NCLEX-RN Exam 2025 version 7|
with 75 Real Exam Questions and
Correct Answers Graded A+
1. Question
Among the following signs and symptoms, which
would most likely be present in a patient with mitral regurgitation?
o A. Altered level of consciousness
o B. Exertional Dyspnea
o C. Increase creatine phosphokinase concentration
o D. Chest pain
o
o
o
, may also endorse symptoms associated with
myocardial ischemia, such as chest pain radiating to
the neck, jaw, shoulders, or upper extremities, nausea,
and diaphoresis.
• 2. Question
Kris with a history of chronic infection of the urinary system
complains of urinary frequency and burning sensation. To figure
out whether the current problem is of renal origin, the nursing
practitioner should assess whether the patient has discomfort or
pain in the:
o A. Urinary meatus
o B. Pain in the labium
o C. Suprapubic area
o D. Right or left costovertebral angle
Correct Answer: D. Right or left costovertebral angle
Discomfort or pain is a problem that originates in the kidney. It is
felt at the costovertebral angle on the affected side. Flank or
costovertebral angle (CVA) tenderness is most commonly
unilateral over the involved kidney, although bilateral discomfort
may be present. Discomfort varies from absent to severe. This
finding is usually not subtle and may be elicited with mild or
moderately firm palpation.
o Option A: Pain or discomfort in the urinary meatus
can also be indicative of urethritis or acute urinary
tract infection. In both men and women, common
causes of urethral pain include sexually transmitted
diseases (STDs) such as chlamydia, local irritation
from soaps or spermicides, and urinary tract infections
(UTIs). In men, prostatitis isn’t an uncommon cause,
whereas in women, vaginal dryness due to menopause
can be an issue.
o Option B: Pain in the labium can be due to a swollen
labia or vulva. Chronic yeast infections and bacterial
infections can both cause pain that ranges from mild
discomfort and itching to severe burning or throbbing.
Viral and bacterial infections, such as bacterial
, vaginosis and the herpes simplex virus, can also cause
vulvar pain or discomfort.
o Option C: Suprapubic pain has a wide variety of
causes, and can include pyelonephritis, perinephric
abscess, and nephrolithiasis. Gynecological causes are
common with suprapubic pain. Suprapubic pain
happens in the lower abdomen near where the hips
and many important organs, such as the intestines,
bladder, and genitals, are located. Suprapubic pain
can have a wide variety of causes, so the doctor may
need to do tests of vital functions before diagnosing
the underlying cause.
• 3. Question
Nursing practitioner Perry is evaluating the renal function of a
male patient. After documenting urine volume and characteristics,
Nursing practitioner Perry assesses which signs as the best
indicator of renal function.
o A. Blood pressure
o B. Consciousness
o C. Distension of the bladder
o D. Pulse rate
o
, papaverine or acetylcholine did not increase UNaV or
fractional Na excretion.
o Option C: Checking the distention of the bladder is
not an accurate indicator of renal function. It mostly
indicates an obstruction or a loss of tone in the
bladder muscles that fail to detect increased pressure
exerted by urine. It is usually associated with pain and
urge to urinate. Bladder catheterization should be
performed.
o Option D: Individuals with a high resting heart rate
and a low beat-to-beat heart rate variability have an
increased risk of developing kidney disease, according
to a new study by the American Society of Nephrology.
However, it is not the most accurate indicator of renal
function.
• 4. Question
John suddenly experiences a seizure, and Nursing practitioner Gina
notices that John exhibits uncontrollable jerking movements.
Nursing practitioner Gina documents that John experienced which
type of seizure?
o A. Tonic seizure
o B. Absence seizure
o C. Myoclonic seizure
o D. Clonic seizure
o
with 75 Real Exam Questions and
Correct Answers Graded A+
1. Question
Among the following signs and symptoms, which
would most likely be present in a patient with mitral regurgitation?
o A. Altered level of consciousness
o B. Exertional Dyspnea
o C. Increase creatine phosphokinase concentration
o D. Chest pain
o
o
o
, may also endorse symptoms associated with
myocardial ischemia, such as chest pain radiating to
the neck, jaw, shoulders, or upper extremities, nausea,
and diaphoresis.
• 2. Question
Kris with a history of chronic infection of the urinary system
complains of urinary frequency and burning sensation. To figure
out whether the current problem is of renal origin, the nursing
practitioner should assess whether the patient has discomfort or
pain in the:
o A. Urinary meatus
o B. Pain in the labium
o C. Suprapubic area
o D. Right or left costovertebral angle
Correct Answer: D. Right or left costovertebral angle
Discomfort or pain is a problem that originates in the kidney. It is
felt at the costovertebral angle on the affected side. Flank or
costovertebral angle (CVA) tenderness is most commonly
unilateral over the involved kidney, although bilateral discomfort
may be present. Discomfort varies from absent to severe. This
finding is usually not subtle and may be elicited with mild or
moderately firm palpation.
o Option A: Pain or discomfort in the urinary meatus
can also be indicative of urethritis or acute urinary
tract infection. In both men and women, common
causes of urethral pain include sexually transmitted
diseases (STDs) such as chlamydia, local irritation
from soaps or spermicides, and urinary tract infections
(UTIs). In men, prostatitis isn’t an uncommon cause,
whereas in women, vaginal dryness due to menopause
can be an issue.
o Option B: Pain in the labium can be due to a swollen
labia or vulva. Chronic yeast infections and bacterial
infections can both cause pain that ranges from mild
discomfort and itching to severe burning or throbbing.
Viral and bacterial infections, such as bacterial
, vaginosis and the herpes simplex virus, can also cause
vulvar pain or discomfort.
o Option C: Suprapubic pain has a wide variety of
causes, and can include pyelonephritis, perinephric
abscess, and nephrolithiasis. Gynecological causes are
common with suprapubic pain. Suprapubic pain
happens in the lower abdomen near where the hips
and many important organs, such as the intestines,
bladder, and genitals, are located. Suprapubic pain
can have a wide variety of causes, so the doctor may
need to do tests of vital functions before diagnosing
the underlying cause.
• 3. Question
Nursing practitioner Perry is evaluating the renal function of a
male patient. After documenting urine volume and characteristics,
Nursing practitioner Perry assesses which signs as the best
indicator of renal function.
o A. Blood pressure
o B. Consciousness
o C. Distension of the bladder
o D. Pulse rate
o
, papaverine or acetylcholine did not increase UNaV or
fractional Na excretion.
o Option C: Checking the distention of the bladder is
not an accurate indicator of renal function. It mostly
indicates an obstruction or a loss of tone in the
bladder muscles that fail to detect increased pressure
exerted by urine. It is usually associated with pain and
urge to urinate. Bladder catheterization should be
performed.
o Option D: Individuals with a high resting heart rate
and a low beat-to-beat heart rate variability have an
increased risk of developing kidney disease, according
to a new study by the American Society of Nephrology.
However, it is not the most accurate indicator of renal
function.
• 4. Question
John suddenly experiences a seizure, and Nursing practitioner Gina
notices that John exhibits uncontrollable jerking movements.
Nursing practitioner Gina documents that John experienced which
type of seizure?
o A. Tonic seizure
o B. Absence seizure
o C. Myoclonic seizure
o D. Clonic seizure
o
