheSpotentialSforSaSpostoperativeSinfe
ction.SWhichSinformationSwouldSbeSmostSimportantSforStheSnurseStoStellStheSparent?



-S"AllSvisitorsSshouldSwashStheirShandsSbeforeStheySleaveSorSenterStheSroom."

-S"CoverSyourSmouthSandSnoseSwhenSyouScoughSorSsneezeSinStheSroom."

-S"DoSnotSbringSfreshSflowersSorSfruitStoStheSroomSafterSsurgery."

-S"WearSanSisolationSgownSwhenSenteringStheSroom."S-SCORRECTSANSWERS-
"AllSvisitorsSshouldSwashStheirShandsSbeforeStheySleaveSorSenterStheSroom."



Rational:HandSwashingSuponSentrySandSwhenSleavingStheSclient'sSroomSshouldSbeSstressedStoSvisitorsStoSpr
eventStheSspreadSofSdisease.SDuringStheSpostoperativeSperiod,SvisitorsScouldSinadvertentlySbringSinSinfectio