NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg
true or false - ANSTrue
During any patient transferring task, if any caregiver is required to lift a patient who weighs
more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive
devices should be used for transfer
If a draining wound tests positive for MRSA, the patient is placed on contact precautions
True or False - ANSTrue
Patients with abscess or draining wounds who tests positive for MRSA are placed on contact
precautions
Hands can be cleaned with alcohol-based hand rub after caring for a patient with C. diff
True or False - ANSFalse
Alcohol does not kill C diff spores and soap and water should be used for hand hygiene as
recommended by CDC
Disaster triage differs from route emergency department triage
True or False - ANSTrue
Disaster triage categories range from most urgent (first priority), urgent, nonurgent (the
walking wounded), and dead/catastrophic/coma.
Newborns are fitted with tamperproof security sensors during their stay at the hospital
True or False - ANSTrue
Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the
location of the infant and the security system can activate other devices (such as cameras,
door locks, public address systems, sirens, and other alarms) in the event of an attempted
abduction
Restraints can be ordered prn by health care providers
True or False - ANSFalse
HCP are required to specify duration and circumstances for which restraints are required and
for how they should be used. Nurses and HCPs must frequently monitor patients to reassess
for the continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANSTrue
Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get
up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective
alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANSTrue
,NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
The farther away people are from a radiation source, the less their exposure; as a rule, if you
double the distance, you reduce the exposure by a factor of four. The amount of radiation
exposure typically increases with the time people spend near the source of radiation
You should quickly remove contaminated clothing by pulling it over your head
True or False - ANSFalse
Contaminated clothing should never be removed quickly, but it should be cut off instead of
pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then
place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANSTrue
Standard precautions are used to reduce the risk of transmission of bloodborne and other
pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough
etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a hospital
acquired infection, which of these children would be the most appropriate roommate for a 3-
year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANSd. 4 year old with bilateral inguinal
hernia repair
Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs
may be needed, but this treatment can reduce the child's ability to fight infection. The charge
nurse must select a roommate who does not have an infection, which is the child child who
had surgery. The sickle cell crisis may have triggered an infection. The child's sibling who
has a viral disease has the potential to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient,
the patient grabs the nurse's buttocks and states that he is hungry for much more than dinner.
Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANSd. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior
and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the
,NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
job. The nurse should report the incident to her supervisor and complete an incident report.
The nurse has the right to ask not to be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of these
cases does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANSc. 35 yo found
unconscious with suspected CO poisoning
CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is
why treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may
be used.
Treatment for:
-crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal
-alcohol intoxication may include gastric lavage, IV fluids, and supportive care
A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant
warming system. Which of the following actions will ensure the safety of the neonate?
a. monitor temperature continuously
b. avoid touching neonate with cold hands
c. warm all medications and liquids before administration
d. wrap the neonate snugly in a cotton blanket - ANSa. monitor temperature continuously
When using the warming device, the neonate's temperature should be continuously monitored
using a probe that securely attached to the skin. Monitoring the neonate's temperature is the
priority safety concern because the skin burns, permanent brain damage or even death can
result due to improper use or monitoring of equipment. No clothing or swaddling is needed in
the IWS; usually babies are dressed only in a diaper (although bubble wrap blankets or plastic
wrap blankets can be used to minimize heat loss in high risk newborns). For healthy term
newborns, nurses should warm their hands and stethoscopes prior to contact with the baby.
A nurse is conducting a community-wide seminar on childhood safety issues. Which of these
children is at the highest risk for poisoning
a. 20 month old who has just learned to climb the stairs
b. 10 yo who occassionally stays at home unattended
c. 15 yo who likes to repair bicycles
d. 9 month old who stays with a sitter 5 days a week - ANSa. 20 month old who has just
learned to climb the stairs
, NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
Toddlers, aged 1-3 years, are at highest risk for poisoning because they are increasingly
mobile, need to explore and engage in autonomous behavior
A nurse is performing well-child assessments at a day care center when a staff member
interrupts the exam for assistance with another child. The nurse finds a 3 yo child on the floor
with bleeding gums and 2 unlabeled open bottles nearby. What should the nurses first action
be?
a. call poison control and then 911
b. administer syrup of Ipecac to induce vomiting
c. ask the staff member about the contents of the bottles
d. give the child milk to coat the stomach - ANSc. ask the staff member about the contents of
the bottles
The nurse needs to asses the situation and determine what the child ingested. Once the
substance is identified, the poison control center and the emergency medical services should
be called.
The nurse administer a new medication to the patient. Which of the following actions best
demonstrates an awareness of safe and proficient nursing practice?
a. verify order prior to administration. ask for patient name
b. verify patient's allergies on chart and name on door, ask date of birth
c. ask name and allergies, then check wristband and allergy band
d. ask name then check wristband - ANSc. ask name and allergies, then check wristband and
allergy band
A dual check is always done for the patient's name. This would involve verbal and visual
checks. Because this is a new medication an allergy check is appropriate. The other option
have parts that might be correct actions. However, to be the correct answer all the parts of an
option need to be correct.
The nurse is caring for a patient who is not oriented to time, place, or person and has
repeatedly attempted to pull out IV line and a feeding tube. The nurse receives an order from
HCP to apply a vest and soft wrist restraints. Which of the following actions by nurse are
appropriate? Select all that apply
a. release the restraints and provide care Q4
b. call HCP for new order Q48
c. document which alternative interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
f. conduct a thorough assessment of the patient - ANSc. document which alternative
interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg
true or false - ANSTrue
During any patient transferring task, if any caregiver is required to lift a patient who weighs
more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive
devices should be used for transfer
If a draining wound tests positive for MRSA, the patient is placed on contact precautions
True or False - ANSTrue
Patients with abscess or draining wounds who tests positive for MRSA are placed on contact
precautions
Hands can be cleaned with alcohol-based hand rub after caring for a patient with C. diff
True or False - ANSFalse
Alcohol does not kill C diff spores and soap and water should be used for hand hygiene as
recommended by CDC
Disaster triage differs from route emergency department triage
True or False - ANSTrue
Disaster triage categories range from most urgent (first priority), urgent, nonurgent (the
walking wounded), and dead/catastrophic/coma.
Newborns are fitted with tamperproof security sensors during their stay at the hospital
True or False - ANSTrue
Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the
location of the infant and the security system can activate other devices (such as cameras,
door locks, public address systems, sirens, and other alarms) in the event of an attempted
abduction
Restraints can be ordered prn by health care providers
True or False - ANSFalse
HCP are required to specify duration and circumstances for which restraints are required and
for how they should be used. Nurses and HCPs must frequently monitor patients to reassess
for the continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANSTrue
Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get
up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective
alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANSTrue
,NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
The farther away people are from a radiation source, the less their exposure; as a rule, if you
double the distance, you reduce the exposure by a factor of four. The amount of radiation
exposure typically increases with the time people spend near the source of radiation
You should quickly remove contaminated clothing by pulling it over your head
True or False - ANSFalse
Contaminated clothing should never be removed quickly, but it should be cut off instead of
pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then
place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANSTrue
Standard precautions are used to reduce the risk of transmission of bloodborne and other
pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough
etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a hospital
acquired infection, which of these children would be the most appropriate roommate for a 3-
year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANSd. 4 year old with bilateral inguinal
hernia repair
Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs
may be needed, but this treatment can reduce the child's ability to fight infection. The charge
nurse must select a roommate who does not have an infection, which is the child child who
had surgery. The sickle cell crisis may have triggered an infection. The child's sibling who
has a viral disease has the potential to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient,
the patient grabs the nurse's buttocks and states that he is hungry for much more than dinner.
Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANSd. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior
and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the
,NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
job. The nurse should report the incident to her supervisor and complete an incident report.
The nurse has the right to ask not to be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of these
cases does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANSc. 35 yo found
unconscious with suspected CO poisoning
CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is
why treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may
be used.
Treatment for:
-crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal
-alcohol intoxication may include gastric lavage, IV fluids, and supportive care
A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant
warming system. Which of the following actions will ensure the safety of the neonate?
a. monitor temperature continuously
b. avoid touching neonate with cold hands
c. warm all medications and liquids before administration
d. wrap the neonate snugly in a cotton blanket - ANSa. monitor temperature continuously
When using the warming device, the neonate's temperature should be continuously monitored
using a probe that securely attached to the skin. Monitoring the neonate's temperature is the
priority safety concern because the skin burns, permanent brain damage or even death can
result due to improper use or monitoring of equipment. No clothing or swaddling is needed in
the IWS; usually babies are dressed only in a diaper (although bubble wrap blankets or plastic
wrap blankets can be used to minimize heat loss in high risk newborns). For healthy term
newborns, nurses should warm their hands and stethoscopes prior to contact with the baby.
A nurse is conducting a community-wide seminar on childhood safety issues. Which of these
children is at the highest risk for poisoning
a. 20 month old who has just learned to climb the stairs
b. 10 yo who occassionally stays at home unattended
c. 15 yo who likes to repair bicycles
d. 9 month old who stays with a sitter 5 days a week - ANSa. 20 month old who has just
learned to climb the stairs
, NCSBN NCLEX EXAM LATEST UPDATED
2025 100% CORRECT ANSWERS.
A COMPREHENSIVE EXAM STUDY GUIDE
FOR GUARANTEED SUCCESS.
Toddlers, aged 1-3 years, are at highest risk for poisoning because they are increasingly
mobile, need to explore and engage in autonomous behavior
A nurse is performing well-child assessments at a day care center when a staff member
interrupts the exam for assistance with another child. The nurse finds a 3 yo child on the floor
with bleeding gums and 2 unlabeled open bottles nearby. What should the nurses first action
be?
a. call poison control and then 911
b. administer syrup of Ipecac to induce vomiting
c. ask the staff member about the contents of the bottles
d. give the child milk to coat the stomach - ANSc. ask the staff member about the contents of
the bottles
The nurse needs to asses the situation and determine what the child ingested. Once the
substance is identified, the poison control center and the emergency medical services should
be called.
The nurse administer a new medication to the patient. Which of the following actions best
demonstrates an awareness of safe and proficient nursing practice?
a. verify order prior to administration. ask for patient name
b. verify patient's allergies on chart and name on door, ask date of birth
c. ask name and allergies, then check wristband and allergy band
d. ask name then check wristband - ANSc. ask name and allergies, then check wristband and
allergy band
A dual check is always done for the patient's name. This would involve verbal and visual
checks. Because this is a new medication an allergy check is appropriate. The other option
have parts that might be correct actions. However, to be the correct answer all the parts of an
option need to be correct.
The nurse is caring for a patient who is not oriented to time, place, or person and has
repeatedly attempted to pull out IV line and a feeding tube. The nurse receives an order from
HCP to apply a vest and soft wrist restraints. Which of the following actions by nurse are
appropriate? Select all that apply
a. release the restraints and provide care Q4
b. call HCP for new order Q48
c. document which alternative interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
f. conduct a thorough assessment of the patient - ANSc. document which alternative
interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
