NCLEX Readiness Exam 2025 (Newest Version) |
Updated Questions and Correct Answers | Graded
A+ | Verified Answers | Latest Version (Just
Released)
The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively.
Which assessment finding should the nurse report to the health care provider for
further assessment regarding possible formula supplementation?
1. 10% weight loss since birth
2. Cracked, peeling skin
3. Feeds every 2-3 hours
4. Runny, seedy, yellow stools ---------CORRECT ANSWER-----------------1. 10%
weight loss since birth
The nurse is preparing to assess a client visiting the women's health clinic. The
client's obstetric history is documented as G5T1P2A1L2. Which interpretation of
this notation is correct?
1. The client had 1 birth at 37 wk 0 d gestation or beyond
2. The client had 3 births between 20 wk 0 d and 36 wk 6 d gestation
3. The client has 3 currently living children
4. The client is currently not pregnant ---------CORRECT ANSWER-----------------1.
The client had 1 birth at 37 wk 0 d gestation or beyond
,The nurse is caring for a client with gestational diabetes mellitus during the
second stage of labor. After birth of the head, the nurse notes retraction of the
fetal head against the maternal perineum. Which action should the nurse
anticipate?
1. Administering a tocolytic
2. Initiating fundal pressure during a contraction
3. Obtaining the vacuum extractor
4. Pressing downward on the symphysis pubis ---------CORRECT ANSWER-------------
----4. Pressing downward on the symphysis pubis
A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up
visit after beginning medication therapy. The client states, "I've had really bad
nausea and fatigue, but because my cough has already improved, I knew it would
be alright to stop taking the medications." The nurse identifies which priority
nursing diagnosis (ND) in this client's care plan?
1. Activity intolerance
2. Imbalanced nutrition, less than body requirements
3. Knowledge deficit of prescribed therapeutic regimen
4. Nausea ---------CORRECT ANSWER-----------------3. Knowledge deficit of
prescribed therapeutic regimen
A newborn had a bowel resection with temporary colostomy for Hirschsprung's
disease. The nurse should alert the health care provider (HCP) for which
assessment finding postoperatively?
1. Moderate amount of blood-tinged mucus from the stoma on postoperative day
2
,2. Small amount of non-formed stool in the colostomy bag on postoperative day 6
3. Stoma bleeds a small amount during colostomy bag change on postoperative
day 3
4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5
---------CORRECT ANSWER-----------------4. Stoma is gray-tinged at the edges but
pink at the center on postoperative day 5
The nurse is caring for a client newly admitted with an acute manic episode of
bipolar disorder. The nurse identifies which dinner selection as the most
appropriate to promote client nutrition?
1. Baked sweet potato, kale, yeast roll, water
2. Cheeseburger, apple, vanilla milkshake
3. Spaghetti with meatballs, fruit salad, milk
4. Vegetable soup, salad, dinner roll, iced tea ---------CORRECT ANSWER--------------
---2. Cheeseburger, apple, vanilla milkshake
A 9-year-old has terminal cancer, but the parents do not want the child to know
the prognosis. The child has been asking questions such as what dying is like and
whether the child will die. Which action by the nurse is most appropriate?
1. Encourage the child to ask the parents these questions
2. Notify the health care provider (HCP) about the child's questions
3. Reassure the child that everyone is trying to help the child get better
4. Tell the parents about the child's questions ---------CORRECT ANSWER--------------
---4. Tell the parents about the child's questions
, A nurse is caring for a child diagnosed with acute severe airway obstruction.
Which finding should the nurse monitor for as expected?
A. chest pain aggravated by respiratory movement
B. retractions in the soft tissues of the thorax
C. rapid, shallow respirations
D. mottling of the skin on the trunk ---------CORRECT ANSWER-----------------B.
retractions in the soft tissues of the thorax
A client is scheduled for an intravenous pyelogram (IVP). After the contrast
material is injected, which client reaction should require immediate
interventions?
A. feeling warm
B. hives
C. salty taste
D. face flushing ---------CORRECT ANSWER-----------------B. hives
A Chinese client, admitted with the diagnosis of generalized anxiety disorder, is
unable to care for self.
According to Chinese folk medicine, health is regulated by the opposing forces of
yin and yang. Based on this cultural belief, a nurse would expect the client's family
to attribute the illness to which explanation?
A. a failure to use homeopathy correctly
B. yin, the negative force that represents darkness, cold, and emptiness
Updated Questions and Correct Answers | Graded
A+ | Verified Answers | Latest Version (Just
Released)
The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively.
Which assessment finding should the nurse report to the health care provider for
further assessment regarding possible formula supplementation?
1. 10% weight loss since birth
2. Cracked, peeling skin
3. Feeds every 2-3 hours
4. Runny, seedy, yellow stools ---------CORRECT ANSWER-----------------1. 10%
weight loss since birth
The nurse is preparing to assess a client visiting the women's health clinic. The
client's obstetric history is documented as G5T1P2A1L2. Which interpretation of
this notation is correct?
1. The client had 1 birth at 37 wk 0 d gestation or beyond
2. The client had 3 births between 20 wk 0 d and 36 wk 6 d gestation
3. The client has 3 currently living children
4. The client is currently not pregnant ---------CORRECT ANSWER-----------------1.
The client had 1 birth at 37 wk 0 d gestation or beyond
,The nurse is caring for a client with gestational diabetes mellitus during the
second stage of labor. After birth of the head, the nurse notes retraction of the
fetal head against the maternal perineum. Which action should the nurse
anticipate?
1. Administering a tocolytic
2. Initiating fundal pressure during a contraction
3. Obtaining the vacuum extractor
4. Pressing downward on the symphysis pubis ---------CORRECT ANSWER-------------
----4. Pressing downward on the symphysis pubis
A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up
visit after beginning medication therapy. The client states, "I've had really bad
nausea and fatigue, but because my cough has already improved, I knew it would
be alright to stop taking the medications." The nurse identifies which priority
nursing diagnosis (ND) in this client's care plan?
1. Activity intolerance
2. Imbalanced nutrition, less than body requirements
3. Knowledge deficit of prescribed therapeutic regimen
4. Nausea ---------CORRECT ANSWER-----------------3. Knowledge deficit of
prescribed therapeutic regimen
A newborn had a bowel resection with temporary colostomy for Hirschsprung's
disease. The nurse should alert the health care provider (HCP) for which
assessment finding postoperatively?
1. Moderate amount of blood-tinged mucus from the stoma on postoperative day
2
,2. Small amount of non-formed stool in the colostomy bag on postoperative day 6
3. Stoma bleeds a small amount during colostomy bag change on postoperative
day 3
4. Stoma is gray-tinged at the edges but pink at the center on postoperative day 5
---------CORRECT ANSWER-----------------4. Stoma is gray-tinged at the edges but
pink at the center on postoperative day 5
The nurse is caring for a client newly admitted with an acute manic episode of
bipolar disorder. The nurse identifies which dinner selection as the most
appropriate to promote client nutrition?
1. Baked sweet potato, kale, yeast roll, water
2. Cheeseburger, apple, vanilla milkshake
3. Spaghetti with meatballs, fruit salad, milk
4. Vegetable soup, salad, dinner roll, iced tea ---------CORRECT ANSWER--------------
---2. Cheeseburger, apple, vanilla milkshake
A 9-year-old has terminal cancer, but the parents do not want the child to know
the prognosis. The child has been asking questions such as what dying is like and
whether the child will die. Which action by the nurse is most appropriate?
1. Encourage the child to ask the parents these questions
2. Notify the health care provider (HCP) about the child's questions
3. Reassure the child that everyone is trying to help the child get better
4. Tell the parents about the child's questions ---------CORRECT ANSWER--------------
---4. Tell the parents about the child's questions
, A nurse is caring for a child diagnosed with acute severe airway obstruction.
Which finding should the nurse monitor for as expected?
A. chest pain aggravated by respiratory movement
B. retractions in the soft tissues of the thorax
C. rapid, shallow respirations
D. mottling of the skin on the trunk ---------CORRECT ANSWER-----------------B.
retractions in the soft tissues of the thorax
A client is scheduled for an intravenous pyelogram (IVP). After the contrast
material is injected, which client reaction should require immediate
interventions?
A. feeling warm
B. hives
C. salty taste
D. face flushing ---------CORRECT ANSWER-----------------B. hives
A Chinese client, admitted with the diagnosis of generalized anxiety disorder, is
unable to care for self.
According to Chinese folk medicine, health is regulated by the opposing forces of
yin and yang. Based on this cultural belief, a nurse would expect the client's family
to attribute the illness to which explanation?
A. a failure to use homeopathy correctly
B. yin, the negative force that represents darkness, cold, and emptiness
