Nclex readiness
NCLEX Readiness Exam Study Guide
Questions with Correct Detailed
Solutions 2025
What intervention is essential prior to starting a client on atorvastatin therapy?
1. Assessing for muscle strength
2. Assessing the client's dietary intake
3. Determining if the client is on digoxin therapy
4. Monitoring liver function tests -Correct Answer ✔2. Assessing the client's dietary
intake
The nurse provides discharge instructions to a client at 14 weeks gestation who has
received a prophylactic cervical cerclage. Which client statement indicates an
understanding of teaching?
1. "I need to be on bed rest for the duration of my pregnancy."
2. "I will notify my health care provider if I start having low back aches."
3. "Pelvic pressure is to be expected after cerclage placement."
4. "The cerclage will be removed once my baby is at 28 weeks." -Correct Answer ✔2. "I
will notify my health care provider if I start having low back aches."
During the first prenatal assessment, the client reports the last normal menstrual period
starting on March 1 and ending on March 5, but also slight spotting on March 23. The
client had unprotected intercourse on March 15. Using Naegele's rule, what is the
estimated date of birth?
1. December 8
2. December 12
3. December 22
Nclex readiness
,Nclex readiness
4. December 30 -Correct Answer ✔1. December 8
A female client with liver cirrhosis and chronic anemia is hospitalized for a deep venous
thrombosis. The
client is receiving a heparin infusion and suddenly develops epistaxis. Which laboratory
value would indicate that the heparin infusion needs to be turned off?
1. Hematocrit of 30% (0.30)
2. Partial thromboplastin time of 110 seconds
3. Platelet count of 80,000/mm3 (80 x 109/L)
4. Prothrombin time of 11 seconds -Correct Answer ✔2. Partial thromboplastin time of
110 seconds
A major earthquake has occurred. Local gas lines and water pipes are breaking with
resulting fires and
flooding in collapsed buildings. Multiple victims arrive at the triage area. Which client
should the nurse care for first?
1. Client with charred, leathery skin over entire back, chest, and legs
2. Client with cool skin, shivering from sitting in water until rescued
3. Client with diabetes who was unable to take prescribed insulin today
4. Client with high-pitched, crowing inspiratory respirations -Correct Answer ✔4. Client
with high-pitched, crowing inspiratory respirations
The nurse prepares to administer clozapine to a client with schizophrenia. Which client
statement would require priority investigation before administering the medication?
1. "I have gained a few pounds since I started this medication."
2. "I have had a sore throat for 3 days and feel feverish today."
3. "I have noticed increased salivation and drooling."
Nclex readiness
,Nclex readiness
4. "I often feel sleepy when I take this medication." -Correct Answer ✔2. "I have had a
sore throat for 3 days and feel feverish today."
The post-anesthesia care unit nurse receives report on a client after abdominal surgery.
What sounds would the nurse expect to hear when auscultating the bowel?
1. Absent bowel sounds
2. Borborygmi sounds
3. High-pitched and gurgling sounds
4. Swishing or buzzing sounds -Correct Answer ✔1. Absent bowel sounds
The nurse is admitting a client with a possible diagnosis of Guillain-Barré syndrome.
When collecting data to develop a plan of care for the client, the nurse should give
priority to which of the following items?
1. Orthostatic blood pressure changes
2. Presence or absence of knee reflexes
3. Pupil size and reaction to light
4. Rate and depth of respirations -Correct Answer ✔4. Rate and depth of respirations
The unlicensed assistive personnel on the cardiac floor reports to the registered nurse
that during the first vital sign measurement on the shift, a client's blood pressure
measured 198/102 mm Hg on the automated blood pressure machine. What action
should the nurse take first?
1. Have the unlicensed assistive personnel recheck the client's blood pressure
2. Immediately notify the health care provider
3. Obtain the client's PRN labetalol from the medication dispensing machine
4. Recheck the client's blood pressure with a manual cuff -Correct Answer ✔4. Recheck
the client's blood pressure with a manual cuff
Nclex readiness
, Nclex readiness
The nurse is triaging clients in the emergency department. Which client needs to be
seen first?
1. 18-year-old female with fever, suprapubic pain, and dysuria
2. 21-year-old male with diffuse abdominal pain and a rigid abdomen
3. 64-year-old male with a pulsatile mass in the periumbilical area and back pain
4. 75-year-old with nausea, fever, and left lower quadrant pain -Correct Answer ✔3. 64-
year-old male with a pulsatile mass in the periumbilical area and back pain
The nurse working on an orthopedic unit is receiving report on 4 clients with recent
fractures. Which client should the nurse assess first?
1. Client who has a femur fracture with a rash of pin-sized red spots on the chest and
increased restlessness
2. Client who has purulent drainage oozing from a skeletal traction pin insertion site and
a temperature of 100.8 F (38.2 C)
3. Client with a hip fracture receiving continuous IV saline with bilateral 2+ pitting leg
edema and a blood pressure of 176/89 mm Hg
4. Client with a rib fracture who is breathing at a rate of 23/min and is reporting 8/10
pain that is worse with inspiration -Correct Answer ✔1. Client who has a femur fracture
with a rash of pin-sized red spots on the chest and increased restlessness
The nurse plans discharge teaching for a client with active herpes lesions who has a new
prescription for oral acyclovir and topical lidocaine. What information will the nurse
include in the teaching plan?
1. Adhesive bandaging should remain on the lesions to prevent virus shedding
2. Blood tests will be drawn to ensure the virus is eradicated
3. Condoms should be used during intercourse until the lesions are healed
4. Gloves should be used to apply the medication to the lesions -Correct Answer ✔4.
Gloves should be used to apply the medication to the lesions
Nclex readiness
NCLEX Readiness Exam Study Guide
Questions with Correct Detailed
Solutions 2025
What intervention is essential prior to starting a client on atorvastatin therapy?
1. Assessing for muscle strength
2. Assessing the client's dietary intake
3. Determining if the client is on digoxin therapy
4. Monitoring liver function tests -Correct Answer ✔2. Assessing the client's dietary
intake
The nurse provides discharge instructions to a client at 14 weeks gestation who has
received a prophylactic cervical cerclage. Which client statement indicates an
understanding of teaching?
1. "I need to be on bed rest for the duration of my pregnancy."
2. "I will notify my health care provider if I start having low back aches."
3. "Pelvic pressure is to be expected after cerclage placement."
4. "The cerclage will be removed once my baby is at 28 weeks." -Correct Answer ✔2. "I
will notify my health care provider if I start having low back aches."
During the first prenatal assessment, the client reports the last normal menstrual period
starting on March 1 and ending on March 5, but also slight spotting on March 23. The
client had unprotected intercourse on March 15. Using Naegele's rule, what is the
estimated date of birth?
1. December 8
2. December 12
3. December 22
Nclex readiness
,Nclex readiness
4. December 30 -Correct Answer ✔1. December 8
A female client with liver cirrhosis and chronic anemia is hospitalized for a deep venous
thrombosis. The
client is receiving a heparin infusion and suddenly develops epistaxis. Which laboratory
value would indicate that the heparin infusion needs to be turned off?
1. Hematocrit of 30% (0.30)
2. Partial thromboplastin time of 110 seconds
3. Platelet count of 80,000/mm3 (80 x 109/L)
4. Prothrombin time of 11 seconds -Correct Answer ✔2. Partial thromboplastin time of
110 seconds
A major earthquake has occurred. Local gas lines and water pipes are breaking with
resulting fires and
flooding in collapsed buildings. Multiple victims arrive at the triage area. Which client
should the nurse care for first?
1. Client with charred, leathery skin over entire back, chest, and legs
2. Client with cool skin, shivering from sitting in water until rescued
3. Client with diabetes who was unable to take prescribed insulin today
4. Client with high-pitched, crowing inspiratory respirations -Correct Answer ✔4. Client
with high-pitched, crowing inspiratory respirations
The nurse prepares to administer clozapine to a client with schizophrenia. Which client
statement would require priority investigation before administering the medication?
1. "I have gained a few pounds since I started this medication."
2. "I have had a sore throat for 3 days and feel feverish today."
3. "I have noticed increased salivation and drooling."
Nclex readiness
,Nclex readiness
4. "I often feel sleepy when I take this medication." -Correct Answer ✔2. "I have had a
sore throat for 3 days and feel feverish today."
The post-anesthesia care unit nurse receives report on a client after abdominal surgery.
What sounds would the nurse expect to hear when auscultating the bowel?
1. Absent bowel sounds
2. Borborygmi sounds
3. High-pitched and gurgling sounds
4. Swishing or buzzing sounds -Correct Answer ✔1. Absent bowel sounds
The nurse is admitting a client with a possible diagnosis of Guillain-Barré syndrome.
When collecting data to develop a plan of care for the client, the nurse should give
priority to which of the following items?
1. Orthostatic blood pressure changes
2. Presence or absence of knee reflexes
3. Pupil size and reaction to light
4. Rate and depth of respirations -Correct Answer ✔4. Rate and depth of respirations
The unlicensed assistive personnel on the cardiac floor reports to the registered nurse
that during the first vital sign measurement on the shift, a client's blood pressure
measured 198/102 mm Hg on the automated blood pressure machine. What action
should the nurse take first?
1. Have the unlicensed assistive personnel recheck the client's blood pressure
2. Immediately notify the health care provider
3. Obtain the client's PRN labetalol from the medication dispensing machine
4. Recheck the client's blood pressure with a manual cuff -Correct Answer ✔4. Recheck
the client's blood pressure with a manual cuff
Nclex readiness
, Nclex readiness
The nurse is triaging clients in the emergency department. Which client needs to be
seen first?
1. 18-year-old female with fever, suprapubic pain, and dysuria
2. 21-year-old male with diffuse abdominal pain and a rigid abdomen
3. 64-year-old male with a pulsatile mass in the periumbilical area and back pain
4. 75-year-old with nausea, fever, and left lower quadrant pain -Correct Answer ✔3. 64-
year-old male with a pulsatile mass in the periumbilical area and back pain
The nurse working on an orthopedic unit is receiving report on 4 clients with recent
fractures. Which client should the nurse assess first?
1. Client who has a femur fracture with a rash of pin-sized red spots on the chest and
increased restlessness
2. Client who has purulent drainage oozing from a skeletal traction pin insertion site and
a temperature of 100.8 F (38.2 C)
3. Client with a hip fracture receiving continuous IV saline with bilateral 2+ pitting leg
edema and a blood pressure of 176/89 mm Hg
4. Client with a rib fracture who is breathing at a rate of 23/min and is reporting 8/10
pain that is worse with inspiration -Correct Answer ✔1. Client who has a femur fracture
with a rash of pin-sized red spots on the chest and increased restlessness
The nurse plans discharge teaching for a client with active herpes lesions who has a new
prescription for oral acyclovir and topical lidocaine. What information will the nurse
include in the teaching plan?
1. Adhesive bandaging should remain on the lesions to prevent virus shedding
2. Blood tests will be drawn to ensure the virus is eradicated
3. Condoms should be used during intercourse until the lesions are healed
4. Gloves should be used to apply the medication to the lesions -Correct Answer ✔4.
Gloves should be used to apply the medication to the lesions
Nclex readiness
