lOMoARcPSD|40206794
NCLEX-RN 2025-2026 EXIT EXAM (WITH
NGN) 75 COMPREHENSIVE QUESTIONS
WITH ANSWERS & RATIONALES | GRADE A |
100% CORRECT -THE ULTIMATE GUIDE FOR
YR. (2026/2027)
NCLEXRN-08-001
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is
engaged to be married and is to begin a new job upon graduation. Which of the
following diagnoses would be a priority for this client?
• A. Sexual dysfunction related to radiation therapy
• B. Anticipatory grieving related to terminal illness
• C. Tissue integrity related to prolonged bed rest
• D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of primary
importance to this client. The psychosocial needs of the client are important to address
in light of the age and life choices. Hodgkin’s disease, however, has a good prognosis
when diagnosed early. Know the importance of sex to individual, partner, and patient’s
, lOMoARcPSD|40206794
motivation for change. Because lymphomas often affect the relatively young who are
in their productive years, these people may be affected more by these problems and
may be less knowledgeable about the possibilities of change.
• Option B: Grieving may not be an appropriate diagnosis since the client would
be experiencing new milestones in his life despite his condition. Let the patient
describe the problem in their own words. Provides a more accurate picture of
patient experience with which to develop a plan of care.
• Option C: Option B is not applicable since the client is not on bed rest. Encourage
the patient to share thoughts and concerns with his partner and to clarify values
and impact of condition on relationship. Helps the couple begin to deal with
issues that can strengthen or weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the priority
diagnosis. Identify pre-existing and current stress factors that may be affecting
the relationship. The patient may be concerned about other issues, such as job,
financial, and illness-related problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
, lOMoARcPSD|40206794
A client has autoimmune thrombocytopenic purpura. To determine the client’s
response to treatment, the nurse would monitor:
• A. Platelet count
• B. White blood cell count
• C. Potassium levels
• D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet counts,
making answer A the correct answer. The laboratory tests will show low platelet count,
usually <40×10^9/L for over three months. Blood film shows large platelets and tiny
platelet fragments. Bone marrow examination shows an increased number of
megakaryocytes.
• Option B: Often associated with the CBC is a differential, which refers to the
relative amounts of white blood cell types (i.e., neutrophil, lymphocyte,
eosinophil, etc.) as a percentage of the total number of WBCs. Of note, if a
subtype of white blood cells seems to be elevated based on the differential, the
actual value of the type of white blood cells should be calculated by multiplying
the percentage listed on the differential by the total number of white blood
cells.
, lOMoARcPSD|40206794
• Option C: Potassium disorders are related to cardiac arrhythmias. Hypokalemia
occurs when serum potassium levels under 3.6 mmol/L—weakness, fatigue, and
muscle twitching present in hypokalemia. Hyperkalemia occurs when the serum
potassium levels above 5.5 mmol/L, which can result in arrhythmias. Muscle
cramps, muscle weakness,
rhabdomyolysis, myoglobinuria are presenting signs and symptoms in
hyperkalemia.
Patients with a propensity for bleeding should
undergo testing to determine the presence of a clotting disorder. For patients
with deficiencies or defects of the intrinsic clotting cascade, the PTT will be
elevated. Normal PTT values can vary between laboratories but 25 to 35
seconds is considered normal.
NCLEXRN-08-003
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
The home health nurse is visiting a client with autoimmune thrombocytopenic purpura
(ATP). The client’s platelet count currently is 80, it will be most important to teach the
client and family about:
NCLEX-RN 2025-2026 EXIT EXAM (WITH
NGN) 75 COMPREHENSIVE QUESTIONS
WITH ANSWERS & RATIONALES | GRADE A |
100% CORRECT -THE ULTIMATE GUIDE FOR
YR. (2026/2027)
NCLEXRN-08-001
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is
engaged to be married and is to begin a new job upon graduation. Which of the
following diagnoses would be a priority for this client?
• A. Sexual dysfunction related to radiation therapy
• B. Anticipatory grieving related to terminal illness
• C. Tissue integrity related to prolonged bed rest
• D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of primary
importance to this client. The psychosocial needs of the client are important to address
in light of the age and life choices. Hodgkin’s disease, however, has a good prognosis
when diagnosed early. Know the importance of sex to individual, partner, and patient’s
, lOMoARcPSD|40206794
motivation for change. Because lymphomas often affect the relatively young who are
in their productive years, these people may be affected more by these problems and
may be less knowledgeable about the possibilities of change.
• Option B: Grieving may not be an appropriate diagnosis since the client would
be experiencing new milestones in his life despite his condition. Let the patient
describe the problem in their own words. Provides a more accurate picture of
patient experience with which to develop a plan of care.
• Option C: Option B is not applicable since the client is not on bed rest. Encourage
the patient to share thoughts and concerns with his partner and to clarify values
and impact of condition on relationship. Helps the couple begin to deal with
issues that can strengthen or weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the priority
diagnosis. Identify pre-existing and current stress factors that may be affecting
the relationship. The patient may be concerned about other issues, such as job,
financial, and illness-related problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
, lOMoARcPSD|40206794
A client has autoimmune thrombocytopenic purpura. To determine the client’s
response to treatment, the nurse would monitor:
• A. Platelet count
• B. White blood cell count
• C. Potassium levels
• D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet counts,
making answer A the correct answer. The laboratory tests will show low platelet count,
usually <40×10^9/L for over three months. Blood film shows large platelets and tiny
platelet fragments. Bone marrow examination shows an increased number of
megakaryocytes.
• Option B: Often associated with the CBC is a differential, which refers to the
relative amounts of white blood cell types (i.e., neutrophil, lymphocyte,
eosinophil, etc.) as a percentage of the total number of WBCs. Of note, if a
subtype of white blood cells seems to be elevated based on the differential, the
actual value of the type of white blood cells should be calculated by multiplying
the percentage listed on the differential by the total number of white blood
cells.
, lOMoARcPSD|40206794
• Option C: Potassium disorders are related to cardiac arrhythmias. Hypokalemia
occurs when serum potassium levels under 3.6 mmol/L—weakness, fatigue, and
muscle twitching present in hypokalemia. Hyperkalemia occurs when the serum
potassium levels above 5.5 mmol/L, which can result in arrhythmias. Muscle
cramps, muscle weakness,
rhabdomyolysis, myoglobinuria are presenting signs and symptoms in
hyperkalemia.
Patients with a propensity for bleeding should
undergo testing to determine the presence of a clotting disorder. For patients
with deficiencies or defects of the intrinsic clotting cascade, the PTT will be
elevated. Normal PTT values can vary between laboratories but 25 to 35
seconds is considered normal.
NCLEXRN-08-003
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
The home health nurse is visiting a client with autoimmune thrombocytopenic purpura
(ATP). The client’s platelet count currently is 80, it will be most important to teach the
client and family about:
