NCLEX Young and Middle Adults Exam Questions and Answers

150 Questions and Answers

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Caring for young and middle adults requires a deep understanding of age-specific health concerns, developmental milestones, psychosocial needs, and preventative care strategies. This NCLEX Young and Middle Adults Practice Exam is designed to prepare nursing students and professionals for questions that assess knowledge of health promotion, risk prevention, and care planning for this vital life stage—frequently tested on the NCLEX.

This exam prep resource covers a range of topics essential to the care of individuals aged roughly 20 to 65, including reproductive health, mental wellness, nutrition, physical fitness, chronic illness management, and early detection of health conditions. It emphasizes the nurse’s role in promoting independence, supporting lifestyle changes, and addressing common stressors such as career challenges, family dynamics, and financial pressures.

You’ll work through clinically relevant, scenario-based questions that enhance your ability to assess and respond to the unique needs of young and middle-aged adults. From providing patient education on preventive screenings to supporting patients with hypertension, diabetes, or mental health concerns, this tool helps you build practical and theoretical skills needed for the NCLEX and real-world nursing.

Key content areas include sexual health and fertility, pregnancy and parenting education, injury prevention, substance use, work-life balance, and managing long-term conditions like cardiovascular disease or cancer. Special focus is placed on psychosocial development theories, patient communication, and identifying health disparities that affect outcomes in adult populations.

This practice exam also reinforces critical thinking, nursing interventions, and care coordination with interdisciplinary teams. It prepares you to deliver culturally competent, age-appropriate care that reflects evidence-based practice and supports patient-centered outcomes.

Whether you’re preparing for the NCLEX or enhancing your nursing knowledge, the NCLEX Young and Middle Adults Practice Exam is a valuable resource for mastering age-related content with confidence and accuracy.

Sample Questions and Answers

A 30-year-old woman with a history of migraines is prescribed a new oral contraceptive. Which of the following is the most important teaching point?

  1. A) Stop the medication if you develop a headache.
  2. B) You may experience nausea, but this will subside.
  3. C) This medication may increase the risk of blood clots.
  4. D) You should monitor your blood pressure regularly.

Answer: C) This medication may increase the risk of blood clots.

A nurse is teaching a 25-year-old client about stress management. Which of the following is the most effective method to reduce stress?

  1. A) Engaging in deep breathing exercises.
  2. B) Watching television to relax.
  3. C) Reducing work hours.
  4. D) Taking medication as prescribed.

Answer: A) Engaging in deep breathing exercises.

Which of the following findings should the nurse expect when assessing a 35-year-old client with hypertension?

  1. A) Rapid pulse
  2. B) Decreased urination
  3. C) Headache
  4. D) Skin pallor

Answer: C) Headache

A 28-year-old male client reports frequent episodes of heartburn. Which lifestyle modification should the nurse recommend first?

  1. A) Avoid eating before bedtime.
  2. B) Increase intake of carbonated drinks.
  3. C) Begin a low-fat diet.
  4. D) Avoid taking over-the-counter antacids.

Answer: A) Avoid eating before bedtime.

A 30-year-old client asks the nurse for advice on pregnancy prevention. Which method of contraception is contraindicated in women with a history of blood clots?

  1. A) Diaphragm
  2. B) Intrauterine device (IUD)
  3. C) Oral contraceptives
  4. D) Male condoms

Answer: C) Oral contraceptives

A nurse is educating a 25-year-old woman about the importance of regular Pap smears. At what age should women start having Pap smears according to current guidelines?

  1. A) 18 years old
  2. B) 21 years old
  3. C) 25 years old
  4. D) 30 years old

Answer: B) 21 years old

A 29-year-old client with a new diagnosis of type 2 diabetes is learning about blood glucose monitoring. Which of the following should the nurse include in the teaching plan?

  1. A) Monitor blood glucose before and after each meal.
  2. B) Blood glucose should be checked at least once a week.
  3. C) Glucose should be monitored at the same time every day.
  4. D) Use a lancet with a deep puncture to get a blood sample.

Answer: A) Monitor blood glucose before and after each meal.

A 33-year-old woman in her second trimester of pregnancy is concerned about gaining too much weight. What is the recommended weight gain during pregnancy for women with a normal pre-pregnancy weight?

  1. A) 15-20 pounds
  2. B) 20-25 pounds
  3. C) 25-35 pounds
  4. D) 30-40 pounds

Answer: C) 25-35 pounds

A 30-year-old male client is diagnosed with chronic stress. Which intervention is most appropriate to reduce the risk of long-term health problems associated with stress?

  1. A) Administering anti-anxiety medications.
  2. B) Encouraging regular exercise.
  3. C) Suggesting alcohol consumption to manage stress.
  4. D) Reducing sleep duration for increased productivity.

Answer: B) Encouraging regular exercise.

A nurse is teaching a 35-year-old client about self-breast examination. Which of the following instructions should be included?

  1. A) Perform the exam every 6 months.
  2. B) Examine the breasts just before your period.
  3. C) Perform the exam at the same time each month.
  4. D) Perform the exam immediately after a shower.

Answer: C) Perform the exam at the same time each month.

A 40-year-old woman with a history of smoking asks the nurse how often she should have a mammogram. What is the recommended screening schedule for women aged 40-49 years?

  1. A) Every 6 months
  2. B) Annually
  3. C) Every 2 years
  4. D) Every 3 years

Answer: B) Annually

A 32-year-old woman is diagnosed with iron-deficiency anemia. Which food should the nurse recommend to increase iron intake?

  1. A) Chicken
  2. B) Spinach
  3. C) Whole wheat bread
  4. D) Bananas

Answer: B) Spinach

Which is an early sign of a myocardial infarction in a 45-year-old male client?

  1. A) Sudden onset of pain in the chest radiating to the jaw.
  2. B) Pain in the lower abdomen.
  3. C) Increased heart rate and hypertension.
  4. D) Severe shortness of breath only.

Answer: A) Sudden onset of pain in the chest radiating to the jaw.

A nurse is assessing a 36-year-old client with a history of chronic alcohol use. Which of the following findings should the nurse anticipate?

  1. A) Increased blood pressure
  2. B) Increased appetite
  3. C) Decreased blood sugar levels
  4. D) Decreased liver function

Answer: A) Increased blood pressure

A 28-year-old woman is concerned about osteoporosis. Which of the following should the nurse recommend to help prevent this condition?

  1. A) High-calcium diet
  2. B) Avoiding weight-bearing exercises
  3. C) Increased caffeine intake
  4. D) Decreased vitamin D intake

Answer: A) High-calcium diet

A 40-year-old male client has recently been diagnosed with hypertension. What is the primary goal of treatment?

  1. A) Increase blood flow to the brain.
  2. B) Decrease blood pressure to prevent complications.
  3. C) Maintain normal cholesterol levels.
  4. D) Decrease weight rapidly.

Answer: B) Decrease blood pressure to prevent complications.

A nurse is caring for a 30-year-old male who is recovering from a knee injury. What is the best intervention to promote rehabilitation?

  1. A) Encourage weight-bearing exercises.
  2. B) Instruct the client to rest and avoid all movement.
  3. C) Encourage the client to engage in cardiovascular exercises.
  4. D) Suggest using heat therapy for the injury.

Answer: A) Encourage weight-bearing exercises.

A nurse is teaching a 35-year-old male about smoking cessation. Which of the following should be the first goal in the smoking cessation process?

  1. A) Reducing the number of cigarettes smoked each day.
  2. B) Identifying triggers for smoking.
  3. C) Starting an exercise program.
  4. D) Discussing possible medications.

Answer: B) Identifying triggers for smoking.

A nurse is educating a 32-year-old male about testicular cancer. Which statement indicates the client understands the teaching?

  1. A) “I should perform the testicular self-exam once a year.”
  2. B) “I should perform the testicular self-exam right after a warm bath.”
  3. C) “I should only perform the exam if I notice pain in my testicles.”
  4. D) “Testicular cancer is not common in young men.”

Answer: B) “I should perform the testicular self-exam right after a warm bath.”

A 29-year-old female client with chronic back pain asks about the use of nonsteroidal anti-inflammatory drugs (NSAIDs). Which of the following is an important teaching point?

  1. A) NSAIDs can lead to gastrointestinal bleeding.
  2. B) NSAIDs can increase the risk of kidney disease.
  3. C) NSAIDs should be taken on an empty stomach for best absorption.
  4. D) NSAIDs should not be used for more than 1 week.

Answer: A) NSAIDs can lead to gastrointestinal bleeding.

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