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LATEST NCLEX EXAM 2025 Final Exam 2 Advanced NEWEST VERSION WITH LATEST QUESTIONS AND ANSWER GRADED A+ (2025-2026) A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, the priority nursing intervention is to: - CORRECT ANSWER-Provide seizure precautions. The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? - CORRECT ANSWER-Steak, baked potato, tossed salad. A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn: - CORRECT ANSWER-On either side. The mother of a 3 - month-old with esophageal reflux asks the nurse whay she can do to lessen the baby's reflux. The nurse should tell the mother to: - CORRECT ANSWER- Burp the baby frequently throughout the feeding. A child is hospitalized with a fractured ferum involving
the epiphyseal plate. Epiphseal fractures are serious because: - CORRECT ANSWER-Normal bone growth is affected. Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40 mL of residual. The nurse should: - CORRECT ANSWER- Replace the aspirate and administer the feeding. A client has an order for Dilantin (phenytoin) .2g orally twice a day. The medication is available in 100mg capsules. For the morning medication, the nurse should administer: - CORRECT ANSWER-2 capaules. The LPN is reviewing the lab results of an elderly client when she notes a specific gravity of 1.006. The nurse recognizes that: - CORRECT ANSWER-The client has a normal specific gravity. The nurse is to administer digoxin elixir to a 6 - month - old with congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should: - CORRECT
CORRECT ANSWER-Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? - CORRECT ANSWER-Luncheon meats. A client hospitalized with severed depression and suicide idealition refuses to talk to the nurse. The nurse recognizes that the suicidal client has dificulty: - CORRECT ANSWER-Expressing anger toward others. The licensed vocational nurse may not assume the primary care for a client: - CORRECT ANSWER-With a venous access device. The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: - CORRECT ANSWER-Administering pain medication.
The nurse is teaching a group of parents about gross motor development of the toddler. What behavior is an example of the normal gross motor skill of a toddler? - CORRECT ANSWER-She can pull a toy behind her. A client hospitalized with a fractured mandible, is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible? - CORRECT ANSWER-Wire cutters. An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are: - CORRECT ANSWER-Elbow restraints. A client with glaucoma has been prescribed Timoptic (timolol) eyedrops. Timoptic should be used with caution in the client with a history of: - CORRECT ANSWER- Emphysema.
oximeter. To ensure an accurate reading, the nurse should: - CORRECT ANSWER-Place the probe on the child's finger. An infant with Tetralogy of Fallot is discharged with a prescription for lanoxin elixir. The nurse should instruct the mother to: - CORRECT ANSWER-Administer the medication using the calibrated dropper in the bottle. The client scheduled for electroconvulsive therapy tells the nurse, "I'm so afraid. What will happen to me during the treatment?" Which of the following statements is most therapeutic for the nurse to make? - CORRECT ANSWER-"You will be given medicine to relax you during the treatment". Which of the following skin lesions is associated with lyme's disease? - CORRECT ANSWER-Bull's eye rash. Which of the following snacks would be suitable for the child with gluten-induced enteropathy? - CORRECT ANSWER-Buttered popcorn.
A client with schizophrenia is receiving chlorpromazine (Thorazine) 400mg twice a day. An adverse side effect of the medication is: - CORRECT ANSWER-Elevated temperature. Which information should be given to the client taking phenytoin (Dilantin)? - CORRECT ANSWER-More frequent dental appointments will be needed for special gum care. A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin? - CORRECT ANSWER-Protamine sulfate. The nurse is formulating a plan of care for a client with cognitive disorder. Which activity is most appropriate for the client with confusion and short attention span? - CORRECT ANSWER-Taking part in a reality-orientation group.
- CORRECT ANSWER-Pain associated with angina is relieved by rest. The nurse is developing a bowel-retraing plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: - CORRECT ANSWER-Limiting fluid intake to 1000 mL per day. The nurse is providing dietary teaching for a client Meniere's disease. Which statement indicates that the client understands the role of diet in triggering her symptoms? - CORRECT ANSWER-"I need to limit foods that taste salty or that contain a lot of sodium." The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should give priority to assessing the client for: - CORRECT ANSWER-Facial swelling. An adolescent with boderline personality is hospitalized with suicidal ideation and self-multilation. Which goal is both therapeutic and realistic for this client? - CORRECT
ANSWER-The client will seek out a staff member to verbalize feelings of anger and sadness. A client with angina has an order for nitroglycerin ointment. Before applying the medication, the nurse should: - CORRECT ANSWER-Remove the previously applied ointment. The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness? - CORRECT ANSWER-"You were in an accident that hurt your head. You are in the hospital". Following a generalized seizure, the nurse can expect the client to: - CORRECT ANSWER-Be drowsy and prone to sleep. A client with oxalate renal calculi should be taught to avoid eating: - CORRECT ANSWER-Strawberries.
the client has become confused and disoriented, with behavioral problems. The client will also likely show a loss of ability in: - CORRECT ANSWER-Judgment. The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located: - CORRECT ANSWER-Over the fetal back. A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal? - CORRECT ANSWER-Klonopin (clonazepam). A client with Type II diabetes has an order for regular insulin 10 units SC each morning. The client's breakfast should be served within: - CORRECT ANSWER- 30 minutes. A 10 - year-old has an order for Demerol (meperidine) 35 mg IM for pain. The medication is available as Demerol
50mg per ml. How much should the nurse administer? - CORRECT ANSWER-0.7mL. Which antibiotic is contraindicated for the treatment of infections in infants and young children? - CORRECT ANSWER-Tetracyn (tetracycline). The nurse is caring for a client with systemic lupus erythematosus (SLE). The major complication associated with systemic lupus erythematosus is: - CORRECT ANSWER-Nephritis. What diet is associated with an increased risk of colorectal cancer? - CORRECT ANSWER-High fat, refined carbohydrates. The nurse is caring for an infant following a cleft lip repair. While comforting the infant, the nurse should avoid: - CORRECT ANSWER-Offering a pacifier.
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she: - CORRECT ANSWER-Dresses in extra layers of clothing. A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer? - CORRECT ANSWER-A history of alcohol and tobacco use. The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia? - CORRECT ANSWER-Numbness and tingling in the extremities. The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to: - CORRECT ANSWER-Repeat words or phrases used by others.
Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis? - CORRECT ANSWER-Drinking a cup of coffee. A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh: - CORRECT ANSWER-14 pounds. A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for recurrence of the client's symptoms? - CORRECT ANSWER-Cream of tomato soup and crackers. A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding indicates that the medication is having a desired effect? - CORRECT ANSWER-Increased urinary output. Which play activity is best suited to the gross motor skills of the toddler? - CORRECT ANSWER-Ball.
CORRECT ANSWER-Swelling, inflammation, and effusion of the joints. A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to: - CORRECT ANSWER-Liquefy secreations and relieve laryngeal spasm. A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal: - CORRECT ANSWER-Weight gain, lethargy, slowed speech, and decreased respiratory rate. Which statement describes the contagious stage of varicella? - CORRECT ANSWER-The contagious stage is 1 day before the onset of the rash until all the lesions are crusted. A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept away from is followers. The most likely explanation for the client's delusion is: - CORRECT ANSWER-Low self-esteem.
A client has returned to his room follwing an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's: - CORRECT ANSWER-Gag reflex. Which instruction should be included in the discharge teching for client with cataract surgery? - CORRECT ANSWER-The eye shield should be worn at night. An 8-year-old is admitted with drooling, muffled phonation, and temperature of 102F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of: - CORRECT ANSWER- Epiglottitis. Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should: - CORRECT ANSWER-Offer the baby sterile water between feedings of formula.
