NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
NCLEX 2025 EXAM REVIEW STUDY GUIDE COMPREHENSIVE QUESTIONS AND ANSWERS
A nurse is caring for a client who sustained burn injuries on the anterior lower legs and anterior thorax. What
percentage of the client's body, according to the Rule of Nines, has been affected? - ANSWER 36%
A nurse in a physician's office is talking to a client who underwent mastectomy of the right breast 2 weeks ago.
The client says to the nurse, "I hate looking at this incision. I feel that I'm not even myself anymore." The nurse
interprets this statement to mean that the client is experiencing which problem? - ANSWER Distorted body image
A nurse provides instructions to a client who will be taking levothyroxine (Synthroid) for hypothyroidism. The
nurse tells the client that it is best to take the medication: - ANSWER In the morning, before
breakfast
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of muscle spasms. For
which common side effect of this medication does the nurse monitor the client? - ANSWER
Drowsiness
A nurse admitting a newborn to the nursery notes that the physician has documented that the newborn has
a gastroschisis. The nurse performs an assessment, expecting to note that the
viscera are: - ANSWER Outside the
abdominal cavity, not covered with a sac
The mother of an adolescent with type 1 diabetes mellitus tells the nurse that her child is a member of the school
soccer team and expresses concern about her child's participation in sports. The nurse, after providing
information to the mother about diet, exercise, insulin, and blood glucose control, tells the mother: - ANSWER
That the child should eat a carbohydrate snack about a half-hour before each soccer game
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the room for
the child and places a sign at the child's bedside that tells staff to avoid: - ANSWER Palpating
the abdomen
A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and tracheoesophageal
fistula (TEF). Which findings does the nurse expect to note in the infant? Select all
that apply. - ANSWERDrooling
Excessive oral secretions
A nurse provides information to a client with peripheral vascular disease about ways to limit the disease's
progression. Which of the following measures does the nurse tell the client to take? Select all
that apply. - ANSWER-Engaging in exercise
such as walking on a daily basis
-Washing the feet daily with a mild soap and drying them well
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
A hospitalized client scheduled for surgery is told by the physician that she is extremely anemic and will need a
blood transfusion. The client, a Jehovah's Witness, tells the nurse that she is refusing the transfusion. What is the
most appropriate initial nursing action? - ANSWER Supporting the client's
decision to refuse the transfusion
A client experiencing delusions says to the nurse, "I am the only one who can save the world from all of the
terrorists." What is the appropriate response by the nurse? - ANSWER "I don't think anyone can
save the world from the terrorists by himself."
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-White syndrome. Which
piece of equipment does the nurse make a priority of obtaining before administering the
medication? - ANSWERCardiac
monitor
A nurse working the evening shift is helping clients get ready for sleep. A female client with mania is hyperactive
and pacing the hallway. The appropriate nursing action is to: - ANSWER Take the client to
the bathroom and provide her with a warm bath
A client living in a long-term care facility shouts at the nurse, "Get out of my room! I don't need your help!" What
is the appropriate way for the nurse to document this occurrence in the client's record? - ANSWER
Writing down the client's words and
placing them in quotation marks
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and determines that the PVCs
are not resulting in perfusion. The appropriate action by the nurse is: - ANSWER Asking the ED physician to
check the client
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
A nurse is preparing a pregnant client in the third trimester for an amniocentesis. The nurse explains to the client
that amniocentesis is often performed during the third trimester to determine: - ANSWER The degree of fetal lung
maturity
Empyema develops in a client with an infected pleural effusion, and the nurse prepares the client for
thoracentesis. What characteristics of the fluid removed during thoracentesis should the nurse, assisting the
physician with the procedure, expect to note? - ANSWER Thick and opaque
A client with depression is anorexic. Which measure does the nurse take to assist the client in meeting
nutritional needs? - ANSWEROffering high-calorie and high-
protein foods and fluids frequently throughout the day
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis. The
nurse, providing information to the client about the medication, tells the client that it is best to take
it: - ANSWER In the morning, before
9:00 a.m.
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-
up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is
therapeutic? - ANSWER "Tell me more about what you're feeling."
A nurse in the cardiac care unit is told that a client with a diagnosis of myocardial infarction will be admitted from
the emergency department. Which item does the nurse give priority to placing at the client's bedside? - ANSWER
Oxygen cannula and flowmeter
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are performed because
the physician suspects iron-deficiency anemia.
COMPREHENSIVE QUESTIONS AND
ANSWERS
NCLEX 2025 EXAM REVIEW STUDY GUIDE COMPREHENSIVE QUESTIONS AND ANSWERS
A nurse is caring for a client who sustained burn injuries on the anterior lower legs and anterior thorax. What
percentage of the client's body, according to the Rule of Nines, has been affected? - ANSWER 36%
A nurse in a physician's office is talking to a client who underwent mastectomy of the right breast 2 weeks ago.
The client says to the nurse, "I hate looking at this incision. I feel that I'm not even myself anymore." The nurse
interprets this statement to mean that the client is experiencing which problem? - ANSWER Distorted body image
A nurse provides instructions to a client who will be taking levothyroxine (Synthroid) for hypothyroidism. The
nurse tells the client that it is best to take the medication: - ANSWER In the morning, before
breakfast
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
Cyclobenzaprine (Flexeril) is prescribed to a client with multiple sclerosis for the treatment of muscle spasms. For
which common side effect of this medication does the nurse monitor the client? - ANSWER
Drowsiness
A nurse admitting a newborn to the nursery notes that the physician has documented that the newborn has
a gastroschisis. The nurse performs an assessment, expecting to note that the
viscera are: - ANSWER Outside the
abdominal cavity, not covered with a sac
The mother of an adolescent with type 1 diabetes mellitus tells the nurse that her child is a member of the school
soccer team and expresses concern about her child's participation in sports. The nurse, after providing
information to the mother about diet, exercise, insulin, and blood glucose control, tells the mother: - ANSWER
That the child should eat a carbohydrate snack about a half-hour before each soccer game
A child with a diagnosis of Wilms' tumor is being admitted to the pediatric unit. The nurse prepares the room for
the child and places a sign at the child's bedside that tells staff to avoid: - ANSWER Palpating
the abdomen
A nurse is performing an assessment of a newborn with a diagnosis of esophageal atresia (EA) and tracheoesophageal
fistula (TEF). Which findings does the nurse expect to note in the infant? Select all
that apply. - ANSWERDrooling
Excessive oral secretions
A nurse provides information to a client with peripheral vascular disease about ways to limit the disease's
progression. Which of the following measures does the nurse tell the client to take? Select all
that apply. - ANSWER-Engaging in exercise
such as walking on a daily basis
-Washing the feet daily with a mild soap and drying them well
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
A hospitalized client scheduled for surgery is told by the physician that she is extremely anemic and will need a
blood transfusion. The client, a Jehovah's Witness, tells the nurse that she is refusing the transfusion. What is the
most appropriate initial nursing action? - ANSWER Supporting the client's
decision to refuse the transfusion
A client experiencing delusions says to the nurse, "I am the only one who can save the world from all of the
terrorists." What is the appropriate response by the nurse? - ANSWER "I don't think anyone can
save the world from the terrorists by himself."
An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-Parkinson-White syndrome. Which
piece of equipment does the nurse make a priority of obtaining before administering the
medication? - ANSWERCardiac
monitor
A nurse working the evening shift is helping clients get ready for sleep. A female client with mania is hyperactive
and pacing the hallway. The appropriate nursing action is to: - ANSWER Take the client to
the bathroom and provide her with a warm bath
A client living in a long-term care facility shouts at the nurse, "Get out of my room! I don't need your help!" What
is the appropriate way for the nurse to document this occurrence in the client's record? - ANSWER
Writing down the client's words and
placing them in quotation marks
An emergency department (ED) nurse is monitoring a client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks the client's carotid pulse, and determines that the PVCs
are not resulting in perfusion. The appropriate action by the nurse is: - ANSWER Asking the ED physician to
check the client
, NCLEX 2023 EXAM REVIEW STUDY GUIDE
COMPREHENSIVE QUESTIONS AND
ANSWERS
A nurse is preparing a pregnant client in the third trimester for an amniocentesis. The nurse explains to the client
that amniocentesis is often performed during the third trimester to determine: - ANSWER The degree of fetal lung
maturity
Empyema develops in a client with an infected pleural effusion, and the nurse prepares the client for
thoracentesis. What characteristics of the fluid removed during thoracentesis should the nurse, assisting the
physician with the procedure, expect to note? - ANSWER Thick and opaque
A client with depression is anorexic. Which measure does the nurse take to assist the client in meeting
nutritional needs? - ANSWEROffering high-calorie and high-
protein foods and fluids frequently throughout the day
Oral prednisone 10 mg/day is prescribed for a client with an acute exacerbation of rheumatoid arthritis. The
nurse, providing information to the client about the medication, tells the client that it is best to take
it: - ANSWER In the morning, before
9:00 a.m.
A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-
up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is
therapeutic? - ANSWER "Tell me more about what you're feeling."
A nurse in the cardiac care unit is told that a client with a diagnosis of myocardial infarction will be admitted from
the emergency department. Which item does the nurse give priority to placing at the client's bedside? - ANSWER
Oxygen cannula and flowmeter
A client being seen in the clinic complains of fatigue and weakness. Laboratory studies are performed because
the physician suspects iron-deficiency anemia.
