NCLEX EXAM PT 3 2025–2026 Accurate Real
Exam Questions and Verified Correct
Answers JUST RELEASED
NO.500 Nursing care of the infant prior to surgical closure of a
meningomyelocele would include:
Cover sac with saline-soaked sterile dressing
NO.501 A family is experiencing changes in their lifestyle in many ways. The
invalid grandmother has moved in with them. The couple have a 2-year-old son
by their marriage, and the wife has two children by her previous marriage. The
older children are in high school. In applying systems theory to this family, it is
important for the nurse to remember which of the following principles?
Dysfunction in one part affects every other part.
NO.502 The family member of a child scheduled for heart surgery states, I just
don't understand this open-heart or closed-heart business. I'm so confused! Can
you help me understand it?" The nurse explains that patent ductus arteriosus
repair is:
Closed-heart surgery. It does not require that the child be placed on the heart-lung
machine while the surgery is being performed.
NO.503 A client is diagnosed with organic brain disorder. The nursing care should
include:
Organized, safe environment
NO.504 Clinical manifestations seen in left-sided rather than in right-sided heart
failure are:
Decreased peripheral perfusion and rales
, NO.505 A 9-month-old infant is being examined in the general pediatric clinic for
a routine well-child checkup. His immunizations are up to date, and his mother
reports that he has had no significant illnesses or injuries. Which of the following
signs would lead the nurse to believe that he has had a cerebral injury?
Significant head lag when raised to a sitting position
NO.506 A client's membranes have just ruptured spontaneously. Which of the
following nursing actions should take priority?
Assess fetal heart rate (FHR)
NO.507 A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH
insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at
7:30 AM and lunch at noon. What time should he expect the greatest risk for
hypoglycemia?
11 AM
NO.508 A client with bipolar disorder taking lithium tells the nurse that he has
ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor
in his left hand and a slurring pattern to his speech. Which of the following
actions by the nurse is appropriate?
Request an order for a stat blood lithium level.
NO.509 The initial treatment for a client with a liquid chemical burn injury is to:
Flush the exposed area with large amounts of water
NO.510 A 2-year-old child will undergo a cardiac catheterization tomorrow to
evaluate his ventricular septal defect. Based on his developmental stage, the
nurse:
, Explains the procedure using simple words and sentences just before the
preoperative sedation
NO.511 An 11-month-old infant is admitted with a possible diagnosis of pyloric
stenosis. Which of the following best describes the characteristic clinical
manifestations of pyloric stenosis?
Palpable olive-shaped mass in the epigastrium just right of the umbilical cord
NO.512 A client who has sustained a basilar skull fracture exhibits blood-tinged
drainage from his nose. After establishing a clear airway, administering
supplemental 02, and establishing IV access, the next nursing intervention would
be to:
Perform a halo test and glucose level on the drainage
NO.513 A 9-month-old infant visits her pediatrician for a routine visit. A
developmental assessment was initiated by the nurse. Which skill would cause
the nurse to be concerned about the infant's developmental progression?
She sits briefly alone with assistance
NO.514 A client has been diagnosed as being preeclamptic. The physician orders
magnesium sulfate Magnesium sulfate (MgS04) is used in the management of
preeclampsia for:
Prevention of seizures
NO.515 A 9-month-old infant was diagnosed with nonorganic failure to During
her hospitalization, primary nurses were assigned to initiate all infant feedings.
The infant's parents question why they cannot feed their own child. Which of the
following responses be appropriate by the nurse?
, By assigning the same nurses to the child, the nurses can begin to learn the infant's
cues and feeding behaviors.
NO.516 Nursing care for the stance client experiencing withdrawal delirium
includes:
Maintaining seizure precautions
NO.517 A 3-year-old child is hospitalized with burns covering her trunk and
lower extremities. Which of the following would the nurse use to assess
adequacy of fluid resuscitation in the burned child?
Urine output
NO.518 At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0,
ab 1, is currently at 32 weeks' gestation and has a history of drug abuse,
smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor
fetal growth. The most likely reason for the infant's intrauterine growth
retardation is:
The client's history of drug, ethyl alcohol, and tobacco use
NO.519 The nurse is aware that nutrition is an important aspect of care for a
client with hepatitis. Which of the following diets would be most therapeutic?
High carbohydrate and high calorie
NO.520 A client had a myocardial infarction 5 days ago. His physician has
ordered an echocardiogram to determine how his myocardial infarction has
affected his ventricular wall motion. When the client asks if this test is painful,
an appropriate response is:
No, but you will have to lie still and the gel that is used may be cool.
Exam Questions and Verified Correct
Answers JUST RELEASED
NO.500 Nursing care of the infant prior to surgical closure of a
meningomyelocele would include:
Cover sac with saline-soaked sterile dressing
NO.501 A family is experiencing changes in their lifestyle in many ways. The
invalid grandmother has moved in with them. The couple have a 2-year-old son
by their marriage, and the wife has two children by her previous marriage. The
older children are in high school. In applying systems theory to this family, it is
important for the nurse to remember which of the following principles?
Dysfunction in one part affects every other part.
NO.502 The family member of a child scheduled for heart surgery states, I just
don't understand this open-heart or closed-heart business. I'm so confused! Can
you help me understand it?" The nurse explains that patent ductus arteriosus
repair is:
Closed-heart surgery. It does not require that the child be placed on the heart-lung
machine while the surgery is being performed.
NO.503 A client is diagnosed with organic brain disorder. The nursing care should
include:
Organized, safe environment
NO.504 Clinical manifestations seen in left-sided rather than in right-sided heart
failure are:
Decreased peripheral perfusion and rales
, NO.505 A 9-month-old infant is being examined in the general pediatric clinic for
a routine well-child checkup. His immunizations are up to date, and his mother
reports that he has had no significant illnesses or injuries. Which of the following
signs would lead the nurse to believe that he has had a cerebral injury?
Significant head lag when raised to a sitting position
NO.506 A client's membranes have just ruptured spontaneously. Which of the
following nursing actions should take priority?
Assess fetal heart rate (FHR)
NO.507 A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH
insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at
7:30 AM and lunch at noon. What time should he expect the greatest risk for
hypoglycemia?
11 AM
NO.508 A client with bipolar disorder taking lithium tells the nurse that he has
ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor
in his left hand and a slurring pattern to his speech. Which of the following
actions by the nurse is appropriate?
Request an order for a stat blood lithium level.
NO.509 The initial treatment for a client with a liquid chemical burn injury is to:
Flush the exposed area with large amounts of water
NO.510 A 2-year-old child will undergo a cardiac catheterization tomorrow to
evaluate his ventricular septal defect. Based on his developmental stage, the
nurse:
, Explains the procedure using simple words and sentences just before the
preoperative sedation
NO.511 An 11-month-old infant is admitted with a possible diagnosis of pyloric
stenosis. Which of the following best describes the characteristic clinical
manifestations of pyloric stenosis?
Palpable olive-shaped mass in the epigastrium just right of the umbilical cord
NO.512 A client who has sustained a basilar skull fracture exhibits blood-tinged
drainage from his nose. After establishing a clear airway, administering
supplemental 02, and establishing IV access, the next nursing intervention would
be to:
Perform a halo test and glucose level on the drainage
NO.513 A 9-month-old infant visits her pediatrician for a routine visit. A
developmental assessment was initiated by the nurse. Which skill would cause
the nurse to be concerned about the infant's developmental progression?
She sits briefly alone with assistance
NO.514 A client has been diagnosed as being preeclamptic. The physician orders
magnesium sulfate Magnesium sulfate (MgS04) is used in the management of
preeclampsia for:
Prevention of seizures
NO.515 A 9-month-old infant was diagnosed with nonorganic failure to During
her hospitalization, primary nurses were assigned to initiate all infant feedings.
The infant's parents question why they cannot feed their own child. Which of the
following responses be appropriate by the nurse?
, By assigning the same nurses to the child, the nurses can begin to learn the infant's
cues and feeding behaviors.
NO.516 Nursing care for the stance client experiencing withdrawal delirium
includes:
Maintaining seizure precautions
NO.517 A 3-year-old child is hospitalized with burns covering her trunk and
lower extremities. Which of the following would the nurse use to assess
adequacy of fluid resuscitation in the burned child?
Urine output
NO.518 At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0,
ab 1, is currently at 32 weeks' gestation and has a history of drug abuse,
smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor
fetal growth. The most likely reason for the infant's intrauterine growth
retardation is:
The client's history of drug, ethyl alcohol, and tobacco use
NO.519 The nurse is aware that nutrition is an important aspect of care for a
client with hepatitis. Which of the following diets would be most therapeutic?
High carbohydrate and high calorie
NO.520 A client had a myocardial infarction 5 days ago. His physician has
ordered an echocardiogram to determine how his myocardial infarction has
affected his ventricular wall motion. When the client asks if this test is painful,
an appropriate response is:
No, but you will have to lie still and the gel that is used may be cool.
