Exam Practice Questions and Correct Verified
Answers| NCSBN NCLEX Test Bank 2025 (Newest!)
The nurse is caring for a 75 year-old client with type 2 diabetes mellitus. The client
should be instructed to contact the outpatient clinic immediately if which findings
are present?
1An open wound on the heel with minimal discomfort
2Occasional hiccups and sneezing
3Sustained insomnia and daytime fatigue
4Persistent dryness and itching of the perineal area - ANSWER-1An open wound
on the heel with minimal discomfort-
The nurse is caring for a client who has just been admitted to the inpatient mental
health unit with severe depression. Which concern should be a priority of care?
1Safety
2Elimination
3Rest
4Nutrition - ANSWER-1
A nurse is discussing with a client the precautions with warfarin. The nurse should
tell the client to avoid foods with excessive amounts of what substance?
1Iron
2Calcium
3Vitamin E
4Vitamin K - ANSWER-4
pg. 1
,The nurse has established a therapeutic relationship with a client. Which
observation would indicate that the nurse-client relationship has passed from the
orienting phase to the working phase?
1The client revitalizes a relationship with the family to help in coping with a
child's death
2The client recognizes feelings and expresses them appropriately
3The client expresses a desire to be mothered and pampered
4The client recognizes regression as a part of a defense mechanism - ANSWER-2
During the working phase, problems are identified and the client is able to focus on
unpleasant feelings and express them appropriately.
During the working phase, problems are identified and the client is able to focus on
unpleasant feelings and express them appropriately. - ANSWER-An advance
health care directive is also known as a living will. It is a legal document in which
a person specifies his or her wishes concerning medical treatments at the end-of-
life, when s/he is unable to make those decisions. Advance care planning involves
sharing personal values and wishes with loved ones and selecting someone, (called
a medical power of attorney or health care proxy) who will eventually make
medical decisions on the client's behalf
A nurse is talking to a group of parents about how to reduce risks in the home.
What is the most important factor for the nurse to consider during the discussion?
1Proximity to emergency services
2Number of children in the home
3Knowledge level of the parents
4Age of children in the home - ANSWER-4
When reviewing the medication lithium with a client, the client asks, "How long
will it take before I can feel the effects of the medication?" Which response by the
nurse is the best?
pg. 2
,1"About two weeks"
2"One month"
3"Immediately"
4"Several days" - ANSWER-1
A client has completed a renal biopsy. Which nursing intervention is appropriate
after a renal biopsy?
1Ambulate the client within four hours after procedure
2Change the dressing when it becomes saturated
3Monitor vital signs using post-op protocols
4Maintain client on NPO status for 24 hours - ANSWER-3
The nurse is caring for a client who is one-day postoperative with a T-tube
following a cholecystectomy. What color would the nurse expect the drainage from
the client's T-tube to be?
1Dark brown
2Green
3Yellowish-brown
4Orange - ANSWER-3
A newly admitted client reports taking phenytoin for several months. Which of the
following assessments should the nurse be sure to include in the admission report?
(Select all that apply.) - ANSWER-Serious adverse outcomes of antiseizure
medications such as phenytoin (Dilantin) are unsteady gait, slurred speech,
extreme fatigue, blurred vision or feelings of suicide. Increased hunger (not
anorexia), increased thirst or increased urination are additional serious side effects.
pg. 3
, The nurse is giving a morning bath to a client who has a colostomy. While giving
the bath, the nurse should reinforce that the collection pouch should be emptied at
what time?
1Prior to going to sleep at night
2After each fecal elimination
3At the same time each day
4When it is one-third to one-half full - ANSWER-4
A client is scheduled to have blood drawn for serum cholesterol and triglycerides
tomorrow morning. What information should the nurse reinforce to the client about
the test?
1"Be sure to eat a fat-free diet until the test, and drink lots of water."
2"Stay at the laboratory so that two blood samples can be drawn an hour apart."
3"Do not eat or drink anything but water for 12 hours before the blood test."
4"Have the blood drawn within two hours of eating breakfast." - ANSWER-3
The nurse is caring for a hospitalized adolescent. The nurse recognizes that which
of these concerns will be the greatest for a hospitalized adolescent?
1Restricted physical activity
2Separation from family
3Altered body image
4Unrelieved pain - ANSWER-3
In checking a postpartum client, the nurse palpates a firm fundus. However, the
nurse also observes a constant trickle of bright red blood from the vaginal opening.
What should the nurse suspect?
1Retained placenta
2Clotting disorder
pg. 4