SIMCLEX Exam Questions with Correct Answers Latest Version 2025 Graded A+
A nurse is working with a client who has developed neurosyphilis as a result of untreated syphilis 10
years ago. Based on this diagnosis, the nurse would expect to see which of the following signs or
symptoms?
a. dementia
b. coma
c. hyperreflexia
d. hearing loss - Answers a. Dementia
Neurosyphilis develops as a cognitive complication of an untreated syphilis infection. The client typically
contracted syphilis 10 to 30 years prior to the tertiary stage, which is when the spirochetes invade the
brain and internal organs. Dementia is the most common symptom of the tertiary stage, but other signs
include internal organ damage, meningitis, and aortic valve and aorta problems.
The nurse is working in labor and delivery with a mother who just vaginally delivered a baby boy after 19
hours of labor moments ago. Which of the following is NOT a priority intervention that will help with the
newborn's physiological needs at this time? Select all that apply.
a. weight
b. vitamin k administration
c. id band the baby
d. suctioning airway and nares with a bulb syringe
e. wrap baby around mom's chest skin to skin with a blanket - Answers a, b, c
The nurse is preparing to administer clopidogrel to a client. The nurse knows that the purpose of this
medication is which of the following?
a. to prevent a thrombus from forming
b. to dissolve a thrombus
, c. to slow down the formation of thrombi
d. to prevent fibrinolysis - Answers a. To prevent a thrombus from forming
This is correct. The purpose of anti-platelet aggregates is thrombus prevention. They work by preventing
platelet grouping and clumping.
Which of the following would help to reduce the risk of nursing injury related to patient positioning?
Select all that apply.
a. mechanical lifts
b. side rails
c. overbed tables
d. standing aids
e. mobility riser - Answers a, d, e
Client handling is a common element of nursing care and is also a common risk factor for work-
associated injuries. The nurse may use some items to decrease body strain while moving and lifting
clients such as mechanical lifts, standing aids, and risers that help the client to change positions or stand.
Upon reviewing the client's lab values seen in the diagram, which symptom would the nurse expect to
find?
- blood glucose: 215 mg/dL
- total cholesterol: 192 mg/dL
- hgb: 14 mg/dL
- low-density lipoprotein: 120 mg/dL
a. dry, hot skin
b. pale, cool skin
c. dry, itchy skin
d. pale blue nail beds - Answers a
A nurse works in a healthcare clinic and cares for clients of varying cultural backgrounds. Which of the
following indicates this clinic's ability to become more culturally competent? Select all that apply.
A nurse is working with a client who has developed neurosyphilis as a result of untreated syphilis 10
years ago. Based on this diagnosis, the nurse would expect to see which of the following signs or
symptoms?
a. dementia
b. coma
c. hyperreflexia
d. hearing loss - Answers a. Dementia
Neurosyphilis develops as a cognitive complication of an untreated syphilis infection. The client typically
contracted syphilis 10 to 30 years prior to the tertiary stage, which is when the spirochetes invade the
brain and internal organs. Dementia is the most common symptom of the tertiary stage, but other signs
include internal organ damage, meningitis, and aortic valve and aorta problems.
The nurse is working in labor and delivery with a mother who just vaginally delivered a baby boy after 19
hours of labor moments ago. Which of the following is NOT a priority intervention that will help with the
newborn's physiological needs at this time? Select all that apply.
a. weight
b. vitamin k administration
c. id band the baby
d. suctioning airway and nares with a bulb syringe
e. wrap baby around mom's chest skin to skin with a blanket - Answers a, b, c
The nurse is preparing to administer clopidogrel to a client. The nurse knows that the purpose of this
medication is which of the following?
a. to prevent a thrombus from forming
b. to dissolve a thrombus
, c. to slow down the formation of thrombi
d. to prevent fibrinolysis - Answers a. To prevent a thrombus from forming
This is correct. The purpose of anti-platelet aggregates is thrombus prevention. They work by preventing
platelet grouping and clumping.
Which of the following would help to reduce the risk of nursing injury related to patient positioning?
Select all that apply.
a. mechanical lifts
b. side rails
c. overbed tables
d. standing aids
e. mobility riser - Answers a, d, e
Client handling is a common element of nursing care and is also a common risk factor for work-
associated injuries. The nurse may use some items to decrease body strain while moving and lifting
clients such as mechanical lifts, standing aids, and risers that help the client to change positions or stand.
Upon reviewing the client's lab values seen in the diagram, which symptom would the nurse expect to
find?
- blood glucose: 215 mg/dL
- total cholesterol: 192 mg/dL
- hgb: 14 mg/dL
- low-density lipoprotein: 120 mg/dL
a. dry, hot skin
b. pale, cool skin
c. dry, itchy skin
d. pale blue nail beds - Answers a
A nurse works in a healthcare clinic and cares for clients of varying cultural backgrounds. Which of the
following indicates this clinic's ability to become more culturally competent? Select all that apply.
