2025 NCLEX-RN Full Review: High-Yield Nursing Concepts &
Practice Questions
Stuvia 5-Star Gold
May 2025
2025 NCLEX-RN High-Yield Q&A for Exam Success
This high-yield NCLEX-RN review ensures success in the 2025 exam, covering Safe and Effective Care, Health
Promotion, Psychosocial Integrity, and Physiological Integrity. It includes 30 practice questions: 20 multiple-choice
(1 mark each, 20 marks), 5 select-all-that-apply (2 marks each, 10 marks), and 5 case-study-based (2 marks each,
10 marks). Total: 40 marks. Verified answers, rationales, and secret hints and helpers deliver Stuvia 5-star quality.
Aligns with NCSBNs 2025 test plan and Next Generation NCLEX (NGN) formats.
Section A: Multiple-Choice Questions (20 marks)
Answer all questions. Select the best answer. No negative marking.
1. A nurse administers enoxaparin. Which action ensures safety?
A) Massaging the injection site B) Checking platelet count C) Administering IV D) Using a 1-inch
needle
Secret Hint and Helper: Focus on enoxaparin monitoring.
Correct Answer: B. Checking platelet count.
Rationale: Enoxaparin risks thrombocytopenia; platelet monitoring is essential, per ISMP. A) Massaging
causes bruising. C) Enoxaparin is subcutaneous. D) A shorter needle is preferred.
2. A patient with TB is on airborne precautions. Which PPE is required?
A) Gloves and gown B) N95 respirator C) Face shield D) Surgical mask
Secret Hint and Helper: Recall CDC airborne precaution guidelines.
Correct Answer: B. N95 respirator.
Rationale: TB requires airborne precautions with an N95, per CDC. A, C, D) These are insufficient or
incorrect for airborne pathogens.
3. A patient reports abdominal pain post-cholecystectomy. Which assessment is priority?
A) Bowel sounds B) Pain scale C) Vital signs D) Incision site
Secret Hint and Helper: Suspect post-op complications.
Correct Answer: C. Vital signs.
Rationale: Vital signs detect bleeding or infection (e.g., tachycardia, hypotension). A, B, D) These follow
initial stability assessment.
4. A patient on levothyroxine reports palpitations. What is the nurses priority action?
A) Reassure the patient B) Check thyroid levels C) Administer a beta-blocker D) Encourage rest
Secret Hint and Helper: Recall levothyroxine toxicity.
Correct Answer: B. Check thyroid levels.
Rationale: Palpitations suggest hyperthyroidism; thyroid levels guide treatment. A, C, D) These are prema-
ture without lab confirmation.
5. A patient with grief refuses to eat. What is the nurses best response?
A) Insist on eating B) Can you share your feelings? C) Notify the provider D) Document refusal only
Secret Hint and Helper: Use therapeutic communication.
Correct Answer: B. Can you share your feelings?
Rationale: Open-ended questions support emotional expression, per ANA. A) Insisting is non-therapeutic.
C, D) Notification and documentation are secondary.
6. A patient with a new colostomy asks about hygiene. What should the nurse recommend?
A) Clean with alcohol B) Use mild soap and water C) Apply adhesive tape D) Avoid cleaning the
stoma
Secret Hint and Helper: Consider stoma care standards.
Correct Answer: B. Use mild soap and water.
Rationale: Mild soap and water prevent irritation, per WOCN guidelines. A, C, D) Alcohol, tape, and
1
Practice Questions
Stuvia 5-Star Gold
May 2025
2025 NCLEX-RN High-Yield Q&A for Exam Success
This high-yield NCLEX-RN review ensures success in the 2025 exam, covering Safe and Effective Care, Health
Promotion, Psychosocial Integrity, and Physiological Integrity. It includes 30 practice questions: 20 multiple-choice
(1 mark each, 20 marks), 5 select-all-that-apply (2 marks each, 10 marks), and 5 case-study-based (2 marks each,
10 marks). Total: 40 marks. Verified answers, rationales, and secret hints and helpers deliver Stuvia 5-star quality.
Aligns with NCSBNs 2025 test plan and Next Generation NCLEX (NGN) formats.
Section A: Multiple-Choice Questions (20 marks)
Answer all questions. Select the best answer. No negative marking.
1. A nurse administers enoxaparin. Which action ensures safety?
A) Massaging the injection site B) Checking platelet count C) Administering IV D) Using a 1-inch
needle
Secret Hint and Helper: Focus on enoxaparin monitoring.
Correct Answer: B. Checking platelet count.
Rationale: Enoxaparin risks thrombocytopenia; platelet monitoring is essential, per ISMP. A) Massaging
causes bruising. C) Enoxaparin is subcutaneous. D) A shorter needle is preferred.
2. A patient with TB is on airborne precautions. Which PPE is required?
A) Gloves and gown B) N95 respirator C) Face shield D) Surgical mask
Secret Hint and Helper: Recall CDC airborne precaution guidelines.
Correct Answer: B. N95 respirator.
Rationale: TB requires airborne precautions with an N95, per CDC. A, C, D) These are insufficient or
incorrect for airborne pathogens.
3. A patient reports abdominal pain post-cholecystectomy. Which assessment is priority?
A) Bowel sounds B) Pain scale C) Vital signs D) Incision site
Secret Hint and Helper: Suspect post-op complications.
Correct Answer: C. Vital signs.
Rationale: Vital signs detect bleeding or infection (e.g., tachycardia, hypotension). A, B, D) These follow
initial stability assessment.
4. A patient on levothyroxine reports palpitations. What is the nurses priority action?
A) Reassure the patient B) Check thyroid levels C) Administer a beta-blocker D) Encourage rest
Secret Hint and Helper: Recall levothyroxine toxicity.
Correct Answer: B. Check thyroid levels.
Rationale: Palpitations suggest hyperthyroidism; thyroid levels guide treatment. A, C, D) These are prema-
ture without lab confirmation.
5. A patient with grief refuses to eat. What is the nurses best response?
A) Insist on eating B) Can you share your feelings? C) Notify the provider D) Document refusal only
Secret Hint and Helper: Use therapeutic communication.
Correct Answer: B. Can you share your feelings?
Rationale: Open-ended questions support emotional expression, per ANA. A) Insisting is non-therapeutic.
C, D) Notification and documentation are secondary.
6. A patient with a new colostomy asks about hygiene. What should the nurse recommend?
A) Clean with alcohol B) Use mild soap and water C) Apply adhesive tape D) Avoid cleaning the
stoma
Secret Hint and Helper: Consider stoma care standards.
Correct Answer: B. Use mild soap and water.
Rationale: Mild soap and water prevent irritation, per WOCN guidelines. A, C, D) Alcohol, tape, and
1
