NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
Which individual is at greatest risk for developing hypertension?
a. 45 year-old African American attorney
b. 60-year-old Asian American shop owner
c. 40-year-old Caucasian nurse
d. 55-year-old Hispanic teacher
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in
the emergency department. Which of these orders should the nurse do first?
a. Gastric lavage PRN
b. Acetylcysteine (mucomyst) for age per pharmacy
c. Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
d. Activated charcoal per pharmacy
Which complication of cardiac catheterization should the nurse monitor for in the initial 24
hours after the procedure?
a. angina at rest
b. thrombus formation
c. dizziness
d. falling blood pressure
A client is admitted to the emergency room with renal calculi and is complaining of moderate
to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The
priority nursing goal for this client is:
a. Maintain fluid and electrolyte balance
b. Control nausea
c. Manage pain
d. Prevent urinary tract infection
What would the nurse expect to see while assessing the growth of children during their
,NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
school age years?
a. Decreasing amounts of body fat and muscle mass
b. Little change in body appearance from year to year
c. Progressive height increase of 4 inches each year
d. Yearly weight gain of about 5.5 pounds per year
At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg.
The client states “My blood pressure is usually much lower.” The nurse should tell the
client to
a. go get a blood pressure check within the next 48 to 72 hours
b. check blood pressure again in two (2) months
c. see the health care provider immediately
d. visit the health care provider within 1 week for a BP check
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients
would the nurse put first on the list to be discharged in order to make a room available for a
new admission?
a. A middle-aged client with a history of being ventilator dependent for over seven
(7) years and admitted with bacterial pneumonia five days ago.
b. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted
with antibiotic-induced diarrhea 24 hours ago.
c. An elderly client with a history of hypertension, hypercholesterolemia, and lupus,
and was admitted with Stevens-Johnson syndrome that morning.
d. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower
leg 48 hours ago
A client has been newly diagnosed with hypothyroidism and will take levothyroxine
(Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this
,NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
medication:
a. Should be taken in the morning
b. May decrease the client’s energy level
c. Must be stored in a dark container
d. Will decrease the client’s heart rate
A 3-year-old child comes to the pediatric clinic after the sudden onset of findings that include
irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward,
tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
a. Prepare the child for x-ray of upper airways
b. Examine the child’s throat
c. Collect a sputum specimen
d. Notify the healthcare provider of the child’s status
In children suspected to have a diagnosis of diabetes, which one of the following
complaints would be most likely to prompt parents to take their school age child for
evaluation?
a. Polyphagia
b. Dehydration
c. Bed wetting
d. Weight loss
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The
nurse recognizes that this condition most frequently follows which type of infection?
a. Trichomoniasis
b. Chlamydia
c. Staphylococcus
d. Streptococcus
, NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
An RN who usually works in a spinal rehabilitation unit is floated to the emergency
department. Which of these clients should the charge nurse assign to this RN?
a. A middle-aged client who says, “I took too many diet pills” and “my heart feels like it
is racing out of my chest.”
b. A young adult who says “I hear songs from heaven. I need money for beer. I quit
drinking 2 days ago for my family. Why are my arms and legs jerking?”
c. An adolescent who has been on pain medications terminal cancer with an
initial assessment finding pupils and a relaxed respiratory rate of 10.
d. An elderly client who reports having taken a “large crack hit” 10 minutes prior to
walking into the emergency room
When teaching a client with coronary artery disease about nutrition, the nurse
should emphasize
a. Eating three (3) balanced meals a day
b. Adding complex carbohydrates
c. Avoiding very heavy meals
d. Limiting sodium to 7g per day
Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus
PRN for pain breakthrough for morphine drip is not working?
a. The client complains of discomfort at the IV insertion site
b. The client states “I just can’t get relief from my pain.”
c. The level of drug is 100 mL at 8 AM and is 80 mL at noon
d. The level of the drug is 100 mL at 8 AM and is 50 mL at noon
The nurse is speaking at a community meeting about personal responsibility for health
promotion. A participant asks about chiropractic treatment for illnesses. What should be
the focus of the nurse’s response?
2023 A+
Which individual is at greatest risk for developing hypertension?
a. 45 year-old African American attorney
b. 60-year-old Asian American shop owner
c. 40-year-old Caucasian nurse
d. 55-year-old Hispanic teacher
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in
the emergency department. Which of these orders should the nurse do first?
a. Gastric lavage PRN
b. Acetylcysteine (mucomyst) for age per pharmacy
c. Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
d. Activated charcoal per pharmacy
Which complication of cardiac catheterization should the nurse monitor for in the initial 24
hours after the procedure?
a. angina at rest
b. thrombus formation
c. dizziness
d. falling blood pressure
A client is admitted to the emergency room with renal calculi and is complaining of moderate
to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The
priority nursing goal for this client is:
a. Maintain fluid and electrolyte balance
b. Control nausea
c. Manage pain
d. Prevent urinary tract infection
What would the nurse expect to see while assessing the growth of children during their
,NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
school age years?
a. Decreasing amounts of body fat and muscle mass
b. Little change in body appearance from year to year
c. Progressive height increase of 4 inches each year
d. Yearly weight gain of about 5.5 pounds per year
At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg.
The client states “My blood pressure is usually much lower.” The nurse should tell the
client to
a. go get a blood pressure check within the next 48 to 72 hours
b. check blood pressure again in two (2) months
c. see the health care provider immediately
d. visit the health care provider within 1 week for a BP check
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients
would the nurse put first on the list to be discharged in order to make a room available for a
new admission?
a. A middle-aged client with a history of being ventilator dependent for over seven
(7) years and admitted with bacterial pneumonia five days ago.
b. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted
with antibiotic-induced diarrhea 24 hours ago.
c. An elderly client with a history of hypertension, hypercholesterolemia, and lupus,
and was admitted with Stevens-Johnson syndrome that morning.
d. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower
leg 48 hours ago
A client has been newly diagnosed with hypothyroidism and will take levothyroxine
(Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this
,NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
medication:
a. Should be taken in the morning
b. May decrease the client’s energy level
c. Must be stored in a dark container
d. Will decrease the client’s heart rate
A 3-year-old child comes to the pediatric clinic after the sudden onset of findings that include
irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward,
tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
a. Prepare the child for x-ray of upper airways
b. Examine the child’s throat
c. Collect a sputum specimen
d. Notify the healthcare provider of the child’s status
In children suspected to have a diagnosis of diabetes, which one of the following
complaints would be most likely to prompt parents to take their school age child for
evaluation?
a. Polyphagia
b. Dehydration
c. Bed wetting
d. Weight loss
A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The
nurse recognizes that this condition most frequently follows which type of infection?
a. Trichomoniasis
b. Chlamydia
c. Staphylococcus
d. Streptococcus
, NCLEX EXAM NR-225 QUESTIONS WITH ANSWERS
2023 A+
An RN who usually works in a spinal rehabilitation unit is floated to the emergency
department. Which of these clients should the charge nurse assign to this RN?
a. A middle-aged client who says, “I took too many diet pills” and “my heart feels like it
is racing out of my chest.”
b. A young adult who says “I hear songs from heaven. I need money for beer. I quit
drinking 2 days ago for my family. Why are my arms and legs jerking?”
c. An adolescent who has been on pain medications terminal cancer with an
initial assessment finding pupils and a relaxed respiratory rate of 10.
d. An elderly client who reports having taken a “large crack hit” 10 minutes prior to
walking into the emergency room
When teaching a client with coronary artery disease about nutrition, the nurse
should emphasize
a. Eating three (3) balanced meals a day
b. Adding complex carbohydrates
c. Avoiding very heavy meals
d. Limiting sodium to 7g per day
Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus
PRN for pain breakthrough for morphine drip is not working?
a. The client complains of discomfort at the IV insertion site
b. The client states “I just can’t get relief from my pain.”
c. The level of drug is 100 mL at 8 AM and is 80 mL at noon
d. The level of the drug is 100 mL at 8 AM and is 50 mL at noon
The nurse is speaking at a community meeting about personal responsibility for health
promotion. A participant asks about chiropractic treatment for illnesses. What should be
the focus of the nurse’s response?
