NGN NCLEX RN EXAM QUESTION BANK |
2025 ACCURATE REAL QUESTIONS WITH
DETAILED ANSWERS GRADED A+ |
GUARANTEED EXCELLENCE PASS
The nurse is teaching about irritable bowel syndrome (IBS). Which of the
following would be most important?
A. Reinforcing the need for a balanced diet B. Encouraging the client to drink 16
ounces of fluid with each meal
C. Telling the client to eat a diet low in fiber
D. Instructing the client to limit his intake of fruits and vegetables - ✔✔✔
Correct Answer > Answer A is correct. The nurse should reinforce the need for a
diet balanced in all nutrients and fiber. Foods that often cause diarrhea and
bloating associated with irritable bowel syndrome include fried foods, caffeinated
beverages, alcohol, and spicy foods. Therefore, answers B, C, and D are incorrect.
A client with a hemorrhagic stroke has a temperature of 103ºF. Efforts to reduce
the temperature have not been effective. The most likely explanation for the
elevated temperature is that damage has occurred to the:
A. Hypothalamus
B. Pituitary
C. Carotid baroreceptors
D. Frontal lobe - ✔✔✔ Correct Answer > Answer A is correct. Damage to the
hypothalamus can result in an elevated temperature because this portion of the
,brain helps to regulate body temperature. Answers B, C, and D are incorrect
because they are not associated with regulation of temperature.
Which information obtained from the mother of a child with cerebral palsy
correlates to the diagnosis?
A. She was born at 40 weeks gestation.
B. She had meningitis when she was six months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats. - ✔✔✔ Correct Answer > Answer B is correct.
The diagnosis of meningitis at age six months correlates to a diagnosis of cerebral
palsy. Cerebral palsy, a neurological disorder, is often associated with birth
trauma or infections of the brain or spinal column. Answers A, C, and D are not
related to the question.
A client is admitted to the hospital in chronic renal failure. A low protein diet is
ordered. The rationale for a low protein diet is that:
A. A low protein diet helps reduce blood urea nitrogen and other wastes excreted
by the kidneys.
B. A low protein diet increases the sodium and potassium levels.
C. A low protein diet increases albumin production.
D. A low protein diet increases the calcium and phosphorous levels. - ✔✔✔
Correct Answer > Answer A is correct. The rationale for a low-protein diet is that
protein increases the production of nitrogenous wastes and causes an increased
workload on the kidneys. Answers B, C, and D are not the rationale for institution
of a low-protein diet; therefore, they are incorrect.
Which of the following is an expected finding in the assessment of a client with
bulimia nervosa?
,A. Extreme weight loss
B. Presence of lanugo over body
C. Erosion of tooth enamel
D. Muscle wasting - ✔✔✔ Correct Answer > Answer C is correct. Erosion of
tooth enamel caused by frequent self-induced vomiting is an expected finding in a
client with bulimia nervosa. Answers A, B, and D are expected findings in the
client with anorexia nervosa; therefore, they are incorrect
The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge nurse
that her child has chickenpox. Which initial action should the charge nurse take?
A. Change the nurse's assignment to another client.
B. Explain to the nurse that there is no risk to the client.
C. Ask the nurse if the chickenpox have crusted.
D. Ask the nurse if she has ever had the chickenpox - ✔✔✔ Correct Answer >
Answer D is correct. The nurse who has had the chickenpox has immunity to the
illness and will not transmit chickenpox to the client. Answer A is incorrect
because there could be no need to reassign the nurse. Answer B is incorrect
because the nurse should be assessed before coming to the conclusion that she
cannot spread the infection to the client. Answer C is incorrect because there is
still a risk, even though chickenpox has formed scabs.
Assuming that all have achieved normal cognitive and emotional development,
which of the following children is at greatest risk for accidental poisoning?
A. One-year-old
B. Four-year-old
C. Eight-year-old
, D. Twelve-year-old - ✔✔✔ Correct Answer > Answer B is correct. Because of
their increased mobility, manual dexterity and curiosity, the four-year-old is at
greater risk for accidental poisoning. Other accidental injuries in this age group
include being struck by a car, falls, burns, and drowning. Answer A is incorrect
because the one-year-old lacks the developmental skill to be at risk for accidental
poisoning. Answers C and D are incorrect because the eight-year-old and twelve-
year-old are at less risk because they are aware of the dangers of accidental
poisoning
Which term describes the play activity of the preschool aged child?
A. Cooperative
B. Associative
C. Parallel
D. Solitary - ✔✔✔ Correct Answer > Answer B is correct. Play of the preschool
aged child is described as associative. At this stage, children are more interested
in playing with other children than they are with playing with toys. The child may
talk to other children and exchange toys or play games without any rules. Answer
A describes the play of a school-aged child. Answer C describes the play of a
toddler. Answer D describes the play of an infant.
The nurse is ready to begin an exam on a nine-month-old infant who is sitting
quietly on his mother's lap. Which should the nurse do first?
A. Check the Babinski reflex
B. Listen to the heart and lung sounds
C. Palpate the abdomen
D. Check tympanic membranes - ✔✔✔ Correct Answer > Answer B is correct.
While the infant is quiet, the nurse should begin the exam by listening to the
heart and lungs. If the nurse elicits the Babinski reflex, palpates the abdomen, or
checks the tympanic membranes, the infant may cry and it will be difficult to
2025 ACCURATE REAL QUESTIONS WITH
DETAILED ANSWERS GRADED A+ |
GUARANTEED EXCELLENCE PASS
The nurse is teaching about irritable bowel syndrome (IBS). Which of the
following would be most important?
A. Reinforcing the need for a balanced diet B. Encouraging the client to drink 16
ounces of fluid with each meal
C. Telling the client to eat a diet low in fiber
D. Instructing the client to limit his intake of fruits and vegetables - ✔✔✔
Correct Answer > Answer A is correct. The nurse should reinforce the need for a
diet balanced in all nutrients and fiber. Foods that often cause diarrhea and
bloating associated with irritable bowel syndrome include fried foods, caffeinated
beverages, alcohol, and spicy foods. Therefore, answers B, C, and D are incorrect.
A client with a hemorrhagic stroke has a temperature of 103ºF. Efforts to reduce
the temperature have not been effective. The most likely explanation for the
elevated temperature is that damage has occurred to the:
A. Hypothalamus
B. Pituitary
C. Carotid baroreceptors
D. Frontal lobe - ✔✔✔ Correct Answer > Answer A is correct. Damage to the
hypothalamus can result in an elevated temperature because this portion of the
,brain helps to regulate body temperature. Answers B, C, and D are incorrect
because they are not associated with regulation of temperature.
Which information obtained from the mother of a child with cerebral palsy
correlates to the diagnosis?
A. She was born at 40 weeks gestation.
B. She had meningitis when she was six months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats. - ✔✔✔ Correct Answer > Answer B is correct.
The diagnosis of meningitis at age six months correlates to a diagnosis of cerebral
palsy. Cerebral palsy, a neurological disorder, is often associated with birth
trauma or infections of the brain or spinal column. Answers A, C, and D are not
related to the question.
A client is admitted to the hospital in chronic renal failure. A low protein diet is
ordered. The rationale for a low protein diet is that:
A. A low protein diet helps reduce blood urea nitrogen and other wastes excreted
by the kidneys.
B. A low protein diet increases the sodium and potassium levels.
C. A low protein diet increases albumin production.
D. A low protein diet increases the calcium and phosphorous levels. - ✔✔✔
Correct Answer > Answer A is correct. The rationale for a low-protein diet is that
protein increases the production of nitrogenous wastes and causes an increased
workload on the kidneys. Answers B, C, and D are not the rationale for institution
of a low-protein diet; therefore, they are incorrect.
Which of the following is an expected finding in the assessment of a client with
bulimia nervosa?
,A. Extreme weight loss
B. Presence of lanugo over body
C. Erosion of tooth enamel
D. Muscle wasting - ✔✔✔ Correct Answer > Answer C is correct. Erosion of
tooth enamel caused by frequent self-induced vomiting is an expected finding in a
client with bulimia nervosa. Answers A, B, and D are expected findings in the
client with anorexia nervosa; therefore, they are incorrect
The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge nurse
that her child has chickenpox. Which initial action should the charge nurse take?
A. Change the nurse's assignment to another client.
B. Explain to the nurse that there is no risk to the client.
C. Ask the nurse if the chickenpox have crusted.
D. Ask the nurse if she has ever had the chickenpox - ✔✔✔ Correct Answer >
Answer D is correct. The nurse who has had the chickenpox has immunity to the
illness and will not transmit chickenpox to the client. Answer A is incorrect
because there could be no need to reassign the nurse. Answer B is incorrect
because the nurse should be assessed before coming to the conclusion that she
cannot spread the infection to the client. Answer C is incorrect because there is
still a risk, even though chickenpox has formed scabs.
Assuming that all have achieved normal cognitive and emotional development,
which of the following children is at greatest risk for accidental poisoning?
A. One-year-old
B. Four-year-old
C. Eight-year-old
, D. Twelve-year-old - ✔✔✔ Correct Answer > Answer B is correct. Because of
their increased mobility, manual dexterity and curiosity, the four-year-old is at
greater risk for accidental poisoning. Other accidental injuries in this age group
include being struck by a car, falls, burns, and drowning. Answer A is incorrect
because the one-year-old lacks the developmental skill to be at risk for accidental
poisoning. Answers C and D are incorrect because the eight-year-old and twelve-
year-old are at less risk because they are aware of the dangers of accidental
poisoning
Which term describes the play activity of the preschool aged child?
A. Cooperative
B. Associative
C. Parallel
D. Solitary - ✔✔✔ Correct Answer > Answer B is correct. Play of the preschool
aged child is described as associative. At this stage, children are more interested
in playing with other children than they are with playing with toys. The child may
talk to other children and exchange toys or play games without any rules. Answer
A describes the play of a school-aged child. Answer C describes the play of a
toddler. Answer D describes the play of an infant.
The nurse is ready to begin an exam on a nine-month-old infant who is sitting
quietly on his mother's lap. Which should the nurse do first?
A. Check the Babinski reflex
B. Listen to the heart and lung sounds
C. Palpate the abdomen
D. Check tympanic membranes - ✔✔✔ Correct Answer > Answer B is correct.
While the infant is quiet, the nurse should begin the exam by listening to the
heart and lungs. If the nurse elicits the Babinski reflex, palpates the abdomen, or
checks the tympanic membranes, the infant may cry and it will be difficult to
