NCLEX-Style Comprehensive
Case-Based Exam 2025
A home health nurse is assigned to a client who was recently discharged from a rehabilitation center
after experiencing a right-hemispheric stroke. which of the following neurological deficits should the
nurse expect to find when assessing the client? visual spatial deficits left hemianopsia one-sided
neglect
A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the
greater trochanter of his left hip. Which of the following instructions should the nurse include in the
teaching? Change position every hour.
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse
should give the AP which of the following instructions? wear a mask.
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction.
After ensuring a patent airway, which of the following nursing interventions is the priority?
Applying oxygen via face mask
A nurse has received change-of-shift report for a group of clients. s propranolol. which of the
following findings should indicate to the nurse that a client is experiencing an adverse reaction to this
medication? report of a night cough
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. the nurse should identify that which of the following client
medications interact with feverfew? naproxen
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction.
which of the following statements should the nurse take? "you will not be able to use sildenafil if you
are taking nitroglycerin."
A nurse in an acute care facility is caring for a client who is at risk for seizures. which of the
following precautions should the nurse implement? ensure that the client has a patent IV.
A nurse in an emergency department is assessing a client who has a detached retina. which of the
following should the nurse expect the client to report? "it's like a curtain closed over my eye."
A nurse in an emergency department is assessing an older adult client who has a fractured wrist
following a fall. During the assessment, the client states, "Last week I crashed my car because my
vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the
client's neurologic status.
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of
their total body surface area. after ensuring a patent airway and administering oxygen, which of the
following items should the nurse prepare to administer first? IV fluids
, A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
which of the following manifestations should the nurse expect? Fever hypertension tachycardia
A nurse in an emergency department is caring for a client who reports visiting and diarrhea for the
past 3 days. which of the following findings should indicate to the nurse that the client is experiencing
fluid volume deficit? heart rate 110/min
A nurse in an emergency department is reviewing the providers prescriptions for a client who
sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse
expect? administer an opioid analgesic to the client.
A nurse in an ICU is assessing a client who has a traumatic brain injury. which of the following
findings should the nurse identify as a component of Cushing’s triad? bradycardia
A nurse is administering packed RBCs to a client. Which of the following assessment findings
indicates a hemolytic transfusion reaction? Low back pain and apprehension
A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate? Airborne
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for
which of the following adverse effects should the nurse monitor? respiratory paralysis
A nurse is assessing a client following the completion of hemodialysis. Which of the following findings
is the nurse's priority to report to the provider? Restlessness
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? The client's heart rate
increases.
A nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which of
the following findings should the nurse expect? stone fragments in the urine
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following
nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate
application of heat and cold to the affected joints.
A nurse is assessing a client who has acute cholecystitis. which of the following findings is the
nurse's priority? tachycardia
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client
has just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer? Dyspnea
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect? Low urine specific gravity
A nurse is assessing a client who has graves’ disease. which of the following images should indicate
to the nurse that the client has exophthalmos? wide eyes
Case-Based Exam 2025
A home health nurse is assigned to a client who was recently discharged from a rehabilitation center
after experiencing a right-hemispheric stroke. which of the following neurological deficits should the
nurse expect to find when assessing the client? visual spatial deficits left hemianopsia one-sided
neglect
A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the
greater trochanter of his left hip. Which of the following instructions should the nurse include in the
teaching? Change position every hour.
A nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse
should give the AP which of the following instructions? wear a mask.
A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction.
After ensuring a patent airway, which of the following nursing interventions is the priority?
Applying oxygen via face mask
A nurse has received change-of-shift report for a group of clients. s propranolol. which of the
following findings should indicate to the nurse that a client is experiencing an adverse reaction to this
medication? report of a night cough
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. the nurse should identify that which of the following client
medications interact with feverfew? naproxen
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction.
which of the following statements should the nurse take? "you will not be able to use sildenafil if you
are taking nitroglycerin."
A nurse in an acute care facility is caring for a client who is at risk for seizures. which of the
following precautions should the nurse implement? ensure that the client has a patent IV.
A nurse in an emergency department is assessing a client who has a detached retina. which of the
following should the nurse expect the client to report? "it's like a curtain closed over my eye."
A nurse in an emergency department is assessing an older adult client who has a fractured wrist
following a fall. During the assessment, the client states, "Last week I crashed my car because my
vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the
client's neurologic status.
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of
their total body surface area. after ensuring a patent airway and administering oxygen, which of the
following items should the nurse prepare to administer first? IV fluids
, A nurse in an emergency department is caring for a client who is experiencing a thyroid storm.
which of the following manifestations should the nurse expect? Fever hypertension tachycardia
A nurse in an emergency department is caring for a client who reports visiting and diarrhea for the
past 3 days. which of the following findings should indicate to the nurse that the client is experiencing
fluid volume deficit? heart rate 110/min
A nurse in an emergency department is reviewing the providers prescriptions for a client who
sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse
expect? administer an opioid analgesic to the client.
A nurse in an ICU is assessing a client who has a traumatic brain injury. which of the following
findings should the nurse identify as a component of Cushing’s triad? bradycardia
A nurse is administering packed RBCs to a client. Which of the following assessment findings
indicates a hemolytic transfusion reaction? Low back pain and apprehension
A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate? Airborne
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for
which of the following adverse effects should the nurse monitor? respiratory paralysis
A nurse is assessing a client following the completion of hemodialysis. Which of the following findings
is the nurse's priority to report to the provider? Restlessness
A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following
findings should indicate to the nurse the client is experiencing hypoxia? The client's heart rate
increases.
A nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which of
the following findings should the nurse expect? stone fragments in the urine
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following
nonpharmacological interventions should the nurse suggest to the client to reduce pain? Alternate
application of heat and cold to the affected joints.
A nurse is assessing a client who has acute cholecystitis. which of the following findings is the
nurse's priority? tachycardia
A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client
has just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer? Dyspnea
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect? Low urine specific gravity
A nurse is assessing a client who has graves’ disease. which of the following images should indicate
to the nurse that the client has exophthalmos? wide eyes
