NCLEX Nursing Licensure Exam Preparation
2025 – Comprehensive Question Bank with
Rationales – Complete Practice Questions with
Explanations
Introduction:
This document contains a comprehensive NCLEX-style question
bank with detailed rationales covering key nursing domains,
including medical-surgical nursing, pharmacology, maternity,
pediatrics, mental health, and critical care. The questions
focus on clinical judgment, prioritization, safety, and evidence-
based nursing interventions aligned with current NCLEX
standards. It is suitable for thorough exam preparation and
ongoing practice throughout nursing school or final NCLEX
review.
Exam Questions and Answers with Rationales:
1. The hospital has just received word that a major disaster
has occurred and a large influx of clients is expected in less
than 1 hour. The nurse considers which current client is best
for immediate discharge?
,A) An older adult client admitted 4 days ago with a diagnosis
of a stage 3 pressure injury.
B) An older adult client admitted 12 hours ago with a
diagnosis of pyelonephri- tis.
C) An older adult client 3 days postoperative after a total hip
replacement.
D) An adult client 24 hours postoperative after a vaginal
hysterectomy---Correct Answer---C) An older adult client 3
days postoperative after a total hip replacement.
RATIONALE:
This is the most stable client. Clients post-total hip
replacement are typically discharged on postoperative day 2 to
3 to a rehab facility or home.
2. The home care nurse visits a client diagnosed with
acquired immune defi- ciency syndrome (AIDS). The nurse
instructs the client's caregiver about how to prevent infection.
Which is the most important instruction the nurse will give to
the caregiver?
A) "Cover your nose and mouth when you sneeze or cough."
B) "Get rid of all pets in the home."
C) "Wash your hands frequently."
D) "Wash the client's dishes separately.": C) "Wash your
hands frequently." RATIONALE:
,Hand hygiene is the single best way to kill germs. The
caregiver should wash hands after going to the bathroom and
before and after fixing food. The caregiver should also wash
hands before and after caring for the client.
3. The triage nurse is prioritizing adult clients to be
evaluated in the emergency department. Which client does the
nurse assess first?
A) A client with a temperature of 100°F (37.8°C).
B) A client reporting arm pain after falling off a chair.
C) A client reporting vomiting for the past several hours.
D) A client with a persistent nosebleed---Correct Answer---
D) A client with a persistent nosebleed. RATIONALE:
Compromised circulation takes precedence over the other
clients' needs.
4. A client returns to the unit after placement of a split-
thickness autograft to a burn on the right arm. Which
intervention does the nurse give the highest immediate
priority?
A) Managing pain at the recipient site.
B) Immobilizing the graft.
C) Minimizing light exposure.
D) Observing for signs of graft failure---Correct Answer---B)
Immobilizing the graft. RATIONALE:
, Graft adherence to the site is essential for vascularization and
"taking" or survival of the graft. Immobilization of the graft
and the limb is a priority. A thin fibrin network develops
quickly after graft placement, but it takes 7 to 10 days for the
graft to really adhere and longer than that to mature.
5. The nurse prepares to perform the initial assessment on a
school-age client. The client has an open wound infected with
methicillin-resistant Staphylococ- cus aureus (MRSA). Which
precaution will the nurse take?
A) Wear gloves only.
B) Wear gown and gloves.
C) Wear gown, gloves, and mask.
D) No precautions are necessary---Correct Answer---B) Wear
gown and gloves RATIONALE:
MRSA requires contact precautions. The nurse should wear
clean, nonsterile gloves and gown when entering the client?s
room and when having any contact with the client or with
surfaces that the client touches.
6. The nurse provides care for a client diagnosed with
prerenal acute kidney injury. Which action will the nurse
perform first?
A) Assess for history of prostate enlargement.
B) Insert an indwelling urinary catheter.
2025 – Comprehensive Question Bank with
Rationales – Complete Practice Questions with
Explanations
Introduction:
This document contains a comprehensive NCLEX-style question
bank with detailed rationales covering key nursing domains,
including medical-surgical nursing, pharmacology, maternity,
pediatrics, mental health, and critical care. The questions
focus on clinical judgment, prioritization, safety, and evidence-
based nursing interventions aligned with current NCLEX
standards. It is suitable for thorough exam preparation and
ongoing practice throughout nursing school or final NCLEX
review.
Exam Questions and Answers with Rationales:
1. The hospital has just received word that a major disaster
has occurred and a large influx of clients is expected in less
than 1 hour. The nurse considers which current client is best
for immediate discharge?
,A) An older adult client admitted 4 days ago with a diagnosis
of a stage 3 pressure injury.
B) An older adult client admitted 12 hours ago with a
diagnosis of pyelonephri- tis.
C) An older adult client 3 days postoperative after a total hip
replacement.
D) An adult client 24 hours postoperative after a vaginal
hysterectomy---Correct Answer---C) An older adult client 3
days postoperative after a total hip replacement.
RATIONALE:
This is the most stable client. Clients post-total hip
replacement are typically discharged on postoperative day 2 to
3 to a rehab facility or home.
2. The home care nurse visits a client diagnosed with
acquired immune defi- ciency syndrome (AIDS). The nurse
instructs the client's caregiver about how to prevent infection.
Which is the most important instruction the nurse will give to
the caregiver?
A) "Cover your nose and mouth when you sneeze or cough."
B) "Get rid of all pets in the home."
C) "Wash your hands frequently."
D) "Wash the client's dishes separately.": C) "Wash your
hands frequently." RATIONALE:
,Hand hygiene is the single best way to kill germs. The
caregiver should wash hands after going to the bathroom and
before and after fixing food. The caregiver should also wash
hands before and after caring for the client.
3. The triage nurse is prioritizing adult clients to be
evaluated in the emergency department. Which client does the
nurse assess first?
A) A client with a temperature of 100°F (37.8°C).
B) A client reporting arm pain after falling off a chair.
C) A client reporting vomiting for the past several hours.
D) A client with a persistent nosebleed---Correct Answer---
D) A client with a persistent nosebleed. RATIONALE:
Compromised circulation takes precedence over the other
clients' needs.
4. A client returns to the unit after placement of a split-
thickness autograft to a burn on the right arm. Which
intervention does the nurse give the highest immediate
priority?
A) Managing pain at the recipient site.
B) Immobilizing the graft.
C) Minimizing light exposure.
D) Observing for signs of graft failure---Correct Answer---B)
Immobilizing the graft. RATIONALE:
, Graft adherence to the site is essential for vascularization and
"taking" or survival of the graft. Immobilization of the graft
and the limb is a priority. A thin fibrin network develops
quickly after graft placement, but it takes 7 to 10 days for the
graft to really adhere and longer than that to mature.
5. The nurse prepares to perform the initial assessment on a
school-age client. The client has an open wound infected with
methicillin-resistant Staphylococ- cus aureus (MRSA). Which
precaution will the nurse take?
A) Wear gloves only.
B) Wear gown and gloves.
C) Wear gown, gloves, and mask.
D) No precautions are necessary---Correct Answer---B) Wear
gown and gloves RATIONALE:
MRSA requires contact precautions. The nurse should wear
clean, nonsterile gloves and gown when entering the client?s
room and when having any contact with the client or with
surfaces that the client touches.
6. The nurse provides care for a client diagnosed with
prerenal acute kidney injury. Which action will the nurse
perform first?
A) Assess for history of prostate enlargement.
B) Insert an indwelling urinary catheter.
