NR 225 NCLEX Exam Questions with Answers 2023 A+Assured Success, Exams of Nursing

Download NR 225 NCLEX Exam Questions with Answers 2023 A+Assured Success and more Exams Nursing in PDF only on Docsity! NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 1. Which individual is at greatest risk for developing hypertension? a. 45 year-old African American attorney b. 60-year-old Asian American shop owner c. 40-year-old Caucasian nurse d. 55-year-old Hispanic teacher 2. A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department. Which of these orders should the nurse do first? a. Gastric lavage PRN b. Acetylcysteine (mucomyst) for age per pharmacy c. Start an IV Dextrose 5% with 0.33% normal saline to keep vein open d. Activated charcoal per pharmacy 3. Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure? a. angina at rest b. thrombus formation c. dizziness d. falling blood pressure 4. A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is: a. Maintain fluid and electrolyte balance b. Control nausea c. Manage pain d. Prevent urinary tract infection NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 5. What would the nurse expect to see while assessing the growth of children during their school age years? a. Decreasing amounts of body fat and muscle mass b. Little change in body appearance from year to year c. Progressive height increase of 4 inches each year d. Yearly weight gain of about 5.5 pounds per year 6. At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to a. go get a blood pressure check within the next 48 to 72 hours b. check blood pressure again in two (2) months c. see the health care provider immediately d. visit the health care provider within 1 week for a BP check 7. The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission? a. A middle-aged client with a history of being ventilator dependent for over seven (7) years and admitted with bacterial pneumonia five days ago. b. A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted with antibiotic-induced diarrhea 24 hours ago. c. An elderly client with a history of hypertension, hypercholesterolemia, and lupus, and was admitted with Stevens-Johnson syndrome that morning. d. An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 12. An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN? a. A middle-aged client who says, “I took too many diet pills” and “my heart feels like it is racing out of my chest.” b. A young adult who says “I hear songs from heaven. I need money for beer. I quit drinking 2 days ago for my family. Why are my arms and legs jerking?” c. An adolescent who has been on pain medications terminal cancer with an initial assessment finding pupils and a relaxed respiratory rate of 10. d. An elderly client who reports having taken a “large crack hit” 10 minutes prior to walking into the emergency room 13. When teaching a client with coronary artery disease about nutrition, the nurse should emphasize a. Eating three (3) balanced meals a day b. Adding complex carbohydrates c. Avoiding very heavy meals d. Limiting sodium to 7g per day 14. Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain breakthrough for morphine drip is not working? a. The client complains of discomfort at the IV insertion site b. The client states “I just can’t get relief from my pain.” c. The level of drug is 100 mL at 8 AM and is 80 mL at noon d. The level of the drug is 100 mL at 8 AM and is 50 mL at noon 15. The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS the focus of the nurse’s response? a. Electrical energy fields b. Spinal column manipulation c. Mind-body balance d. Exercise of joints 16. The nurse is performing a neurological assessment on a client post right CVA. Which finding, if observed by the nurse, would warrant immediate attention? a. Decrease in level of consciousness b. Loss of bladder control c. Altered sensation to stimuli d. Emotional ability 17. A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this disease would the nurse not expect to see at this time? a. Positive sweat test b. Bulky greasy stools c. Moist, productive cough d. Meconium ileus NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 18. The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His wife states he fell down the stairs 2 hours ago. The nurse should a. Place a call to the client’s health care provider for instructions b. Send him to the emergency room for evaluation c. Reassure the client’s wife that the symptoms are transient d. Instruct the client’s wife to call the doctor if his symptoms become worse 19. Which of the following should the nurse implement to prepare a client for a KUB (Kidney, Ureter, Bladder) radiograph test? a. Client must be NPO before the examination b. Enema to be administered prior to the examination c. Medicate client with Lasix 20 mg IV 30 minutes prior to the examination d. No special orders are necessary for this examination 20. The nurse is giving discharge teaching to a client seven (7) days post myocardial infarction. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. What is the best response by the nurse to this question? a. “You need to regain your strength before attempting such exertion.” b. “When you can climb 2 flights of stairs without problems, it is generally safe.” c. “Have a glass of wine to relax you, then you can try to have sex.” d. “If you can maintain an active walking program, you will have less risk.” 21. A triage nurse has these four (4) clients arrive in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first? a. A 2-month old infant with a history of rolling off the bed and has bulging fontanels with crying b. A teenager who got a singed beard while camping NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. Cardiac output c. Venous pressure d. Left ventricular functioning 29. A nurse enters a client’s room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is a. Start a peripheral IV b. Initiate high-quality chest compressions c. Establish an airway d. Obtain the crash cart 30. A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider? a. Blood pressure 94/60 b. Heart rate 76 c. Urine output 50 ml/hour d. Respiratory rate 16 31. While assessing a 1-month-old infant, which finding should the nurse report immediately? a. Abdominal respirations b. Irregular breathing rate c. Inspiratory grunt d. Increased heart rate with crying 32. The nurse practicing in a maternity setting recognizes that the post mature fetus is at risk due to a. Excessive fetal weight NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. Low blood sugar levels c. Depletion of subcutaneous fat d. Progressive placental insufficiency 33. The nurse is caring for a client who had a total hip replacement four (4) days ago. Which assessment requires the nurse’s immediate attention? a. I have bad muscle spasms in my lower leg of the affected extremity. b. “I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger.” c. “I have to use the bedpan to pass my water at least every 1 to 2 hours.” d. “It seems that the pain medication is not working as well today.” 34. A client has been taking furosemide (Lasix) for the past week. The nurse recognizes which finding may indicate the client is experiencing a negative side effect from the medication? a. Weight gain of 5 pounds b. Edema of the ankles c. Gastric irritability d. Decreased appetite 35. The healthcare provider is performing an assessment on a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug? a. Paresthesia b. Bradycardia c. Urinary Retention d. Dry Mouth 36. The nurse is caring for a client with a venous stasis ulcer. Which nursing intervention would NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS be most effective in promoting healing? a. Apply dressing using sterile technique b. Improve the client’s nutritional status c. Initiate limb compression therapy d. Begin proteolytic debridement NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 44. A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU? a. A Guthrie test can check the necessary lab values. b. The urine has a high concentration of phenylpyruvic acid c. Mental deficits are often present with PKU. d. The effects of PKU are reversible. 45. A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome? a. Simian crease b. Brachycephaly c. Oily skin d. Hypotonicity 46. A nurse if reviewing a patient’s chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition? a. Borrelia burgdorferi b. Streptococcus pyogenes c. Bacillus anthracis d. Enterococcus faecalis 47. An 84-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed? a. FBC (full blood count) b. ECG (electrocardiogram) NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS c. Thyroid function tests d. CT scan 48. A thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect? a. Atherosclerosis b. Diabetic nephropathy c. Autonomic neuropathy d. Somatic neuropathy 49. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking? a. Amitriptyline (Elavil) b. Calcitonin c. Pergolide mesylate (Permax) d. Verapamil (Calan) 50. A 50-year-old blind and deaf patient have been admitted to your floor. As the charge nurse, your primary responsibility for this patient is? a. Let others know about the patient’s deficits b. Communicate with your supervisor your patient safety concerns c. Continuously update the patient on the social environment d. Provide a secure environment for the patient 51. A nurse is reviewing a patient’s medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Select all that apply: NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Warfarin (Coumadin) b. Finasteride (Propecia, Proscar) c. Celecoxib (Celebrex) d. Clonidine (Catapres) 52. A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe easily. Which of the following would be the best instruction for this patient? a. Deep breathing techniques to increase oxygen levels b. Cough regularly and deeply to clear airway passages c. Cough following bronchodilator utilization d. Decrease CO2 levels by increase oxygen take output during meals 53. A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute? a. Decreased HR b. Paresthesias c. Muscle weakness of the extremities d. Migraines 54. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?” a. Green vegetables and liver b. Yellow vegetables and red meat c. Carrots d. Milk 55. Which of the following conditions would a nurse not administer erythromycin? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS d. Irregular WBC lab values NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 63. A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson's psychosocial development stages, the child is in which stage? a. Trust vs. mistrust b. Initiative vs. guilt c. Autonomy vs. shame and doubt d. Intimacy vs. isolation 64. A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition? a. Yersinia pestis b. Helicobacter pylori c. Vibrio cholerae d. Haemophilus aegyptius 65. A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in? a. Trust vs. mistrust b. Initiative vs. guilt c. Autonomy vs. shame d. Intimacy vs. isolation 66. You are responsible for reviewing the nursing unit’s refrigerator. Which of the following drug, if found inside the fridge, should be removed? a. Nadolol (Corgard) b. Opened (in-use) Humulin N injection c. Urokinase (Kinlytic) d. Epoetin alfa IV (Epogen) NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 67. A nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? Select all that apply: a. Ciprofloxacin (Cipro) b. Sulfonamide c. Norfloxacin (Noroxin) d. Sulfamethoxazole and Trimethoprim (Bactrim) e. Isotretinoin (Accutane) f. Nitro-Dur patch 68. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans? a. S. pneumonia b. H. influenza c. N. meningitis d. Cl. Difficile 69. A second-year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most significant action that nursing student should take? a. Immediately see a social worker. b. Start prophylactic AZT treatment. c. Start prophylactic Pentamidine treatment. d. Seek counseling. 70. A nurse is administering a shot of Vitamin K to a 30-day-old infant. Which of the following target areas is the most appropriate? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Following surgery b. Upon admit c. Within 48 hours of discharge d. Preoperative discussion 79. A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first? a. Blood sugar check b. CT scan c. Blood cultures d. Arterial blood gases 80. A parent calls the pediatric clinic and is frantic about the bottle of cleaning fluid her child drank 20 minutes. Which of the following is the most important instruction the nurse can give the parent? a. This too shall pass b. Take the child immediately to the ER c. Contact the Poison Control Center quickly d. Give the child syrup of ipecac 81. A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)? a. Small blue-white spots are visible on the oral mucosa b. The rash begins on the trunk and spreads outward c. There is low-grade fever d. The lesions have a "teardrop-on-a-rose-petal" appearance. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 82. A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient? a. Naproxen sodium (Naprosyn). b. Calcium carbonate. c. Clarithromycin (Biaxin). d. Furosemide (Lasix). 83. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? a. Elevated serum calcium. b. Low serum parathyroid hormone (PTH). c. Elevated serum vitamin D. d. Low urine calcium. 84. An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct? a. The condition was caused by the student’s competitive swimming schedule. b. The student will most likely require surgical intervention. c. The student experiences pain in the inferior aspect of the knee. d. The student is trying to avoid participation in physical education. 85. A patient with a history of diabetes mellitus is on the second post-operative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Anesthesia reaction. b. Hyperglycemia. c. Hypoglycemia. d. Diabetic ketoacidosis. 86. A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this? a. A history of hepatitis C five years previously. b. Cholecystitis requiring cholecystectomy one year previously. c. Asymptomatic diverticulosis. d. Crohn’s disease in remission. 87. A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern? a. Bulging anterior fontanel b. Repeated vomiting c. Signs of sleepiness at 10 PM. d. Inability to read short words from a distance of 18 inches 88. A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission? a. Sexual contact with an infected partner b. Contaminated food c. Blood transfusion d. Illegal drug use 89. A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 96. A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit? a. Slow, deep respirations b. Stridor c. Bradycardia d. Air hunger 97. Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply: a. It results when oxygen demand is greater than oxygen supply. b. It is characterized by pain that often occurs during rest. c. It is a result of tissue hypoxia. d. It is characterized by cramping and weakness. 98. A child has recently been diagnosed with Duchenne’s muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information? a. Duchenne’s is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease. b. Duchenne’s is an X-linked recessive disorder, so both daughters and sons have a 50% chance of developing the disease. c. Each child has a 1 in 4 (25%) chance of developing the disorder. d. Sons only have a 1 in 4 (25%) chance of developing the disorder. 99. A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. The child has a poor chance of recovery without joint deformity. b. Most children progress to adult rheumatoid arthritis. c. Nonsteroidal anti-inflammatory drugs are the first choice in treatment. d. Physical activity should be minimized. 100. The mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate? a. Normally, the testes are descended by birth b. The infant will likely require surgical intervention c. The infant probably has with only one testis d. Normally, the testes descend by one year of age NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 101. Which of the following conditions most commonly causes acute glomerulonephritis? a. A congenital condition leading to renal dysfunction. b. Prior infection with group A Streptococcus within the past 10-14 days c. Viral infection of the glomeruli d. Nephrotic syndrome 102. An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend? a. Massaging the groin area twice a day until the fluid is gone. b. Referral to a surgeon for repair. c. No treatment is necessary; the fluid is reabsorbing normally. d. Keeping the infant in a flat, supine position until the fluid is gone. 103. A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain, fever, and chills. Which of the following conditions poses the most immediate concern? a. Bowel perforation b. Viral gastroenteritis c. Colon cancer d. Diverticulitis 104. A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? (Select all that apply) a. Partial thromboplastin time b. Prothrombin time c. Platelet count NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 112. A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient? a. An adolescent male. b. An elderly woman. c. A young woman. d. An elderly man. 113. A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient? a. The patient is allergic to shellfish b. The patient has a pacemaker c. The patient suffers from claustrophobia d. The patient takes anti-psychotic medication 114. An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation? a. Torticollis, with shortening of the sternocleidomastoid muscle. b. Craniosynostosis, with premature closure of the cranial sutures. c. Plagiocephaly, with flattening of one side of the head. d. Hydrocephalus, with increased head size. 115. A child is admitted to the hospital with a diagnosis of Wilms tumor, stage II. Which of the following statements most accurately describes this stage? a. The tumor is less than 3 cm. in size and requires no chemotherapy b. The tumor did not extend beyond the kidney and was completely resected NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS c. The tumor extended beyond the kidney but was completely resected d. The tumor has spread into the abdominal cavity and cannot be resected 116. A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan? a. Monitor for fever every 4 hours b. Require visitors to wear respiratory masks and protective clothing c. Consider transfusion of packed red blood cells d. Check for signs of bleeding, including examination of urine and stool for blood 117. A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct. a. Regular developmental screening is important to avoid secondary developmental delays. b. Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction, as well as possible ocular and speech difficulties. c. Developmental milestones may be slightly delayed but usually will require no additional intervention. d. Parent support groups are helpful for sharing strategies and managing health care issues. 118. A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Myocardial infarction due to a history of atherosclerosis. b. Pulmonary embolism due to deep vein thrombosis (DVT). c. Anxiety attack due to worries about her baby’s health. d. Congestive heart failure due to fluid overload. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed? a. Acute respiratory distress syndrome (ARDS). b. Atelectasis. c. Bronchitis. d. Pneumonia. 128. Which task should be assigned to the nursing assistant? a. Placing the client in seclusion b. Emptying the Foley catheter of the preeclamptic client c. Feeding the client with dementia d. Ambulating the client with a fractured hip 129. A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to: a. Have a Protime done monthly b. Eat more fruits and vegetables c. Drink more liquids d. Avoid crowds 130. A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? a. The client should be placed in a room with negative pressure. b. Infection requires close contact; therefore, the door may remain open. c. Transmission is highly likely, so the client should wear a mask at all times. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS d. Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown. 131. The primary reason for rapid continuous rewarming of the area affected by frostbite is to: a. Lessen the amount of cellular damage b. Prevent the formation of blisters c. Promote movement d. Prevent pain and discomfort 132. A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor: a. Platelet count b. White blood cell count c. Potassium levels d. Partial prothrombin time (PTT) 133. A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to: a. Douche after intercourse b. Void every 3 hours c. Obtain a urinalysis monthly d. Wipe from back to front after voiding 134. The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to: a. Determine lung maturity b. Measure the fetal activity NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS c. Show the effect of contractions on fetal heart rate d. Measure the well-being of the fetus 135. A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action? a. It destroys the outer wall of the virus and kills it. b. It interferes with viral replication. c. It stimulates the immune system. d. It promotes excretion of viral antibodies. 136. An African American female comes to the outpatient clinic. The physician suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator? a. Conjunctiva of the eye b. Soles of the feet c. Roof of the mouth d. Shins 137. Which of the following potentially serious complications could occur with therapy for hypothyroidism? a. Acute hemolytic reaction. b. Angina or cardiac arrhythmia. c. Retinopathy. d. Thrombocytopenia. 138. A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’ gestation. She’s at risk for which of the following blood dyscrasias? a. Thrombocytopenia NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS d. Clear the air from the syringe before injections 146. Adequate fluid replacement and vasopressin replacement are objectives of therapy for which of the following disease processes? a. Diabetes mellitus. b. Diabetes insipidus. c. Diabetic ketoacidosis. d. Syndrome of inappropriate antidiuretic hormone secretion (SIADH). 147. Which of the following signs of increased intracranial pressure (ICP) would appear first after head trauma? a. Bradycardia. b. Large amounts of very dilute urine. c. Restlessness and confusion. d. Widened pulse pressure. 148. The infant is admitted to the unit with tetralogy of fallot. The nurse would anticipate an order for which medication? a. Digoxin b. Epinephrine c. Aminophylline d. Atropine 149. A patient has partial-thickness burns to both legs and portions of his trunk. Which of the following I.V. fluids is given first? a. Albumin. b. D5W. c. Lactated Ringer’s solution. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS d. 0.9% sodium chloride solution with 2 mEq of potassium per 100 ml. 150. The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to: a. Perform the Valsalva maneuver as the catheter is advanced b. Turn his head to the left side and hyperextend the neck c. Take slow, deep breaths as the catheter is removed d. Turn his head to the right while maintaining a sniffing position 151. A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire? a. “Have you noticed a change in sleeping habits recently?” b. “Have you had a respiratory infection in the last 6 months?” c. “Have you lost weight recently?” d. “Have you noticed changes in your alertness?” 152. Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm? a. Abdominal pain b. Absent pedal pulses c. Chest pain d. Lower back pain 153. Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress? a. Cushing syndrome. b. Pain receptors. c. Immune response. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS d. Neural transmission. 154. A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by: a. Passing water through a dialyzing membrane b. Eliminating plasma proteins from the blood c. Lowering the pH by removing nonvolatile acids d. Filtering waste through a dialyzing membrane 155. The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: a. Using oil- or cream-based soaps b. Flossing between the teeth c. The intake of salt d. Using an electric razor 156. A 16-year-old patient involved in a motor vehicle accident arrives in the ED unconscious and severely hypotensive. He’s suspected to have several fractures of his pelvis and legs. Which of the following parenteral fluids is the best choice for his current condition? a. Fresh frozen plasma. b. 0.9% sodium chloride solution. c. Lactated Ringer’s solution. d. Packed red blood cells. 157. The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to: NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. Dogs c. Turtles d. Birds 166. On a follow-up visit after having a vaginal hysterectomy, a 32-year-old patient has a decreased hematocrit level. Which of the following complications does this suggest? a. Hematoma. b. Hypovolemia. c. Infection. d. Pulmonary embolus (PE) 167. Patients with Type 1 diabetes mellitus may require which of the following changes to their daily routine during periods of infection? a. No changes. b. Less insulin. c. More insulin. d. Oral diabetic agents. 168. When giving intravenous (I.V.) phenytoin, which of the following methods should you use? a. Use an in-line filter. b. Withhold other anticonvulsants. c. Mix the drug with saline solution only. d. Flush the I.V. catheter with dextrose solution. 169. After surgical repair of a hip, which of the following positions is best for the patient’s legs and hips? a. Abduction NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. Adduction c. Prone d. Subluxated 170. A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for: a. Allergies to pineapples and bananas b. A history of streptococcal infections c. Prior therapy with phenytoin d. A history of alcohol abuse 171. The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? a. Roast beef, gelatin salad, green beans, and peach pie b. Chicken salad sandwich, coleslaw, French fries, ice cream c. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie d. Pork chop, creamed potatoes, corn, and coconut cake 172. A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the follow nutritional advice is appropriate? a. The diet is providing adequate sources of iron and requires no changes. b. The patient should add meat to her diet; a vegetarian diet is not advised. c. The patient should use iron cookware to prepare foods, such as dark green, leafy vegetables and legumes, which are high in iron. d. A cup of coffee or tea should be added to every meal. 173. A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Transfusion reaction is most likely immediately after the infusion is completed. b. PRBCs are best infused slowly through a 20g. IV catheter. c. PRBCs should be flushed with a 5% dextrose solution. d. A nurse should remain in the room during the first 15 minutes of infusion. 174. A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response? a. Warn the patient to stay very still because the smallest movement will increase her pain. b. Encourage the family to stay in the room for the procedure. c. Stay with the patient and focus on slow, deep breathing for relaxation. d. Delay the procedure to allow the patient to deal with her feelings. 175. A nurse in the emergency department assesses a patient who has been taking long- term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct. a. Hypertension. b. Cushingoid features. c. Hyponatremia. d. Low serum albumin. 176. A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later? a. An increase in neutrophil count. b. An increase in hematocrit. c. An increase in platelet count. d. An increase in serum iron. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. The client recently lost his job as a postal worker. c. The client had radiation for treatment of Hodgkin’s disease as a teenager. d. The client’s brother had leukemia as a child. 184. The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct, which of the following cells would the pathologist expect to find? a. Reed-Sternberg cells. b. Lymphoblastic cells. c. Gaucher’s cells. d. Rieder’s cells 185. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend? a. A family vacation in the Rocky Mountains b. Chaperoning the local boys club on a snow-skiing trip c. Traveling by airplane for business trips d. A bus trip to the Museum of Natural History 186. Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient? a. Increases fitness and prevents future heart attacks. b. Prevents bedsores. c. Prevents DVT (deep vein thrombosis). d. Prevent constipations. 187. A patient received surgery and chemotherapy for colon cancer, completing therapy 3 NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations could account for her symptoms? a. The symptoms may be the result of anemia caused by chemotherapy. b. The patient may be immunosuppressed. c. The patient may be depressed. d. The patient may be dehydrated. 188. A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that applies. a. Weight loss. b. Increased clotting time. c. Hypertension. d. Headaches. 189. A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority? a. Impaired physical mobility related to decreased endurance b. Hypothermia r/t decreased metabolic rate c. Disturbed thought processes r/t interstitial edema d. Decreased cardiac output r/t bradycardia 190. The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80, It will be most important to teach the client and family about: NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Bleeding precautions b. Prevention of falls c. Oxygen therapy d. Conservation of energy 191. A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement? a. Glucometer readings as ordered b. Intake/output measurements c. Sodium and potassium levels monitored d. Daily weights 192. A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use? a. Body temperature of 99°F or less b. Toes moved in active range of motion c. Sensation reported when soles of feet are touched d. Capillary refill of < 3 seconds 193. A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education? a. We will bring in books and magazines for entertainment. b. We will bring in personal care items for comfort. c. We will bring in fresh flowers to brighten the room. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS 198. A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform? a. Ask the patient to lie down on the exam table. b. Draw blood for chemistry panel and arterial blood gas (ABG). c. Send the patient for a chest x-ray. d. Check blood pressure. 199. The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment? a. Palpate the spleen b. Take the blood pressure c. Examine the feet for petechiae d. Examine the tongue 200. A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct? a. “Stop taking the nitroglycerin and see if the headaches improve.” b. “Go to the emergency department to be checked because nitroglycerin can cause bleeding in the brain.” c. “Headaches are a frequent side effect of nitroglycerine because it causes vasodilation.” d. “The headaches are unlikely to be related to the nitroglycerin, so you should see your doctor for further investigation.” 201. A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient? a. 3-10 years. NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS b. 25-35 years. c. 45-55 years. d. over 60 years. 202. A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention? a. Observe for evidence of spontaneous bleeding. b. Limit visitors to family only. c. Give aspirin in case of headaches. d. Impose immune precautions. 203. A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is NOT expected a. Increased urinary output. b. Decreased edema. c. Decreased pain. d. Decreased blood pressure. 204. A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be? NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Obtain a crash cart b. Check the calcium level c. Assess the dressing for drainage d. Assess the blood pressure for hypertension 205. An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae? a. The abdomen b. The thorax c. The earlobes d. The soles of the feet 206. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? a. Peaches b. Cottage cheese c. Popsicle d. Lima beans 207. Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia? a. Oral mucous membrane, altered related to chemotherapy b. Risk for injury related to thrombocytopenia c. Fatigue related to the disease process d. Interrupted family processes related to life-threatening illness of a family member 208. A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS first? a. Notify the physician b. Recheck the O2 saturation level in 15 minutes c. Apply oxygen by mask d. Assess the child’s pulse 216. The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy? a. Painless vaginal bleeding b. Abdominal cramping c. Throbbing pain in the upper quadrant d. Sudden, stabbing pain in the lower quadrant 217. The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should: a. Call the Board of Nursing b. File a formal reprimand c. Terminate the nurse d. Charge the nurse with a tort 218. A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is: NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Body image disturbance b. Impaired verbal communication c. Risk for aspiration d. Pain 219. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority? a. Continuing to monitor the vital signs b. Contacting the physician c. Asking the client how he feels d. Asking the LPN to continue the post-op care 220. Which nurse should be assigned to care for the postpartum client with preeclampsia? a. The RN with 2 weeks of experience in postpartum b. The RN with 3 years of experience in labor and delivery c. The RN with 10 years of experience in surgery d. The RN with 1 year of experience in the neonatal intensive care unit 221. A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to: a. Assess the fetal heart tones b. Check for cervical dilation c. Check for firmness of the uterus d. Obtain a detailed history 222. A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when: NR 225 NCLEX EXAM QUESTIONS WITH ANSWERS 2023 A+ASSURED SUCCESS a. Estrogen levels are low. b. Luteinizing hormone is high. c. The endometrial lining is thin. d. The progesterone level is low. 223. The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eye drops, the nurse should recognize that it is essential to consider which of the following? a. The eye should be cleansed with warm water, removing any exudate, before instilling the eyedrops. b. The child should be allowed to instill his own eye drops. c. The mother should be allowed to instill the eyedrops. d. If the eye is clear from any redness or edema, the eyedrops should be held. 224. In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect: a. A painless delivery b. Cervical effacement c. Infrequent contractions d. Progressive cervical dilation 225. The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse? a. The client receiving linear accelerator radiation therapy for lung cancer