NCLEX-RN Mastery: Complete Exam Prep with Detailed Rationales
and Test-Taking Strategies
Stuvia 5-Star Gold
May 2025
2025 NCLEX-RN Complete Prep for Exam Mastery
This comprehensive NCLEX-RN study guide ensures mastery of the 2025 exam, covering Safe and Effective Care,
Health Promotion, Psychosocial Integrity, and Physiological Integrity. It includes 30 high-yield questions: 20
multiple-choice (1 mark each, 20 marks), 5 select-all-that-apply (2 marks each, 10 marks), and 5 case-study-based
(2 marks each, 10 marks). Total: 40 marks. Verified answers, rationales, and secret hints and helpers deliver
Stuvia 5-star quality. Aligns with NCSBNs 2025 test plan and Next Generation NCLEX (NGN) formats.
Section A: Multiple-Choice Questions (20 marks)
Answer all questions. Select the best answer. No negative marking.
1. A nurse prepares to administer heparin. Which action ensures safety?
A) Injecting without aspiration B) Checking aPTT levels C) Using a 25-gauge needle D) Administering
IV
Secret Hint and Helper: Focus on heparin administration protocols.
Correct Answer: B. Checking aPTT levels.
Rationale: Heparin requires aPTT monitoring to prevent bleeding, per ISMP. A) Aspiration is not needed
for subcutaneous injections. C) A 25-gauge needle is appropriate but not primary. D) Heparin is typically
subcutaneous, not IV.
2. A patient with C. difficile is on isolation. Which PPE is required?
A) N95 mask B) Gloves and gown C) Face shield D) Sterile gloves
Secret Hint and Helper: Recall CDC contact precaution guidelines.
Correct Answer: B. Gloves and gown.
Rationale: C. difficile requires contact precautions (gloves, gown), per CDC. A) N95 is for airborne pathogens.
C) Face shield is for droplets. D) Sterile gloves are unnecessary.
3. A patient reports sudden dyspnea. Which assessment is priority?
A) Heart rate B) Oxygen saturation C) Pain level D) Blood pressure
Secret Hint and Helper: Use ABC prioritization.
Correct Answer: B. Oxygen saturation.
Rationale: Dyspnea suggests hypoxia; SpO2 assesses breathing, per ABCs. A, D) Heart rate and BP are
secondary. C) Pain is less urgent.
4. A patient on digoxin reports nausea. Which action is priority?
A) Administer antiemetic B) Check digoxin level C) Encourage fluids D) Reassess in 1 hour
Secret Hint and Helper: Recall digoxin toxicity symptoms.
Correct Answer: B. Check digoxin level.
Rationale: Nausea may indicate digoxin toxicity; checking levels is critical. A, C, D) These delay addressing
toxicity.
5. A patient with anxiety refuses a procedure. What is the nurses best response?
A) Proceed with the procedure B) Explore the patients concerns C) Notify the provider D) Document
refusal only
Secret Hint and Helper: Focus on therapeutic communication.
Correct Answer: B. Explore the patients concerns.
Rationale: Exploring concerns respects autonomy and builds trust, per ANA. A) Proceeding violates consent.
C, D) Notification and documentation are secondary.
6. A patient with a new ileostomy asks about diet. What should the nurse recommend?
A) High-fiber diet B) Low-residue diet C) Spicy foods D) Carbonated drinks
Secret Hint and Helper: Consider ileostomy output management.
Correct Answer: B. Low-residue diet.
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and Test-Taking Strategies
Stuvia 5-Star Gold
May 2025
2025 NCLEX-RN Complete Prep for Exam Mastery
This comprehensive NCLEX-RN study guide ensures mastery of the 2025 exam, covering Safe and Effective Care,
Health Promotion, Psychosocial Integrity, and Physiological Integrity. It includes 30 high-yield questions: 20
multiple-choice (1 mark each, 20 marks), 5 select-all-that-apply (2 marks each, 10 marks), and 5 case-study-based
(2 marks each, 10 marks). Total: 40 marks. Verified answers, rationales, and secret hints and helpers deliver
Stuvia 5-star quality. Aligns with NCSBNs 2025 test plan and Next Generation NCLEX (NGN) formats.
Section A: Multiple-Choice Questions (20 marks)
Answer all questions. Select the best answer. No negative marking.
1. A nurse prepares to administer heparin. Which action ensures safety?
A) Injecting without aspiration B) Checking aPTT levels C) Using a 25-gauge needle D) Administering
IV
Secret Hint and Helper: Focus on heparin administration protocols.
Correct Answer: B. Checking aPTT levels.
Rationale: Heparin requires aPTT monitoring to prevent bleeding, per ISMP. A) Aspiration is not needed
for subcutaneous injections. C) A 25-gauge needle is appropriate but not primary. D) Heparin is typically
subcutaneous, not IV.
2. A patient with C. difficile is on isolation. Which PPE is required?
A) N95 mask B) Gloves and gown C) Face shield D) Sterile gloves
Secret Hint and Helper: Recall CDC contact precaution guidelines.
Correct Answer: B. Gloves and gown.
Rationale: C. difficile requires contact precautions (gloves, gown), per CDC. A) N95 is for airborne pathogens.
C) Face shield is for droplets. D) Sterile gloves are unnecessary.
3. A patient reports sudden dyspnea. Which assessment is priority?
A) Heart rate B) Oxygen saturation C) Pain level D) Blood pressure
Secret Hint and Helper: Use ABC prioritization.
Correct Answer: B. Oxygen saturation.
Rationale: Dyspnea suggests hypoxia; SpO2 assesses breathing, per ABCs. A, D) Heart rate and BP are
secondary. C) Pain is less urgent.
4. A patient on digoxin reports nausea. Which action is priority?
A) Administer antiemetic B) Check digoxin level C) Encourage fluids D) Reassess in 1 hour
Secret Hint and Helper: Recall digoxin toxicity symptoms.
Correct Answer: B. Check digoxin level.
Rationale: Nausea may indicate digoxin toxicity; checking levels is critical. A, C, D) These delay addressing
toxicity.
5. A patient with anxiety refuses a procedure. What is the nurses best response?
A) Proceed with the procedure B) Explore the patients concerns C) Notify the provider D) Document
refusal only
Secret Hint and Helper: Focus on therapeutic communication.
Correct Answer: B. Explore the patients concerns.
Rationale: Exploring concerns respects autonomy and builds trust, per ANA. A) Proceeding violates consent.
C, D) Notification and documentation are secondary.
6. A patient with a new ileostomy asks about diet. What should the nurse recommend?
A) High-fiber diet B) Low-residue diet C) Spicy foods D) Carbonated drinks
Secret Hint and Helper: Consider ileostomy output management.
Correct Answer: B. Low-residue diet.
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