NURSING 112023 Comprehensive
Review For The NCLEXRN
Examination, 5th Edition Questions
With Rationales New Update
2025/2026
A nurse is caring for a client with diabetes insipidus (DI) who has
been prescribed aqueous vasopressin. Which of the following
outcomes indicates that treatment has been effective?
a. Blood pressure of 90/50 mm Hg
b. Fluid intake of 2,400mL in 24 hours
c. Urine output of 200mL per hour
d. Pulse rate of 126 beats/minute - 100 correct answer as-b.
Fluid intake of 2,400mL in 24 hours
A nurse is caring for a client with a diagnosis of Cushing
syndrome. What is the most common cause of Cushing syndrome
that the nurse should consider before assessing this client for
physiological responses? - 100 correct answer as-
Hyperplasia of the adrenal cortex
A nurse is assessing a client with Cushing syndrome. Which signs
should the nurse expect the client to exhibit? (Select all that
apply.)
1. Hirsutism
2. Round face
3. Pitting edema
4. Buffalo hump
5. Hypoglycemia - 100 correct answer as-1. Hirsutism
,2. Round face
4. Buffalo hump
A nurse is planning care for a client who has urolithiasis (kidney
stone). Which of the following actions should the nurse take? -
100 correct answer as-Encourage intake of at least 3 L of
fluids per day.
A nurse is teaching a client who has urolithiasis (renal calculi).
The nurse should explain that which of the following conditions
can increase the risk for renal calculi? - 100 correct answer
as-Dehydration
The nurse should teach the client with an ileal conduit to prevent
urine leakage when changing the appliance by using which of the
following procedures?
1. Insert a gauze wick into the stoma
2. Close the opening temporarily with a cellophane seal
3. Suction the stoma before changing the appliance
4. Avoid oral fluids for several hours before changing the
appliance - 100 correct answer as-1. Insert a gauze wick
into the stoma
The client with an ileal conduit will be using a reusable appliance
at home. The nurse should teach the client to clean the appliance
routinely with which product?
1. Baking soda
2. Soap
3. Hydrogen peroxide
4. Alcohol - 100 correct answer as-2. Soap
The nurse is evaluating the discharge teaching for a client who
has an ileal conduit. Which of the following statements indicates
,that the client has correctly understood teaching? Select all that
apply
1. "If I limit my fluid intake, I will not have to empty my ostomy
pouch as often"
2. "I can place an aspirin tablet in my pouch to decrease odor"
3. "I can usually keep my ostomy pouch on for 3-7 days before
changing it"
4. "I must use a skin barrier to protect my skin form urine"
5. "I should empty my ostomy pouch of urine when it is full" - 100
correct answer as-3. "I can usually keep my ostomy pouch
on for 3-7 days before changing it"
4. "I must use a skin barrier to protect my skin form urine"
A client has an ileal conduit. Which of the following solutions will
be useful to help control odor in the urine collecting bag after it
has been cleaned?
1. Salt water
2. Vinegar
3. Ammonia
4. Bleach - 100 correct answer as-2. Vinegar
The nurse explains to the client the importance of drinking large
quantities of fluid to prevent cystitis. The nurse should tell the
client to drink:
1. Twice as much fluid as usual.
2. At least 1 quart more than usual.
3. A lot of water, juice, and other fluids throughout the day. 4. At
least 3,000 mL of fluids daily. - 100 correct answer as-4. At
least 3,000 mL of fluids daily.
To prevent recurrence of cystitis, the nurse should plan to
encourage the female client to include which of the following
measures in her daily routine?
1. Wearing cotton underpants.
, 2. Increasing citrus juice intake.
3. Douching regularly with 0.25% acetic acid.
4. Using vaginal sprays. - 100 correct answer as-1. Wearing
cotton underpants
What postoperative care is most appropriate for a patient who has
undergone modified radical mastectomy in the right breast? - 100
correct answer as-Elevate HOB to 30 degrees.
The nurse is participating at a health fair at the local mall giving
influenza vaccinations to senior citizens. What level of prevention
is the nurse practicing?
1. Primary Prevention
2. Secondary Prevention
3. Tertiary Prevention
4. Quaternary Prevention - 100 correct answer as-1.
Primary prevention
The nurse is conducting a home visit with an older adult couple.
She assesses that the lighting in the home is poor and that there
are several throw rugs throughout the home and a low footstool in
the living room. She suggests that the rugs and the footstool be
removed and improving the lighting in the home. The nurse is
addressing which need according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization - 100 correct answer as-2. Safety and
security
Moral dilemma - 100 correct answer as-a conflict in which
you have to choose between two or more actions and have moral
reasons for choosing each action
Review For The NCLEXRN
Examination, 5th Edition Questions
With Rationales New Update
2025/2026
A nurse is caring for a client with diabetes insipidus (DI) who has
been prescribed aqueous vasopressin. Which of the following
outcomes indicates that treatment has been effective?
a. Blood pressure of 90/50 mm Hg
b. Fluid intake of 2,400mL in 24 hours
c. Urine output of 200mL per hour
d. Pulse rate of 126 beats/minute - 100 correct answer as-b.
Fluid intake of 2,400mL in 24 hours
A nurse is caring for a client with a diagnosis of Cushing
syndrome. What is the most common cause of Cushing syndrome
that the nurse should consider before assessing this client for
physiological responses? - 100 correct answer as-
Hyperplasia of the adrenal cortex
A nurse is assessing a client with Cushing syndrome. Which signs
should the nurse expect the client to exhibit? (Select all that
apply.)
1. Hirsutism
2. Round face
3. Pitting edema
4. Buffalo hump
5. Hypoglycemia - 100 correct answer as-1. Hirsutism
,2. Round face
4. Buffalo hump
A nurse is planning care for a client who has urolithiasis (kidney
stone). Which of the following actions should the nurse take? -
100 correct answer as-Encourage intake of at least 3 L of
fluids per day.
A nurse is teaching a client who has urolithiasis (renal calculi).
The nurse should explain that which of the following conditions
can increase the risk for renal calculi? - 100 correct answer
as-Dehydration
The nurse should teach the client with an ileal conduit to prevent
urine leakage when changing the appliance by using which of the
following procedures?
1. Insert a gauze wick into the stoma
2. Close the opening temporarily with a cellophane seal
3. Suction the stoma before changing the appliance
4. Avoid oral fluids for several hours before changing the
appliance - 100 correct answer as-1. Insert a gauze wick
into the stoma
The client with an ileal conduit will be using a reusable appliance
at home. The nurse should teach the client to clean the appliance
routinely with which product?
1. Baking soda
2. Soap
3. Hydrogen peroxide
4. Alcohol - 100 correct answer as-2. Soap
The nurse is evaluating the discharge teaching for a client who
has an ileal conduit. Which of the following statements indicates
,that the client has correctly understood teaching? Select all that
apply
1. "If I limit my fluid intake, I will not have to empty my ostomy
pouch as often"
2. "I can place an aspirin tablet in my pouch to decrease odor"
3. "I can usually keep my ostomy pouch on for 3-7 days before
changing it"
4. "I must use a skin barrier to protect my skin form urine"
5. "I should empty my ostomy pouch of urine when it is full" - 100
correct answer as-3. "I can usually keep my ostomy pouch
on for 3-7 days before changing it"
4. "I must use a skin barrier to protect my skin form urine"
A client has an ileal conduit. Which of the following solutions will
be useful to help control odor in the urine collecting bag after it
has been cleaned?
1. Salt water
2. Vinegar
3. Ammonia
4. Bleach - 100 correct answer as-2. Vinegar
The nurse explains to the client the importance of drinking large
quantities of fluid to prevent cystitis. The nurse should tell the
client to drink:
1. Twice as much fluid as usual.
2. At least 1 quart more than usual.
3. A lot of water, juice, and other fluids throughout the day. 4. At
least 3,000 mL of fluids daily. - 100 correct answer as-4. At
least 3,000 mL of fluids daily.
To prevent recurrence of cystitis, the nurse should plan to
encourage the female client to include which of the following
measures in her daily routine?
1. Wearing cotton underpants.
, 2. Increasing citrus juice intake.
3. Douching regularly with 0.25% acetic acid.
4. Using vaginal sprays. - 100 correct answer as-1. Wearing
cotton underpants
What postoperative care is most appropriate for a patient who has
undergone modified radical mastectomy in the right breast? - 100
correct answer as-Elevate HOB to 30 degrees.
The nurse is participating at a health fair at the local mall giving
influenza vaccinations to senior citizens. What level of prevention
is the nurse practicing?
1. Primary Prevention
2. Secondary Prevention
3. Tertiary Prevention
4. Quaternary Prevention - 100 correct answer as-1.
Primary prevention
The nurse is conducting a home visit with an older adult couple.
She assesses that the lighting in the home is poor and that there
are several throw rugs throughout the home and a low footstool in
the living room. She suggests that the rugs and the footstool be
removed and improving the lighting in the home. The nurse is
addressing which need according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization - 100 correct answer as-2. Safety and
security
Moral dilemma - 100 correct answer as-a conflict in which
you have to choose between two or more actions and have moral
reasons for choosing each action
