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SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-RN EXAM 2025 MULTICHOICE
ANSWERED EXAM QUESTIONS WITH DETAILED RATIONALES
NCLEX-RN stand for?
A. National Clinical Licensing Examination
B. National Council Licensure Examination for Registered Nurses
C. Nursing Certification Licensing Exam — Registered Nurses
D. National Clinical Licensure Exam — RN
Answer: B. National Council Licensure Examination for Registered Nurses.
Rationale: NCLEX-RN is the official exam name administered by state boards to license RNs.
Next Generation NCLEX (NGN) primarily adds emphasis to:
A. Pharmacology recall
B. Clinical judgment and decision-making
C. Memorization of lab values
D. Math calculations only
Answer: B. Clinical judgment and decision-making.
Rationale: NGN introduces item types that assess clinical judgment across scenarios.
ess of making care decisions?
A. Clinical Judgment
B. Manual dexterity
C. Data entry
D. Procedural memory
Answer: A. Clinical Judgment.
Rationale: Clinical judgment is the decision-making process used in nursing practice.
lity to succeed on the NCLEX is called:
A. Transference
B. Self-efficacy
C. Self-esteem
D. Learned helplessness
Answer: B. Self-efficacy.
Rationale: Self-efficacy is confidence in ability to perform tasks and succeed.
ent covers changes in:
A. Only physical aspects
B. Only emotional aspects
C. Physical, emotional, and social aspects
D. Only cognitive aspects
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Answer: C. Physical, emotional, and social aspects.
Rationale: Growth & development encompasses physical, emotional, social changes across
lifespan.
Maternity nursing focuses on:
A. Surgical wound care only
B. Pregnancy, childbirth, and postpartum care
C. Pediatric immunizations exclusively
D. Geriatric health promotion
Answer: B. Pregnancy, childbirth, and postpartum care.
Rationale: Maternity nursing centers on care related to pregnancy and birth.
Pediatric nursing is primarily concerned with:
A. Adults with congenital defects
B. Nutrition for the elderly
C. Nursing care for infants, children, adolescents
D. Only neonatal intensive care
Answer: C. Nursing care for infants, children, adolescents.
Rationale: Pediatric nursing covers child health across developmental stages.
professional standards in nursing?
A. Personal opinions about care
B. Guidelines for ethical and competent practice
C. Hospital cafeteria rules
D. Patient preferences only
Answer: B. Guidelines for ethical and competent practice.
Rationale: Professional standards guide safe, ethical, evidence-based nursing.
issue is termed:
A. Ethical issue
B. Legal triviality
C. Scheduling conflict
D. Clinical pathway
Answer: A. Ethical issue.
Rationale: Ethical issues are moral challenges impacting healthcare decisions.
strating:
A. Micro-management
B. Leadership in nursing
C. Socializing
, ESTUDYR
D. Delegation avoidance
Answer: B. Leadership in nursing.
Rationale: Leadership includes guiding teams, setting priorities, and ensuring quality care.
steps for safe medication administration?
A. Admin, monitor, prescribe, document
B. Verify order, prepare, administer, monitor, document
C. Document, administer, check order, monitor
D. Prepare, administer, check patient ID after
Answer: B. Verify order, prepare, administer, monitor, document.
Rationale: The five rights/processes ensure safe medication delivery and documentation.
Fluid and electrolyte balance refers to management of:
A. Only fluid intake
B. Fluids and serum electrolytes like Na, K, Ca
C. Only body temperature
D. Only blood glucose
Answer: B. Fluids and serum electrolytes like Na, K, Ca.
Rationale: Balance of water and minerals is essential for homeostasis.
Acid-base balance in the body is primarily regulated by:
A. Skin and muscles
B. Lungs and kidneys
C. Eyes and ears
D. Spleen only
Answer: B. Lungs and kidneys.
Rationale: Lungs regulate CO₂; kidneys regulate HCO₃⁻, both maintain pH.
A. Vital signs include temperature, pulse, respirations, BP, O₂ sat
B. Only pulse is needed
C. Only BP is needed
D. Only weight is needed
Answer: A. Vital signs include temperature, pulse, respirations, BP, O₂ sat.
Rationale: Multiple vitals together indicate physiologic status.
Health assessment involves:
A. Ordering tests only
B. Comprehensive evaluation of a patient's health (history + exam)
C. Only measuring vitals
SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX-RN EXAM 2025 MULTICHOICE
ANSWERED EXAM QUESTIONS WITH DETAILED RATIONALES
NCLEX-RN stand for?
A. National Clinical Licensing Examination
B. National Council Licensure Examination for Registered Nurses
C. Nursing Certification Licensing Exam — Registered Nurses
D. National Clinical Licensure Exam — RN
Answer: B. National Council Licensure Examination for Registered Nurses.
Rationale: NCLEX-RN is the official exam name administered by state boards to license RNs.
Next Generation NCLEX (NGN) primarily adds emphasis to:
A. Pharmacology recall
B. Clinical judgment and decision-making
C. Memorization of lab values
D. Math calculations only
Answer: B. Clinical judgment and decision-making.
Rationale: NGN introduces item types that assess clinical judgment across scenarios.
ess of making care decisions?
A. Clinical Judgment
B. Manual dexterity
C. Data entry
D. Procedural memory
Answer: A. Clinical Judgment.
Rationale: Clinical judgment is the decision-making process used in nursing practice.
lity to succeed on the NCLEX is called:
A. Transference
B. Self-efficacy
C. Self-esteem
D. Learned helplessness
Answer: B. Self-efficacy.
Rationale: Self-efficacy is confidence in ability to perform tasks and succeed.
ent covers changes in:
A. Only physical aspects
B. Only emotional aspects
C. Physical, emotional, and social aspects
D. Only cognitive aspects
,ESTUDYR
Answer: C. Physical, emotional, and social aspects.
Rationale: Growth & development encompasses physical, emotional, social changes across
lifespan.
Maternity nursing focuses on:
A. Surgical wound care only
B. Pregnancy, childbirth, and postpartum care
C. Pediatric immunizations exclusively
D. Geriatric health promotion
Answer: B. Pregnancy, childbirth, and postpartum care.
Rationale: Maternity nursing centers on care related to pregnancy and birth.
Pediatric nursing is primarily concerned with:
A. Adults with congenital defects
B. Nutrition for the elderly
C. Nursing care for infants, children, adolescents
D. Only neonatal intensive care
Answer: C. Nursing care for infants, children, adolescents.
Rationale: Pediatric nursing covers child health across developmental stages.
professional standards in nursing?
A. Personal opinions about care
B. Guidelines for ethical and competent practice
C. Hospital cafeteria rules
D. Patient preferences only
Answer: B. Guidelines for ethical and competent practice.
Rationale: Professional standards guide safe, ethical, evidence-based nursing.
issue is termed:
A. Ethical issue
B. Legal triviality
C. Scheduling conflict
D. Clinical pathway
Answer: A. Ethical issue.
Rationale: Ethical issues are moral challenges impacting healthcare decisions.
strating:
A. Micro-management
B. Leadership in nursing
C. Socializing
, ESTUDYR
D. Delegation avoidance
Answer: B. Leadership in nursing.
Rationale: Leadership includes guiding teams, setting priorities, and ensuring quality care.
steps for safe medication administration?
A. Admin, monitor, prescribe, document
B. Verify order, prepare, administer, monitor, document
C. Document, administer, check order, monitor
D. Prepare, administer, check patient ID after
Answer: B. Verify order, prepare, administer, monitor, document.
Rationale: The five rights/processes ensure safe medication delivery and documentation.
Fluid and electrolyte balance refers to management of:
A. Only fluid intake
B. Fluids and serum electrolytes like Na, K, Ca
C. Only body temperature
D. Only blood glucose
Answer: B. Fluids and serum electrolytes like Na, K, Ca.
Rationale: Balance of water and minerals is essential for homeostasis.
Acid-base balance in the body is primarily regulated by:
A. Skin and muscles
B. Lungs and kidneys
C. Eyes and ears
D. Spleen only
Answer: B. Lungs and kidneys.
Rationale: Lungs regulate CO₂; kidneys regulate HCO₃⁻, both maintain pH.
A. Vital signs include temperature, pulse, respirations, BP, O₂ sat
B. Only pulse is needed
C. Only BP is needed
D. Only weight is needed
Answer: A. Vital signs include temperature, pulse, respirations, BP, O₂ sat.
Rationale: Multiple vitals together indicate physiologic status.
Health assessment involves:
A. Ordering tests only
B. Comprehensive evaluation of a patient's health (history + exam)
C. Only measuring vitals
