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2025 NCLEX-RN–100% Free Reliable Study Questions | Excellent Latest NCLEX-RN Exam Materials

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NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is computer-adaptive. This means that the exam adapts to the test-taker's ability level, presenting questions that are tailored to their performance. The test consists of a minimum of 75 questions and a maximum of 265 questions, with a time limit of up to 6 hours to complete.

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The National Council Licensure Examination(NCLEX-RN) is a standardized exam that is designed to assess the knowledge, skills, and abilities of individuals who aspire to become registered nurses. NCLEX-RN Exam is administered in the United States and Canada to evaluate the competency of nurses who wish to obtain a license to practice nursing in these countries.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q320-Q325):

NEW QUESTION # 320
Which of the following would differentiate acute from chronic respiratory acidosis in the assessment of the trauma client?

A. Increased PaCO2
B. Decreased PaO2
C. Decreased base excess
D. Increased HCO3

Answer: D

Explanation:
(A) Increased CO2 will occur in both acute and chronic respiratory acidosis. (B) Hypoxia does not determine acid-base status. (C) Elevation of HCO3 is a compensatory mechanism in acidosis that occurs almost immediately, but it takes hours to show any effect and days to reach maximum compensation. Renal disease and diuretic therapy may impair the ability of the kidneys to compensate. (D) Base excess is a nonrespiratory contributor to acid-base balance. It would increase to compensate for acidosis.

NEW QUESTION # 321
After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:

A. Cold stress
B. Respiratory distress syndrome
C. Cyanosis
D. Seizures

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The infant is placed on the warmer and dried after birth. Cold stress occurs when the infant is not dried and kept warm. (B) The fact that this infant was born by cesarean delivery does not place him at a greater risk for cyanosis than an infant delivered vaginally. Cyanosis occurs when infants cannot oxygenate their blood after the umbilical cord is severed. (C) Infants born by cesarean delivery are at a higher risk for developing respiratory distress syndrome because these infants do not pass through the pelvis, where the chest is compressed and fluid is able to escape from the lungs. (D) Cesarean-delivered infants are not at greater risk for seizures than infants delivered vaginally.

NEW QUESTION # 322
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?

A. Watching Sesame Street on television
B. Listening to a story about the Muppets
C. Being taken for a wheelchair ride
D. Assembling a puzzle with large pieces

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to "do it herself." (B) A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. (C) Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. (D) Watching television may be a favorite activity, but it does not foster autonomy.

NEW QUESTION # 323
Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90◦-90◦ skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:

A. The client will need special skin care at the pin site according to hospital policy or the physician's preference
B. The client should be discouraged from participating in self-care activities to avoid the risk of disrupting the traction
C. The nurse may lift only the weights that are applying traction in order to reposition him in bed
D. The traction pull should result in an immediate increase in comfort and reduce the need for pain medication

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Skeletal traction, including the weights that are applying the traction, is never released by the nurse. (B) It is necessary to keep the pin site clean and free from infection. (C) When first placed in traction, the client may experience increased discomfort as a result of the traction pull fatiguing the muscle. (D) When the child in traction is allowed to participate in his care, it gives him a measure of control and helps him to cope with the situation.

NEW QUESTION # 324
A 35-year-old client has returned to her room following surgery on her right femur. She has an IV of D5 in onehalf normal saline infusing at 125 mL/hr and is receiving morphine sulfate 10-15 mg IM q4h prn for pain. She last voided 51/2 hours ago when she was given her preoperative medication. In monitoring and promoting return of urinary function after surgery, the nurse would:

A. Report to the surgeon if the client is unable to void within 8 hours of surgery
B. Provide food and fluids at the client's request
C. Hold morphine sulfate injections for pain until the client voids, explaining to her that morphine sulfate can cause urinary retention
D. Maintain IV, increasing the rate hourly until the client voids

Answer: A

Explanation:
(A) Provision of food and fluid promotes bowel elimination. Nutritional needs postoperatively are determined by the physician, not the client. (B) Increasing IV fluids postoperatively will not cause a client to void. Any change in rate of administration of IV fluids should be determined by the physician. (C) The postoperative client with normal kidney function who cannot void 8 hours after surgery is retaining urine. The client may need catheterization or medication. The physician must provide orders for both as necessary. (D) Although morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.

NEW QUESTION # 325
......

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Will Burns Will Burns

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