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NCLEX PASSPOINT REVIEW QUESTION AND ANSWERS WITH RATIONALES 2025
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NCLEX PASSPOINT REVIEW QUESTION AND ANSWERS WITH RATIONALES 2025
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NCLEX PASSPOINT REVIEW QUESTION ANDANSWERS WITH RATIONALES
1. When educating a female client with gonorrhea, what should the nurse emphasize?
A) Gonorrhea is always symptomatic in women.
B) In women, gonorrhea may not cause symptoms until serious complications occur.
C) Gonorrhea is not sexually transmitted.
D) Gonorrhea can be treated with over-the-counter medications.
Answer: B) In women, gonorrhea may not cause symptoms until serious complications occur.
Rationale: Gonorrhea in women is often asymptomatic, leading to complications like pelvic
inflammatory disease (PID) if untreated.
2. While assessing the skin of a 45-year-old, fair-skinned female client, the nurse notes a lesion on the
medial aspect of her lower leg. It has irregular borders, with various shades of black and brown. The
client states that the lesion itches occasionally and bled slightly a few weeks ago. She also reveals a
history of sunburns. Based on these signs and symptoms, the nurse suspects:
A) Basal cell carcinoma
B) Melanoma
C) Psoriasis
D) Eczema
Answer: B) Melanoma
Rationale: Irregular borders, color variation, itching, and bleeding are classic signs of melanoma,
especially in individuals with a history of sun exposure.
3. What is the nurse's priority to regulate the temperature of a neonate?
A) Swaddle the neonate tightly
B) Block radiant, convective, conductive, and evaporative losses
, C) Administer warm fluids
D) Place the neonate under a heat lamp
Answer: B) Block radiant, convective, conductive, and evaporative losses
Rationale: Neonates are prone to heat loss through radiation, convection, conduction, and evaporation.
Preventing these losses is critical for thermoregulation.
4. A multigravida prenatal client with a history of postpartum depression tells the nurse that she is
taking measures to make sure that she does not suffer that complication, including taking St. John's
wort. What is the most important assessment for the nurse to make?
A) The client’s dietary habits
B) Current medications
C) The client’s exercise routine
D) The client’s sleep patterns
Answer: B) Current medications
Rationale: St. John’s wort can interact with other medications, including antidepressants, and may not
be safe during pregnancy.
5. The nurse administers theophylline to a client. When evaluating the effectiveness of this
medication, what is an expected outcome?
A) Increased blood pressure
B) Less difficulty breathing
C) Decreased heart rate
D) Improved appetite
Answer: B) Less difficulty breathing
Rationale: Theophylline is a bronchodilator used to treat respiratory conditions like asthma and COPD,
so improved breathing is the desired outcome.
6. A full bladder can precipitate autonomic dysreflexia. The nurse should _______, which could result
in a full bladder.
, A) Encourage fluid restriction
B) Monitor the patency of an indwelling urinary catheter to prevent its occlusion
C) Administer diuretics
D) Perform bladder massage
Answer: B) Monitor the patency of an indwelling urinary catheter to prevent its occlusion
Rationale: Autonomic dysreflexia is a medical emergency often triggered by a distended bladder.
Ensuring catheter patency prevents bladder distension.
7. During detoxification from alcohol, changes in the client’s physiological status, especially an
increase in blood pressure, may indicate a possible seizure. Clients are treated with ________ to
prevent this.
A) Antidepressants
B) Benzodiazepines (lorazepam)
C) Antipsychotics
D) Beta-blockers
Answer: B) Benzodiazepines (lorazepam)
Rationale: Benzodiazepines are the first-line treatment for alcohol withdrawal seizures due to their
anticonvulsant properties.
8. The normal length of the latent stage of labor in a primigravid client is 6 hours. If the client is having
prolonged labor, the nurse should monitor the client for:
A) Increased energy levels
B) Signs of exhaustion and dehydration
C) Decreased uterine contractions
D) Fetal hyperactivity
Answer: B) Signs of exhaustion and dehydration
Rationale: Prolonged labor can lead to maternal exhaustion and dehydration, which require immediate
intervention.
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