Hurst NCLEX EXAM QUESTIONS AND
ANSWERS 2025 LATEST EDITION.
NCLEX hospital . . . - ANSis perfect and you only care for client on screen
Priority questions - ANSwhich one is the Killer answer? *NOTE: Pain isn't a priority and expected
problems related to conditions-like kidney stones positive for hematuria and 8/10 pain-not
priority over other conditions
Call physician when - ANSonly if not a nursing intervention available
Never pick an answer - ANS*that isn't the least invasive * that isn't client focused
*that doesn't allow client to speak or rushes their complaint off *puts off work to someone else
*if you're down to 2, pick the killer answer *has long-term consequences * don't delay
care/treatment
report what to next shift nurse - ANSsomething "new" or "different" or "possible"
like illnesses can be put in - ANSsame room
if you have no baseline in question - ANSassume normal limits
elevate _______ and dangle _______ - ANSelevate veins and dangle arteries. E goes with E and
A goes with A
,any fluid problem, daily do what - ANSI&O and weights
with pacemaker always worry when - ANSrate is decreased
Mg or calcium problem, think what first - ANSmuscles
restless client think what first - ANShypoxia
always limit protein with kidney clients except which - ANSthose with nephrotic syndrome
first sign of respiratory acidosis - ANShypoxia possibly
remember with SIADH - ANStoo many letters, too much water
"Soggy Sid"
aldosterone, think - ANSsodium and water, releases K
Al likes to swim in saltwater
ADH - ANSH20
(three letters/three digits)
remember what about traction - ANSnever release unless you have order from dr to do so
when you see polyuria, think what first - ANSshock first
when you see fluid retention, think what first - ANSheart problems
,what should you ALWAYS assume - ANSthe worst * you always have something to worry about
if you see "assessment" or "evaluation" in stem - ANSthink signs and symptoms
don't ever use what in a nursing diagnosis - ANSa medical diagnosis
less volume ____ pressure
and more volume _____ pressure - ANSless volume, less pressure
more volume, more pressure
if problem is in kidneys - ANSHCO3 will be affected
if problem in lungs - ANSCO2 will be affected
when triaging, emergent means:
urgent means:
non-urgent means - ANSemergent is lift threatening
urgent is stable on arrival but needing timely attention
non-urgent is stable and not in immediate need of ER treatment
when you see words like always, never, total . . . - ANSdon't ever choose them! They're too
limiting. Look for things like might or maybe or sometimes!
arrythmias are not big deal unless what - ANSthey affect cardiac output
, Remember order of Maslow's - ANSBiological and physiological needs, safety, belonging and
love needs, esteem needs and then self-actualization needs like personal growth and fulfillment
what tasks can NAP be assigned - ANSstable patients (could be complex also) and tasks that are
routine, simple, repetitive, everyday activities that don't require nursing judgment such as
feeding, hygiene, ambulation
LVNs can be delegated tasks BUT . . . - ANSR.N. still is accountable and responsible for it
assignment - ANSthe work you must get accomplished during your shift
RN to RN assignments transfer - ANSresponsibility and accountability
with delegation, you can transfer - ANSthe responsibility but not the accountability.
Supervision - ANSguidance and direction, oversight and eval by the RN to see that delegated
task is accomplished.
What specific things do you have to tell the person you are delegating to? - ANSYou must make
sure exactly which task you've assigned them, which should be done first, etc., and any other
tasks you need completed and when. Give CLEAR directions indicating what ranges you want
reported to you.
after task is completed, check what - ANS&Was task done properly?* If not, provide teaching.
*Was the task done in the proper timeframe?* Will the delay affect client safety? *Were the
client's needs met?* Did the task change and require higher level of education? Maybe you
should do the task!
ANSWERS 2025 LATEST EDITION.
NCLEX hospital . . . - ANSis perfect and you only care for client on screen
Priority questions - ANSwhich one is the Killer answer? *NOTE: Pain isn't a priority and expected
problems related to conditions-like kidney stones positive for hematuria and 8/10 pain-not
priority over other conditions
Call physician when - ANSonly if not a nursing intervention available
Never pick an answer - ANS*that isn't the least invasive * that isn't client focused
*that doesn't allow client to speak or rushes their complaint off *puts off work to someone else
*if you're down to 2, pick the killer answer *has long-term consequences * don't delay
care/treatment
report what to next shift nurse - ANSsomething "new" or "different" or "possible"
like illnesses can be put in - ANSsame room
if you have no baseline in question - ANSassume normal limits
elevate _______ and dangle _______ - ANSelevate veins and dangle arteries. E goes with E and
A goes with A
,any fluid problem, daily do what - ANSI&O and weights
with pacemaker always worry when - ANSrate is decreased
Mg or calcium problem, think what first - ANSmuscles
restless client think what first - ANShypoxia
always limit protein with kidney clients except which - ANSthose with nephrotic syndrome
first sign of respiratory acidosis - ANShypoxia possibly
remember with SIADH - ANStoo many letters, too much water
"Soggy Sid"
aldosterone, think - ANSsodium and water, releases K
Al likes to swim in saltwater
ADH - ANSH20
(three letters/three digits)
remember what about traction - ANSnever release unless you have order from dr to do so
when you see polyuria, think what first - ANSshock first
when you see fluid retention, think what first - ANSheart problems
,what should you ALWAYS assume - ANSthe worst * you always have something to worry about
if you see "assessment" or "evaluation" in stem - ANSthink signs and symptoms
don't ever use what in a nursing diagnosis - ANSa medical diagnosis
less volume ____ pressure
and more volume _____ pressure - ANSless volume, less pressure
more volume, more pressure
if problem is in kidneys - ANSHCO3 will be affected
if problem in lungs - ANSCO2 will be affected
when triaging, emergent means:
urgent means:
non-urgent means - ANSemergent is lift threatening
urgent is stable on arrival but needing timely attention
non-urgent is stable and not in immediate need of ER treatment
when you see words like always, never, total . . . - ANSdon't ever choose them! They're too
limiting. Look for things like might or maybe or sometimes!
arrythmias are not big deal unless what - ANSthey affect cardiac output
, Remember order of Maslow's - ANSBiological and physiological needs, safety, belonging and
love needs, esteem needs and then self-actualization needs like personal growth and fulfillment
what tasks can NAP be assigned - ANSstable patients (could be complex also) and tasks that are
routine, simple, repetitive, everyday activities that don't require nursing judgment such as
feeding, hygiene, ambulation
LVNs can be delegated tasks BUT . . . - ANSR.N. still is accountable and responsible for it
assignment - ANSthe work you must get accomplished during your shift
RN to RN assignments transfer - ANSresponsibility and accountability
with delegation, you can transfer - ANSthe responsibility but not the accountability.
Supervision - ANSguidance and direction, oversight and eval by the RN to see that delegated
task is accomplished.
What specific things do you have to tell the person you are delegating to? - ANSYou must make
sure exactly which task you've assigned them, which should be done first, etc., and any other
tasks you need completed and when. Give CLEAR directions indicating what ranges you want
reported to you.
after task is completed, check what - ANS&Was task done properly?* If not, provide teaching.
*Was the task done in the proper timeframe?* Will the delay affect client safety? *Were the
client's needs met?* Did the task change and require higher level of education? Maybe you
should do the task!
