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NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2025 | NCLEX Exam
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NCLEX RN ACTUAL EXAM TEST BANK OF REAL QUESTIONS & ANSWERS NCLEX 2025 | NCLEX Exam

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  • December 20, 2024
  • 323
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nclex exam
  • nclex rn actual exam test bank of real questions
  • nclex rn actual exam test bank of real questions a
  • nclex rn actual exam test ba

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NCLEX frRN frACTUAL frEXAM frTEST frBANK, frREAL frQUESTIONS fr& frANSWERS frNCLEX



QUESTION fr1
Which frclassification frof frdrugs fris frcontraindicated frfor frthe frclient frwith frhypertrophic frcardiomyopathy?

A. fr Positive frinotropes
B. frVasodilators
C. frDiuretics
D. frAntidysrhythmics

Answer: frA
frExplanation:

(A) frPositive frinotropic fragents frshould frnot frbe fradministered frowing frto frtheir fraction frof frincreasing frmyocardial
frcontractility. fr Increased frventricular frcontractility frwould frincrease froutflow frtract frobstruction frin frthe frclient frwith

frhypertrophic frcardiomyopathy. fr(B) frVasodilators frare frnot frtypically frprescribed frbut frare frnot frcontraindicated. fr(C)

frDiuretics frare frused frwith frcaution frto fravoid frcausing frhypovolemi

A. fr(D) frAntidysrhythmics frare frtypicallyfrneeded frto frtreat frboth fratrial frand frventricular frdysrhythmias.

QUESTION fr2
Signs frand frsymptoms frof fran frallergyfrattack frinclude frwhich frof frthe frfollowing?

A. fr Wheezing fron frinspiration
B. frIncreased frrespiratoryfrrate
C. frCircumoral frcyanosis
D. fr Prolonged frexpiration

Answer: frD
frExplanation:

(A) frWheezing froccurs frduring frexpiration frwhen frair frmovement fris frimpaired frbecause frof frconstricted fredematous
frbronchial frlumin

A. fr(B) frRespirations frare frdifficult, frbut frthe frrate fris frfrequentlyfrnormal. fr(C) frThe frcircumoral frarea fris frusually frpale.
frCyanosis fris frnot fran frearly frsign frof frhypoxi

A. fr(D) frExpiration fris frprolonged frbecause frthe fralveoli frare frgreatlyfrdistended frand frair frtrapping froccurs.

QUESTION fr3
A frclient frconfides frto frthe frnurse frthat frhe frtasted frpoison frin frhis frevening frmeal. frThis frwould frbe fran frexample frof frwhat
frtype frof frhallucination?




A. frAuditory
B. frGustatory
C. frOlfactory
D. frVisceral

Answer: frB
frExplanation:

(A) frAuditory frhallucinations frinvolve frsensory frperceptions frof frhearing. fr(B) frGustatory frhallucinations frinvolve
frsensoryfrperceptions frof frtaste. fr(C) frOlfactoryfrhallucinations frinvolve frsensory frperceptions frof frsmell. fr(D) frVisceral




hallucinations frinvolve frsensory frperceptions frof frsensation

,QUESTION
4 frWhich frof frthe frfollowing frfindings frwould frbe frabnormal frin fra frpostpartal frwoman?

A. Chills frshortlyfrafter frdelivery
B. Pulse frrate frof fr60 frbpm frin frmorning fron fr first frpostdeliveryfrday
C. Urinaryfroutput fr of fr3000 frmLfron frthe frsecond fr dayfrafter frdelivery
D. An froral frtemperature frof fr101F fr(38.3C) fron frthe frthird frdayfrafter frdelivery

Answer: frD
frExplanation:

(A) frFrequently frthe frmother frexperiences fra frshaking frchill frimmediately frafter frdelivery, frwhich fris frrelated frto fra
frnervous frresponse fror frto frvasomotor frchanges. f r If frnot frfollowed f r byfra frfever, frit fris frclinically frinnocuous. fr(B) frThe

frpulse frrate frduring frthe frimmediate frpostpartal frperiod frmay frbe frlow frbut frpresents frno frcause frfor fralarm. frThe frbody

frattempts frto fradapt frto frthe frdecreased frpressures frintra-abdominally fras frwell fras frfrom frthe frreduction frof frblood frflow

frto frthe frvascular frbed. fr(C) frUrinary froutput frincreases frduring frthe frearly frpostpartal frperiod fr(12–24 frhours) frowing frto

frdiuresis. frThe frkidneys frmust freliminate fran frestimated fr2000–3000 frmL frof frextracellular frfluid frassociated frwith fra

frnormal frpregnancy. fr(D) frA frtemperature frof fr100.4F fr(38C) frmay froccur frafter frdelivery fras fra frresult frof frexertion frand

frdehydration frof frlabor. frHowever, franytemperature frgreater frthan fr100.4F frneeds frfurther frinvestigation frto fridentify

frany frinfectious frprocess.



QUESTION fr5
A frsix-month-old frinfant frhas frbeen fradmitted frto frthe fremergencyfrroom frwith frfebrile frseizures. frIn frthe frteaching frof frthe
frparents, frthe frnurse frstates frthat:




A. Sustained frtemperature frelevation frover fr103F fris frgenerallyfrrelated frto frfebrile frseizures
B. Febrile frseizures frdo frnot frusuallyfrrecur
C. There fris frlittle frrisk frof frneurological frdeficit frand frmental frretardation fras frsequelae frto frfebrile frseizures
D. Febrile frseizures frare frassociated frwith frdiseases frof frthe frcentral frnervous frsystem

Answer: frC
frExplanation:

(A) frThe frtemperature frelevation frrelated frto frfebrile frseizures frgenerally frexceeds fr101F, frand frseizures froccur frduring
frthe frtemperature frrise frrather frthan frafter fra frprolonged frelevation. fr(B) frFebrile frseizures frmay frrecur frand frare frmore

frlikely frto frdo frso frwhen frthe fr first frseizure froccurs frin frthe fr1st fr year frof frlife. fr(C) frThere fris frlittle frrisk frof frneurological

frdeficit, frmental frretardation, fror fraltered frbehavior frsecondary frto frfebrile frseizures. fr(D) frFebrile frseizures frare

frassociated frwith frdisease frof frthe frcentral frnervous frsystem.




QUESTION fr6
A frclient frdiagnosed frwith frbipolar frdisorder frcontinues frto frbe frhyperactive frand frto frlose frweight. frWhich frof frthe
frfollowing frnutritional frinterventions frwould frbe frmost frtherapeutic frfor frhim frat frthis frtime?




A. Small, frfrequent frfeedings frof frfoods frthat frcan frbe frcarried
B. Tube frfeedings frwith frnutritional frsupplements
C. Allowing frhim frto freat frwhen frand frwhat frhe frwants
D. Giving frhim fra frquiet frplace frwhere frhe frcan frsit frdown frto freat frmeals

Answer: frA
frExplanation:

(A) frThe frmanic frclient fris frunable frto frsit frstill frlong frenough frto freat fran fradequate frmeal. frSmall, frfrequent frfeedings frwith

,finger frfoods frallow frhim frto freat frduring frperiods frof fractivity. fr(B) frThis frtype frof frtherapyfrshould frbe frimplemented
frwhen frother frmethods frhave frbeen frexhausted. fr(C) frThe frmanic frclient frshould frnot frbe frin frcontrol frof frhis frtreatment

frplan. frThis frtype frof frclient fr mayfrforget frto freat. fr(D) frThe frmanic frclient fris frunable frto frsit frdown frto freat frfull frmeals.




QUESTION fr7
A frclient frwith frbipolar frdisorder frtaking frlithium frtells frthe frnurse frthat frhe frhas frringing frin frhis frears, frblurred frvision, frand
frdiarrhe

A. frThe frnurse frnotices fra frslight frtremor frin frhis frleft frhand frand fra frslurring frpattern frto frhis frspeech. frWhich frof frthe
frfollowing fractions frby frthe fr nurse fris frappropriate?



A. fr Administer fra frstat frdose frof frlithium fras frnecessary.
B. fr Recognize frthis fras fran frexpected frresponse frto frlithium.
C. fr Request fran frorder frfor fra frstat frblood frlithium frlevel.
D. fr Give fran froral frdose frof frlithium frantidote.

Answer: frC
frExplanation:

(A) These frsymptoms frare frindicative frof frlithium frtoxicity. fr A frstat frdose frof frlithium frcould frbe frfatal.
(B) These frare frtoxic freffects frof frlithium frtherapy. fr(C) frThe frclient fris frexhibiting frsymptoms frof frlithium frtoxicity,
frwhich frmay frbe frvalidated frby frlab frstudies. fr(D) frThere fris frno frknown frlithium frantidote.



QUESTION fr8
A frdiagnosis frof frhepatitis frC fris frconfirmed frbyfra frmale frclient‘s frphysician. frThe frnurse frshould frbe frknowledgeable frof frthe
frdifferences frbetween frhepatitis frA, frB, frand frC. frWhich frof frthe frfollowing frare frcharacteristics frof frhepatitis frC?




A. The frpotential frfor frchronic frliver frdisease fris frminimal.
B. The fronset frof frsymptoms fris frabrupt.
C. The frincubation frperiod fris fr2–26 frweeks.
D. There fris fran freffective frvaccine frfor frhepatitis frB, frbut frnot frfor frhepatitis frC.

Answer: frC
frExplanation:

(A) frHepatitis frC frand frB frmay frresult frin frchronic frliver frdisease. frHepatitis frA frhas fra frlow frpotential frfor frchronic
frliver frdisease. fr(B) frHepatitis frC frand frB frhave frinsidious fronsets. frHepatitis frA frhas fran frabrupt fronset. fr(C) frIncubation

frperiods frare fras frfollows: frhepatitis frC fris fr2–26 frweeks, frhepatitis frB fris fr6–20 frweeks, frand frhepatitis frA fris fr2–6

frweeks. fr(D) frOnly frhepatitis frB frhas fran freffective frvaccine.



QUESTION fr9
Hypoxia fris frthe frprimary frproblem frrelated frto frnear-drowning frvictims. frThe frfirst frorgan frthat frsustains frirreversible
frdamage frafter frsubmersion frin frwater fris frthe:




A. Kidney fr(urinaryfrsystem)
B. Brain fr(nervous frsystem)
C. Heart fr(circulatoryfrsystem)
D. Lungs fr(respiratoryfrsystem)

Answer: frB
frExplanation:




A+

, (A) frThe frkidney frcan frsurvive frafter fr30 frminutes frof frwater frsubmersion. fr(B) frThe frcerebral frneurons frsustain
frirreversible frdamage frafter fr4–6 frminutes frof frwater frsubmersion. fr(C) frThe frheart frcan frsurvive frup frto fr30 frminutes frof

frwater frsubmersion.

(D) frThe frlungs frcan frsurvive frup frto fr30 frminutes frof frwater frsubmersion.

QUESTION fr10
Which frof frthe frfollowing fractivities frwould frbe frmost frappropriate frduring froccupational frtherapyfrfor fra frclient frwith
frbipolar frdisorder?




A. Playing frcards frwith frother frclients
B. Working frcrossword frpuzzles
C. Playing frtennis frwith fra frstaff frmember
D. Sewing frbeads fron fra frleather frbelt

Answer: frC
frExplanation:

(A) frThis fractivity fris frtoo frcompetitive, frand frthe frmanic frclient frmight frbecome frabusive frtoward frthe frother frclients.
fr(B) frDuring frmania, frthe frclient‘s frattention frspan fris frtoo frshort frto fraccomplish frthis frtask. fr(C) frThis fractivityfruses frgross

frmotor frskills, freases frtension, frand frexpands frexcess frenergy. frA frstaff frmember fris frbetter frequipped frto frinteract

frtherapeutically frwith frclients. fr(D) frThis fractivity frrequires frthe fruse frof frfine frmotor frskills frand fris frvery frtedious.



QUESTION fr11
A fr30-year-old frmale frclient fris fradmitted frto frthe frpsychiatric frunit frwith fra frdiagnosis frof frbipolar frdisorder. frFor frthe frlast fr2
frmonths, frhis frfamilyfrdescribes frhim fras frbeing fr―on frthe frmove,‖ frsleeping

3–4 frhours frnightly, frspending frlots frof frmoney, frand frlosing frapproximately fr10 frlb. frDuring frthe
frinitial frassessment frwith frthe frclient, frthe frnurse frwould frexpect frhim frto frexhibit frwhich frof frthe

frfollowing?




A. Short, frpolite frresponses frto frinterview frquestions
B. Introspection frrelated frto frhis frpresent frsituation
C. Exaggerated f r self-importance
D. Feelings frof frhelplessness frand frhopelessness

Answer: frC
frExplanation:

(A) frDuring frthe frmanic frphase frof frbipolar frdisorder, frclients frhave frshort frattention frspans frand frmay frbe frabusive
frtoward frauthority frfigures. fr(B) frIntrospection frrequires frfocusing frand frconcentration; frclients frwith frmania frexperience

frflight frof frideas, frwhich frprevents frconcentration.

(C) frGrandiosity frand fran frinflated frsense frof frself-worth frare frcharacteristic frof frthis frdisorder. fr(D) frFeelings frof
frhelplessness frand frhopelessness frare frsymptoms frof frthe frdepressive frstage fr of frbipolar frdisorder.




QUESTION fr12
Diabetes frduring frpregnancy frrequires frtight frmetabolic frcontrol frof frglucose frlevels frto frprevent frperinatal frmortality.
frWhen frevaluating frthe frpregnant frclient, frthe frnurse frknows frthe frrecommended frserum frglucose frrange frduring

frpregnancy fris:




A. 70 frmg/dL frand fr120 frmg/dL
B. 100 frmg/dLfrand fr200 frmg/dL
C. 40 frmg/dL frand fr130 frmg/dL
D. 90 frmg/dLfrand fr200 frmg/dL




A+

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