NCLEX Style EXAM LATEST 2025 EXAM
QUESTIONS AND CORRECT ANSWERS
Over mwhich mabdominal mquadrant mare mbowel msounds mmost mactive mand mtherefore measiest mto
mauscultate? m- mAnswer m- mRight mlower mquadrant m
Over mwhich mabdominal mquadrant mare mbowel msounds mmost mactive mand mtherefore measiest mto
mauscultate?
As mpart mof myour mgeneral mpatient msurvey, myou mfind mthat myour mpatient mhas ma mbody mmass
mindex m(BMI) mof m23. mFrom mthis mfinding, myou mcan mconclude mthat myour mpatient m- mAnswer m-
mHas mbody mmass mindex mwithin mnormal mlimits m
BMI mis ma mmeasurement mof man madult's mbody mfat mbased mon mheight mand mweight. mGenerally,
ma mBMI mbetween m18.5 mand m24.9 mreflects ma mnormal mweight mwith ma mnormal mamount mof
mbody mfat. mA mpatient mwith ma mBMI mbelow m18.5 mis mconsidered munderweight; ma mpatient mwith
ma mBMI mof m25 mor mabove mis mconsidered moverweight; mand mone mwith ma mBMI mof m30 mor
mabove mis mconsidered mobese.
While mperforming ma mhead-to-toe massessment, myou mperform mthe mRomberg mtest. mYou mdo mthis
mto mtest mthe mpatient's m- mAnswer m- mBalance m
The mmost mcommon mtest mof mbalance mis mthe mRomberg mtest. mAsk mthe mpatient mto mstand
mabout m2 mfeet min mfront mof myou, mwith mher mfeet mtogether, mtoes mpointed mforward, mand mher
mhands mat mher msides. mWhile myou mextend myour mhands mso mthat mone mis mon meither mside mof
mthe mpatient, mask mher mto mclose mher meyes. mWatch mto msee mhow mwell mshe mcan mmaintain
mbalance min mthat mposition. mA mminimum mof mswaying mis mnormal, mbut mif mthe mpatient msways
mmore mthan ma mcouple mof minches, mstop mthe mtest mand mdocument mthat mthe mpatient
mdemonstrated mdifficulty mmaintaining mbalance mon mRomberg mtesting.
When musing mand mmaintaining myour mstethoscope, mit mis mimportant mto m- mAnswer m- mInsert mthe
mearpieces mat man mangle mtoward myour mnose m
,Angling mthe mearpieces mtoward myour mnose mhelps mensure mthat msounds mare meffectively
mtransmitted mto myour meardrums.
You mare mperforming ma mphysical mexamination mof mthe mspine mfor man molder madult. mWhich mof
mthe mfollowing mfindings mis mcommon mwith maging? m- mAnswer m- mKyphosis m
Kyphosis, ma mpronounced m"hunchback" mcurvature mof mthe mspine, mis man mabnormal mangulation
mof mthe mposterior mcurve mof mthe mthoracic mspine, musually ma mresult mof mosteoporosis. mIt mis
mmost mcommon min molder madults mand mtends mto mincrease mwith maging. mThis mpronounced
mconvexity mof mthe mthoracic mspine mis malso mcommon min molder mpatients mwho mhave mhad
mvertebral mfractures.
When mperforming ma mrespiratory massessment, myou mauscultate mwet, mpopping msounds mat mthe
minspiratory mphase mof meach mrespiratory mcycle. mThese msounds mare mbest midentified mas m-
mAnswer m- mcrackles m
Crackles, mwhich mare msometimes mcalled mrales, mare mwet, mpopping msounds mcreated mby mair
mmoving mthrough mliquid mor mby mcollapsed malveoli msnapping mopen mon minspiration. mThey mare
mmost mcommon mat mthe mend mof minspiration.
When mperforming ma mcomplete, mhead-to-toe mphysical mexamination, mwhich mphysical-assessment
mtechnique mshould myou mperform mfirst? m- mAnswer m- mInspection m
Inspection mis mthe mprocess mof mobservation. mYou mwill mfirst minspect mthe mbody msystematically,
mobserving mfor mnormal mas mwell mas mabnormal mphysical msigns. mWhen massessing mmost mbody
msystems, mthe mrecommended morder mis minspection, mpalpation, mpercussion, mand mauscultation.
mAbdominal massessment mis man mexception, msince many mmanipulation mof mor mpressure mon mthe
mabdomen mmay mstimulate mperistalsis, mthe mwaves mof mcontraction mthat mpropel mcontents
mthrough mthe mgastrointestinal mtract, mand mthus malter mthe mpatient's mbowel msounds. mSo, mwhen
massessing mthe mabdomen, minspection mis mstill mfirst, mbut mauscultation mcomes mbefore mpercussion
mand mpalpation.
What mis myour mprimary mgoal min mperforming ma mcomprehensive mphysical massessment? m- mAnswer
m- mTo mdevelop ma mplan mof mcare m
,Remember mthe mnursing mprocess: massessment, mdiagnosis, mplanning, mimplementation, mevaluation.
mAssessment mis mthe mfirst mpart mof mthe mprocess. mIt mgenerates mthe mdatabase mfrom mwhich myou
mwill mmake mnursing mdecisions. mYour mobjective min minteracting mwith mpatients mis mto midentify
mtheir mneeds mand mconcerns mand mhelp mfind msolutions. mThat mis mthe mnursing mprocess min
maction m- mand myour mmap mis mthe mnursing mcare mplan myou mestablish mfor meach mpatient.
mAnalyzing mand msynthesizing mdata mwill mprovide mthe mbasis mfor meach mnursing mdiagnosis mand
mfor mthe mselection mof mnursing minterventions mto mmanage mactual mor mpotential mhealth
mproblems.
While mperforming ma mcardiovascular massessment, myou mmight mencounter ma mvariety mof
mpulsations mand msounds. mWhich mof mthe mfollowing mfindings mis mconsidered mnormal? m- mAnswer
m- mA mbrief mthump mfelt mnear mthe mfourth mor mfifth mintercostal mspace mnear mthe mleft
mmidclavicular mline
This mis mwhere myou mwould minspect mand mpalpate mfor mthe mpoint mof mmaximal mimpulse. mAlso
mcalled man mapical mpulsation, mit moccurs mas mthe mapex mof mthe mheart mbumps magainst mthe mchest
mwall mwith meach mheartbeat. mThe mapical mimpulse mis mnot malways mvisible mbut mcan mbe mfelt mas
ma mbrief mthump. mThis mis ma mnormal mand mexpected mfinding mwhen myou mare mpreparing mto
mauscultate man mapical mpulse.
A mnurse mis mcaring mfor ma mgroup mof mclients. mWhich mof mthe mfollowing mactions mby mthe mnurse
mdemonstrates mthe muse mof mcritical mthinking mskills? m- mAnswer m- mIntervene mafter mreviewing
marterial mblood mgas mresults mfor ma mclient mwho mis mon mmechanical mventilation.
The mnurse mis musing mcritical mthinking mwhen manalyzing ma mclient's mcritical missues mand mthen
mplanning mto mintervene mwith man mappropriate maction.
A mnurse mis mfollowing mthe msteps mof mthe mnursing mprocess mwhen mcaring mfor ma mgroup mof
mclients. mWhich mof mthe mfollowing mactions mby mthe mnurse mdemonstrates mthe mevaluation mstep
mof mthe mnursing mprocess? m- mAnswer m- mCheck mand mdocument ma mclient's mpain mlevel m30 mmin
mafter madministering mpain mmedication.
The mnurse mis mevaluating, mwhich mis mthe mfinal mstep mof mthe mnursing mprocess, mto mdetermine mif
mthe mpain mmedication madministered mto mthe mclient mis meffective. mEvaluation mis mthe msame mas
massessment; mhowever, mto mdetermine mthe mclient's mstatus mand mprogress, mevaluation mis
mperformed.
, A mnurse mis mimplementing mpriority-based minterventions mfor ma mgroup mof mclients. mWhich mof mthe
mfollowing mclients mshould mthe mnurse msee mfirst? m- mAnswer m- mA mclient mwho mhas ma mcast mon
ma mcompound mfracture mand mhas mSaO2 mof m88%
When musing mthe mairway, mbreathing, mcirculation mapproach mto mclient mcare, mthe mnurse mshould
mdetermine mthat mthe mfinding mof mSaO2 mof m88% mindicates mhypoxia mand mrequires mpriority-
based minterventions.
A mnurse mis madmitting ma mclient mwho mreports mincreased mthirst mand mfatigue. mWhich mof mthe
mfollowing mactions mshould mthe mnurse minclude min mthe massessment mstep mof mthe mnursing
mprocess? m- mAnswer m- mAsk mthe mclient mwhen mthe mcondition mstarted.
Assessment mis mthe mfirst mstep mof mthe mnursing mprocess, mwhere mthe mnurse mgathers msubjective
mand mobjective minformation mabout mthe mclient's mcondition.
A mnurse mis mpreparing ma mplan mof mcare mfor ma mclient mwho mis mexperiencing mpain mafter
msurgery. mWhich mof mthe mfollowing mcomponents mshould mthe mnurse midentify mas mpart mof mthe
mplanning mstep mof mthe mnursing mprocess? m- mAnswer m- mFormulate mclient mgoals mfor mprioritized
mproblem.
Formulating mclient mgoals mfor mprioritized mproblems mis ma mcomponent mof mplanning, mwhich mis
mthe mthird mstep min mthe mnursing mprocess.
The mnurse mhas mcompleted mclient mteaching mregarding mmedication madministration. mWhich mclient
mstatement mbest millustrates mcompliance?
1. mIm mglad mto mknow mabout mmy mmedications. mIt mmakes mtaking mthem ma mlot measier.
2. mI malready mknew mmost mof mwhat myou mtold mme.
3. mI mthink myou mshould mhave mwaited muntil mI mwas mready mto mgo mhome. mMaybe mId mremember
mbetter.
QUESTIONS AND CORRECT ANSWERS
Over mwhich mabdominal mquadrant mare mbowel msounds mmost mactive mand mtherefore measiest mto
mauscultate? m- mAnswer m- mRight mlower mquadrant m
Over mwhich mabdominal mquadrant mare mbowel msounds mmost mactive mand mtherefore measiest mto
mauscultate?
As mpart mof myour mgeneral mpatient msurvey, myou mfind mthat myour mpatient mhas ma mbody mmass
mindex m(BMI) mof m23. mFrom mthis mfinding, myou mcan mconclude mthat myour mpatient m- mAnswer m-
mHas mbody mmass mindex mwithin mnormal mlimits m
BMI mis ma mmeasurement mof man madult's mbody mfat mbased mon mheight mand mweight. mGenerally,
ma mBMI mbetween m18.5 mand m24.9 mreflects ma mnormal mweight mwith ma mnormal mamount mof
mbody mfat. mA mpatient mwith ma mBMI mbelow m18.5 mis mconsidered munderweight; ma mpatient mwith
ma mBMI mof m25 mor mabove mis mconsidered moverweight; mand mone mwith ma mBMI mof m30 mor
mabove mis mconsidered mobese.
While mperforming ma mhead-to-toe massessment, myou mperform mthe mRomberg mtest. mYou mdo mthis
mto mtest mthe mpatient's m- mAnswer m- mBalance m
The mmost mcommon mtest mof mbalance mis mthe mRomberg mtest. mAsk mthe mpatient mto mstand
mabout m2 mfeet min mfront mof myou, mwith mher mfeet mtogether, mtoes mpointed mforward, mand mher
mhands mat mher msides. mWhile myou mextend myour mhands mso mthat mone mis mon meither mside mof
mthe mpatient, mask mher mto mclose mher meyes. mWatch mto msee mhow mwell mshe mcan mmaintain
mbalance min mthat mposition. mA mminimum mof mswaying mis mnormal, mbut mif mthe mpatient msways
mmore mthan ma mcouple mof minches, mstop mthe mtest mand mdocument mthat mthe mpatient
mdemonstrated mdifficulty mmaintaining mbalance mon mRomberg mtesting.
When musing mand mmaintaining myour mstethoscope, mit mis mimportant mto m- mAnswer m- mInsert mthe
mearpieces mat man mangle mtoward myour mnose m
,Angling mthe mearpieces mtoward myour mnose mhelps mensure mthat msounds mare meffectively
mtransmitted mto myour meardrums.
You mare mperforming ma mphysical mexamination mof mthe mspine mfor man molder madult. mWhich mof
mthe mfollowing mfindings mis mcommon mwith maging? m- mAnswer m- mKyphosis m
Kyphosis, ma mpronounced m"hunchback" mcurvature mof mthe mspine, mis man mabnormal mangulation
mof mthe mposterior mcurve mof mthe mthoracic mspine, musually ma mresult mof mosteoporosis. mIt mis
mmost mcommon min molder madults mand mtends mto mincrease mwith maging. mThis mpronounced
mconvexity mof mthe mthoracic mspine mis malso mcommon min molder mpatients mwho mhave mhad
mvertebral mfractures.
When mperforming ma mrespiratory massessment, myou mauscultate mwet, mpopping msounds mat mthe
minspiratory mphase mof meach mrespiratory mcycle. mThese msounds mare mbest midentified mas m-
mAnswer m- mcrackles m
Crackles, mwhich mare msometimes mcalled mrales, mare mwet, mpopping msounds mcreated mby mair
mmoving mthrough mliquid mor mby mcollapsed malveoli msnapping mopen mon minspiration. mThey mare
mmost mcommon mat mthe mend mof minspiration.
When mperforming ma mcomplete, mhead-to-toe mphysical mexamination, mwhich mphysical-assessment
mtechnique mshould myou mperform mfirst? m- mAnswer m- mInspection m
Inspection mis mthe mprocess mof mobservation. mYou mwill mfirst minspect mthe mbody msystematically,
mobserving mfor mnormal mas mwell mas mabnormal mphysical msigns. mWhen massessing mmost mbody
msystems, mthe mrecommended morder mis minspection, mpalpation, mpercussion, mand mauscultation.
mAbdominal massessment mis man mexception, msince many mmanipulation mof mor mpressure mon mthe
mabdomen mmay mstimulate mperistalsis, mthe mwaves mof mcontraction mthat mpropel mcontents
mthrough mthe mgastrointestinal mtract, mand mthus malter mthe mpatient's mbowel msounds. mSo, mwhen
massessing mthe mabdomen, minspection mis mstill mfirst, mbut mauscultation mcomes mbefore mpercussion
mand mpalpation.
What mis myour mprimary mgoal min mperforming ma mcomprehensive mphysical massessment? m- mAnswer
m- mTo mdevelop ma mplan mof mcare m
,Remember mthe mnursing mprocess: massessment, mdiagnosis, mplanning, mimplementation, mevaluation.
mAssessment mis mthe mfirst mpart mof mthe mprocess. mIt mgenerates mthe mdatabase mfrom mwhich myou
mwill mmake mnursing mdecisions. mYour mobjective min minteracting mwith mpatients mis mto midentify
mtheir mneeds mand mconcerns mand mhelp mfind msolutions. mThat mis mthe mnursing mprocess min
maction m- mand myour mmap mis mthe mnursing mcare mplan myou mestablish mfor meach mpatient.
mAnalyzing mand msynthesizing mdata mwill mprovide mthe mbasis mfor meach mnursing mdiagnosis mand
mfor mthe mselection mof mnursing minterventions mto mmanage mactual mor mpotential mhealth
mproblems.
While mperforming ma mcardiovascular massessment, myou mmight mencounter ma mvariety mof
mpulsations mand msounds. mWhich mof mthe mfollowing mfindings mis mconsidered mnormal? m- mAnswer
m- mA mbrief mthump mfelt mnear mthe mfourth mor mfifth mintercostal mspace mnear mthe mleft
mmidclavicular mline
This mis mwhere myou mwould minspect mand mpalpate mfor mthe mpoint mof mmaximal mimpulse. mAlso
mcalled man mapical mpulsation, mit moccurs mas mthe mapex mof mthe mheart mbumps magainst mthe mchest
mwall mwith meach mheartbeat. mThe mapical mimpulse mis mnot malways mvisible mbut mcan mbe mfelt mas
ma mbrief mthump. mThis mis ma mnormal mand mexpected mfinding mwhen myou mare mpreparing mto
mauscultate man mapical mpulse.
A mnurse mis mcaring mfor ma mgroup mof mclients. mWhich mof mthe mfollowing mactions mby mthe mnurse
mdemonstrates mthe muse mof mcritical mthinking mskills? m- mAnswer m- mIntervene mafter mreviewing
marterial mblood mgas mresults mfor ma mclient mwho mis mon mmechanical mventilation.
The mnurse mis musing mcritical mthinking mwhen manalyzing ma mclient's mcritical missues mand mthen
mplanning mto mintervene mwith man mappropriate maction.
A mnurse mis mfollowing mthe msteps mof mthe mnursing mprocess mwhen mcaring mfor ma mgroup mof
mclients. mWhich mof mthe mfollowing mactions mby mthe mnurse mdemonstrates mthe mevaluation mstep
mof mthe mnursing mprocess? m- mAnswer m- mCheck mand mdocument ma mclient's mpain mlevel m30 mmin
mafter madministering mpain mmedication.
The mnurse mis mevaluating, mwhich mis mthe mfinal mstep mof mthe mnursing mprocess, mto mdetermine mif
mthe mpain mmedication madministered mto mthe mclient mis meffective. mEvaluation mis mthe msame mas
massessment; mhowever, mto mdetermine mthe mclient's mstatus mand mprogress, mevaluation mis
mperformed.
, A mnurse mis mimplementing mpriority-based minterventions mfor ma mgroup mof mclients. mWhich mof mthe
mfollowing mclients mshould mthe mnurse msee mfirst? m- mAnswer m- mA mclient mwho mhas ma mcast mon
ma mcompound mfracture mand mhas mSaO2 mof m88%
When musing mthe mairway, mbreathing, mcirculation mapproach mto mclient mcare, mthe mnurse mshould
mdetermine mthat mthe mfinding mof mSaO2 mof m88% mindicates mhypoxia mand mrequires mpriority-
based minterventions.
A mnurse mis madmitting ma mclient mwho mreports mincreased mthirst mand mfatigue. mWhich mof mthe
mfollowing mactions mshould mthe mnurse minclude min mthe massessment mstep mof mthe mnursing
mprocess? m- mAnswer m- mAsk mthe mclient mwhen mthe mcondition mstarted.
Assessment mis mthe mfirst mstep mof mthe mnursing mprocess, mwhere mthe mnurse mgathers msubjective
mand mobjective minformation mabout mthe mclient's mcondition.
A mnurse mis mpreparing ma mplan mof mcare mfor ma mclient mwho mis mexperiencing mpain mafter
msurgery. mWhich mof mthe mfollowing mcomponents mshould mthe mnurse midentify mas mpart mof mthe
mplanning mstep mof mthe mnursing mprocess? m- mAnswer m- mFormulate mclient mgoals mfor mprioritized
mproblem.
Formulating mclient mgoals mfor mprioritized mproblems mis ma mcomponent mof mplanning, mwhich mis
mthe mthird mstep min mthe mnursing mprocess.
The mnurse mhas mcompleted mclient mteaching mregarding mmedication madministration. mWhich mclient
mstatement mbest millustrates mcompliance?
1. mIm mglad mto mknow mabout mmy mmedications. mIt mmakes mtaking mthem ma mlot measier.
2. mI malready mknew mmost mof mwhat myou mtold mme.
3. mI mthink myou mshould mhave mwaited muntil mI mwas mready mto mgo mhome. mMaybe mId mremember
mbetter.
