2025 NCSBN NCLEX Latest Test Bank With 400 Real

pg. 1 2025 NCSBN NCLEX Latest Test Bank With 400 Real Exam Practice Questions and Correct Verified Answers| NCSBN NCLEX Test Bank 2025 (Newest!)

The nurse is caring for a 75 year-old client with type 2 diabetes mellitus. The client should be instructed to contact the outpatient clinic immediately if which findings are present?1An open wound on the heel with minimal discomfort 2Occasional hiccups and sneezing 3Sustained insomnia and daytime fatigue 4Persistent dryness and itching of the perineal area - ANSWER-1An open wound on the heel with minimal discomfort-

The nurse is caring for a client who has just been admitted to the inpatient mental health unit with severe depression. Which concern should be a priority of care?1Safety 2Elimination 3Rest 4Nutrition - ANSWER-1

A nurse is discussing with a client the precautions with warfarin. The nurse should tell the client to avoid foods with excessive amounts of what substance?1Iron 2Calcium 3Vitamin E 4Vitamin K - ANSWER-4

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pg. 2 The nurse has established a therapeutic relationship with a client. Which observation would indicate that the nurse-client relationship has passed from the orienting phase to the working phase?1The client revitalizes a relationship with the family to help in coping with a child's death 2The client recognizes feelings and expresses them appropriately 3The client expresses a desire to be mothered and pampered 4The client recognizes regression as a part of a defense mechanism - ANSWER-2 During the working phase, problems are identified and the client is able to focus on unpleasant feelings and express them appropriately.

During the working phase, problems are identified and the client is able to focus on unpleasant feelings and express them appropriately. - ANSWER-An advance health care directive is also known as a living will. It is a legal document in which a person specifies his or her wishes concerning medical treatments at the end-of- life, when s/he is unable to make those decisions. Advance care planning involves sharing personal values and wishes with loved ones and selecting someone, (called a medical power of attorney or health care proxy) who will eventually make medical decisions on the client's behalf

A nurse is talking to a group of parents about how to reduce risks in the home.What is the most important factor for the nurse to consider during the discussion?1Proximity to emergency services 2Number of children in the home 3Knowledge level of the parents 4Age of children in the home - ANSWER-4

When reviewing the medication lithium with a client, the client asks, "How long will it take before I can feel the effects of the medication?" Which response by the nurse is the best? 2 / 4

pg. 3 1"About two weeks" 2"One month" 3"Immediately" 4"Several days" - ANSWER-1

A client has completed a renal biopsy. Which nursing intervention is appropriate after a renal biopsy?1Ambulate the client within four hours after procedure 2Change the dressing when it becomes saturated 3Monitor vital signs using post-op protocols 4Maintain client on NPO status for 24 hours - ANSWER-3

The nurse is caring for a client who is one-day postoperative with a T-tube following a cholecystectomy. What color would the nurse expect the drainage from the client's T-tube to be?1Dark brown 2Green 3Yellowish-brown 4Orange - ANSWER-3

A newly admitted client reports taking phenytoin for several months. Which of the following assessments should the nurse be sure to include in the admission report?(Select all that apply.) - ANSWER-Serious adverse outcomes of antiseizure medications such as phenytoin (Dilantin) are unsteady gait, slurred speech, extreme fatigue, blurred vision or feelings of suicide. Increased hunger (not anorexia), increased thirst or increased urination are additional serious side effects.

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pg. 4 The nurse is giving a morning bath to a client who has a colostomy. While giving the bath, the nurse should reinforce that the collection pouch should be emptied at what time?1Prior to going to sleep at night 2After each fecal elimination 3At the same time each day 4When it is one-third to one-half full - ANSWER-4

A client is scheduled to have blood drawn for serum cholesterol and triglycerides tomorrow morning. What information should the nurse reinforce to the client about the test?1"Be sure to eat a fat-free diet until the test, and drink lots of water." 2"Stay at the laboratory so that two blood samples can be drawn an hour apart." 3"Do not eat or drink anything but water for 12 hours before the blood test." 4"Have the blood drawn within two hours of eating breakfast." - ANSWER-3

The nurse is caring for a hospitalized adolescent. The nurse recognizes that which of these concerns will be the greatest for a hospitalized adolescent?1Restricted physical activity 2Separation from family 3Altered body image 4Unrelieved pain - ANSWER-3

In checking a postpartum client, the nurse palpates a firm fundus. However, the nurse also observes a constant trickle of bright red blood from the vaginal opening.What should the nurse suspect?1Retained placenta 2Clotting disorder

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