NCLEX-RN & NCLEX-PN, Updated J J J J
2022/2023, Complete Questions & 100% Ans
J J J J JJ
wers with rationale
J J J
Best Latest Examination Study Guide Rated
J J J J J J
Grade A+ J
MultipleJQuestionsJwithJAnswers
QuestionJ1
AJc.JWhatJdocumentJshouldJbeJinJguidingJtheJcareJofJthisJclient?
A) ClientJSelfJDeterminationJAct
B) Physician'sJtreatmentJorders
C) Advance J Directives.
D) ClinicalJPathwayJprotocols
ReviewJ Information:JTheJcorrectJanswerJis:JC)JAdvanceJDirectives.JThisJdocumentJspeci$esJtheJclient'sJwishe
s
QuestionJ2
YouJareJtheJofJaJhealthJcareJteamJthatJconsistsJofJoneJlicensedJpractical/vocationalJnurse,JoneJnursingJassistant
J,JaJnursingJstudentJand Jyourself.JToJwhomJisJitJappropriateJtoJassignJcompleteJcareJfor
A) Yourself
B) TheJ nursingJ student
C) TheJlicensedJvocationalJnurse
D) TheJnursingJassistant
ReviewJInformation:JTheJcorrectJanswerJis:A)JYourself.
,NCLEX-RN & NCLEX-PN, Updated J J J J
2022/2023, Complete Questions & 100% Ans
J J J J JJ
wers with rationale
J J J
Best Latest Examination Study Guide Rated
J J J J J J
Grade A+ J
WhileJtheJnurseJmayJdelegateJaJbedJbathJforJaJstableJclient,JthisJcareJshouldJbeJperformedJbyJanJRNJforJaJne
wJadmission.JOnlyJtasksJthatJdoJnotJrequireJindependentJjudgmentJshouldJbeJdelegated.
3QuestionJ3
AJmotherJbringsJherJtheJclinic,JcomplainingJthatJtheJchildJseemsJtoJbeJ TheJnurseJexpectsJtoJ$ndJwhichJofJthe
JfollowingJonJtheJinitialJhistoryJandJphysicalJassessment?
A) IncreasedJtemperatureJandJlethargy
B) RashJandJrestlessness
C) IncreasedJsleepingJandJlistlessness
D) DiarrheaJandJpoorJskinJturgor
ReviewJ Information:JTheJcorrectJanswerJis:B)JRashJandJrestlessness.
,QuestionJ4
AsJtheJnurseJtakesJaJhistoryJofJaJ3Jyear-
oldJwithJneuroblastoma,JwhatJcommentsJbyJtheJparentsJrequireJfollow-
upJandJareJconsistentJwithJtheJdiagnosis?
A) "TheJchildJhasJbeenJlistlessJandJhasJlostJweight."
B) "HerJurineJisJdarkJyellowJandJsmallJinJamounts."
C) "ClothesJareJbecomingJtighterJacrossJherJabdomen."JD+
)J"WeJnoticeJmuscleJweaknessJandJsomeJunsteadiness."
ReviewJ Information:J TheJcorrectJ answerJ is:C)J "ClothesJareJ becomingJ tighterJ acrossJ herJ abdomen.".
OneJofJtheJmostJcommonJsignsJofJneuroblastomaJisJincreasingJabdominalJgirth.JTheJparents''JreportJthatJc
lothingJisJtightJisJsigni$cant,JandJshouldJbeJfollowedJbyJadditionalJassessments.
QuestionJ5
AJ16Jyear-
oldJpresentsJtoJtheJemergencyJdepartment.JTheJtriageJnurseJ$ndsJthatJthisJteenagerJisJlegallyJmarriedJandJs
ignedJtheJconsentJformJforJtreatment.JWhatJwouldJbeJtheJappropriateJINITIALJactionJbyJtheJnurse?
A) RefuseJtoJseeJtheJclientJuntilJaJparentJorJlegalJguardianJcanJbeJcontacted
B) WithholdJ treatmentJ untilJ telephoneJ consentJcanJ beJobtainedJ fromJtheJ spouse
C) ReferJtheJclientJtoJaJcommunityJ pediatricJhospitalJemergencyJroom
D) AssessJandJtreatJinJtheJsameJmannerJasJanyJadultJclient
ReviewJ Information:JTheJcorrectJanswerJis:D)JAssessJandJtreatJinJtheJsameJmannerJasJanyJadultJclient.
MinorsJmayJbecomeJknownJasJanJ"emancipatedJminor"JthroughJmarriage,Jpregnancy,JhighJschoolJgraduation,
JindependentJlivingJorJserviceJinJtheJmilitary.JTherefore,JthisJclient,JwhoJisJmarried,JhasJtheJlegalJcapacityJofJ
anJadult.
QuestionJ6
AJnewlyJadmittedJelderlyJclientJisJseverelyJdehydrated.JWhenJplanningJcareJforJthisJclient,JwhichJoneJofJtheJfoll
owingJisJanJappropriateJtaskJforJanJUnlicensedJAssistiveJPersonnelJ(UAP)?
, A) ObtainJaJhistoryJofJ;uidJloss
B) ReportJoutputJofJlessJthanJ30Jml/hr
C) MonitorJresponseJtoJIVJ;uids
D) CheckJskinJturgorJeveryJfourJhours
ReviewJ Information:J TheJcorrectJ answerJ is:B)J ReportJ outputJ ofJ lessJthanJ30J ml/hr.
WhenJdirectingJaJUAP,JtheJnurseJmustJcommunicateJclearlyJaboutJeachJdelegatedJtaskJwithJspeci$cJinstructi
onsJonJwhatJmustJbeJreported.JBecauseJtheJRNJisJresponsibleJforJallJcare-
relatedJdecisions,onlyJimplementationJtasksJshouldJbeJassignedJbecauseJtheyJdoJnotJrequireJindependentJju
dgment.
QuestionJ7
TheJnurseJisJassessingJaJ4Jyear-
oldJforJpossibleJrheumaticJfever.JWhichJofJtheJfollowingJwouldJtheJnurseJsuspectJisJrelatedJtoJthisJdiagnosis?
A) DiagnosisJ ofJ chickenpoxJ sixJ monthsJ ago
B) ExposureJtoJstrepJthroatJinJdaycareJlastJmonth
C) TreatmentJforJearJinfectionJtwoJmonthsJago
D) EpisodeJofJfungalJskinJinfectionJlastJweek
Review J Information:JTheJcorrectJanswerJis:B)JExposureJtoJstrepJthroatJinJdaycareJlastJmonth.
EvidenceJsupportsJaJstrongJrelationshipJbetweenJinfectionJwithJGroupJAJstreptococciJandJsubsequentJr
heumaticJfeverJ(usuallyJwithinJ2-
6Jweeks).JTherefore,JtheJhistoryJofJplaymatesJrecoveringJfromJstrepJthroatJwouldJindicateJthatJtheJchild
JdiagnosedJwithJrheumaticJfeverJmostJlikelyJalsoJhadJstrepJthroat.JSometimes,JsuchJanJinfectionJhasJno
JclinicalJsymptoms.
QuestionJ8
WhenJtheJnurseJbecomesJawareJofJfeelingJreluctantJtoJinteractJwithJaJmanipulativeJclient,JtheJBESTJactionJb
yJtheJnurseJisJto
A) DiscussJtheJfeelingJofJreluctanceJwithJanJobjectiveJpeerJorJsupervisor
B) LimitJcontactsJwithJtheJclientJtoJavoidJreinforcingJtheJmanipulativeJbehavior
C) ConfrontJtheJclientJregardingJtheJnegativeJeffectsJofJhis/herJbehaviorJonJothers
D) DevelopJ aJ behaviorJmodi$cationJ planJthatJ willJ promoteJ moreJfunctionalJ behavior
ReviewJ Information:JTheJcorrectJanswerJis:A)JDiscussJtheJfeelingJofJreluctanceJwithJanJobjectiveJpeerJorJsup
ervisor.
TheJnurseJwhoJisJexperiencingJstressJinJtheJtherapeuticJrelationshipJcanJgainJobjectivityJthroughJsupervision.
JTheJnurseJmustJattemptJtoJdiscoverJattitudesJandJfeelingsJinJtheJselfJthatJin;uenceJtheJnurse-
JclientJrelationship.
2022/2023, Complete Questions & 100% Ans
J J J J JJ
wers with rationale
J J J
Best Latest Examination Study Guide Rated
J J J J J J
Grade A+ J
MultipleJQuestionsJwithJAnswers
QuestionJ1
AJc.JWhatJdocumentJshouldJbeJinJguidingJtheJcareJofJthisJclient?
A) ClientJSelfJDeterminationJAct
B) Physician'sJtreatmentJorders
C) Advance J Directives.
D) ClinicalJPathwayJprotocols
ReviewJ Information:JTheJcorrectJanswerJis:JC)JAdvanceJDirectives.JThisJdocumentJspeci$esJtheJclient'sJwishe
s
QuestionJ2
YouJareJtheJofJaJhealthJcareJteamJthatJconsistsJofJoneJlicensedJpractical/vocationalJnurse,JoneJnursingJassistant
J,JaJnursingJstudentJand Jyourself.JToJwhomJisJitJappropriateJtoJassignJcompleteJcareJfor
A) Yourself
B) TheJ nursingJ student
C) TheJlicensedJvocationalJnurse
D) TheJnursingJassistant
ReviewJInformation:JTheJcorrectJanswerJis:A)JYourself.
,NCLEX-RN & NCLEX-PN, Updated J J J J
2022/2023, Complete Questions & 100% Ans
J J J J JJ
wers with rationale
J J J
Best Latest Examination Study Guide Rated
J J J J J J
Grade A+ J
WhileJtheJnurseJmayJdelegateJaJbedJbathJforJaJstableJclient,JthisJcareJshouldJbeJperformedJbyJanJRNJforJaJne
wJadmission.JOnlyJtasksJthatJdoJnotJrequireJindependentJjudgmentJshouldJbeJdelegated.
3QuestionJ3
AJmotherJbringsJherJtheJclinic,JcomplainingJthatJtheJchildJseemsJtoJbeJ TheJnurseJexpectsJtoJ$ndJwhichJofJthe
JfollowingJonJtheJinitialJhistoryJandJphysicalJassessment?
A) IncreasedJtemperatureJandJlethargy
B) RashJandJrestlessness
C) IncreasedJsleepingJandJlistlessness
D) DiarrheaJandJpoorJskinJturgor
ReviewJ Information:JTheJcorrectJanswerJis:B)JRashJandJrestlessness.
,QuestionJ4
AsJtheJnurseJtakesJaJhistoryJofJaJ3Jyear-
oldJwithJneuroblastoma,JwhatJcommentsJbyJtheJparentsJrequireJfollow-
upJandJareJconsistentJwithJtheJdiagnosis?
A) "TheJchildJhasJbeenJlistlessJandJhasJlostJweight."
B) "HerJurineJisJdarkJyellowJandJsmallJinJamounts."
C) "ClothesJareJbecomingJtighterJacrossJherJabdomen."JD+
)J"WeJnoticeJmuscleJweaknessJandJsomeJunsteadiness."
ReviewJ Information:J TheJcorrectJ answerJ is:C)J "ClothesJareJ becomingJ tighterJ acrossJ herJ abdomen.".
OneJofJtheJmostJcommonJsignsJofJneuroblastomaJisJincreasingJabdominalJgirth.JTheJparents''JreportJthatJc
lothingJisJtightJisJsigni$cant,JandJshouldJbeJfollowedJbyJadditionalJassessments.
QuestionJ5
AJ16Jyear-
oldJpresentsJtoJtheJemergencyJdepartment.JTheJtriageJnurseJ$ndsJthatJthisJteenagerJisJlegallyJmarriedJandJs
ignedJtheJconsentJformJforJtreatment.JWhatJwouldJbeJtheJappropriateJINITIALJactionJbyJtheJnurse?
A) RefuseJtoJseeJtheJclientJuntilJaJparentJorJlegalJguardianJcanJbeJcontacted
B) WithholdJ treatmentJ untilJ telephoneJ consentJcanJ beJobtainedJ fromJtheJ spouse
C) ReferJtheJclientJtoJaJcommunityJ pediatricJhospitalJemergencyJroom
D) AssessJandJtreatJinJtheJsameJmannerJasJanyJadultJclient
ReviewJ Information:JTheJcorrectJanswerJis:D)JAssessJandJtreatJinJtheJsameJmannerJasJanyJadultJclient.
MinorsJmayJbecomeJknownJasJanJ"emancipatedJminor"JthroughJmarriage,Jpregnancy,JhighJschoolJgraduation,
JindependentJlivingJorJserviceJinJtheJmilitary.JTherefore,JthisJclient,JwhoJisJmarried,JhasJtheJlegalJcapacityJofJ
anJadult.
QuestionJ6
AJnewlyJadmittedJelderlyJclientJisJseverelyJdehydrated.JWhenJplanningJcareJforJthisJclient,JwhichJoneJofJtheJfoll
owingJisJanJappropriateJtaskJforJanJUnlicensedJAssistiveJPersonnelJ(UAP)?
, A) ObtainJaJhistoryJofJ;uidJloss
B) ReportJoutputJofJlessJthanJ30Jml/hr
C) MonitorJresponseJtoJIVJ;uids
D) CheckJskinJturgorJeveryJfourJhours
ReviewJ Information:J TheJcorrectJ answerJ is:B)J ReportJ outputJ ofJ lessJthanJ30J ml/hr.
WhenJdirectingJaJUAP,JtheJnurseJmustJcommunicateJclearlyJaboutJeachJdelegatedJtaskJwithJspeci$cJinstructi
onsJonJwhatJmustJbeJreported.JBecauseJtheJRNJisJresponsibleJforJallJcare-
relatedJdecisions,onlyJimplementationJtasksJshouldJbeJassignedJbecauseJtheyJdoJnotJrequireJindependentJju
dgment.
QuestionJ7
TheJnurseJisJassessingJaJ4Jyear-
oldJforJpossibleJrheumaticJfever.JWhichJofJtheJfollowingJwouldJtheJnurseJsuspectJisJrelatedJtoJthisJdiagnosis?
A) DiagnosisJ ofJ chickenpoxJ sixJ monthsJ ago
B) ExposureJtoJstrepJthroatJinJdaycareJlastJmonth
C) TreatmentJforJearJinfectionJtwoJmonthsJago
D) EpisodeJofJfungalJskinJinfectionJlastJweek
Review J Information:JTheJcorrectJanswerJis:B)JExposureJtoJstrepJthroatJinJdaycareJlastJmonth.
EvidenceJsupportsJaJstrongJrelationshipJbetweenJinfectionJwithJGroupJAJstreptococciJandJsubsequentJr
heumaticJfeverJ(usuallyJwithinJ2-
6Jweeks).JTherefore,JtheJhistoryJofJplaymatesJrecoveringJfromJstrepJthroatJwouldJindicateJthatJtheJchild
JdiagnosedJwithJrheumaticJfeverJmostJlikelyJalsoJhadJstrepJthroat.JSometimes,JsuchJanJinfectionJhasJno
JclinicalJsymptoms.
QuestionJ8
WhenJtheJnurseJbecomesJawareJofJfeelingJreluctantJtoJinteractJwithJaJmanipulativeJclient,JtheJBESTJactionJb
yJtheJnurseJisJto
A) DiscussJtheJfeelingJofJreluctanceJwithJanJobjectiveJpeerJorJsupervisor
B) LimitJcontactsJwithJtheJclientJtoJavoidJreinforcingJtheJmanipulativeJbehavior
C) ConfrontJtheJclientJregardingJtheJnegativeJeffectsJofJhis/herJbehaviorJonJothers
D) DevelopJ aJ behaviorJmodi$cationJ planJthatJ willJ promoteJ moreJfunctionalJ behavior
ReviewJ Information:JTheJcorrectJanswerJis:A)JDiscussJtheJfeelingJofJreluctanceJwithJanJobjectiveJpeerJorJsup
ervisor.
TheJnurseJwhoJisJexperiencingJstressJinJtheJtherapeuticJrelationshipJcanJgainJobjectivityJthroughJsupervision.
JTheJnurseJmustJattemptJtoJdiscoverJattitudesJandJfeelingsJinJtheJselfJthatJin;uenceJtheJnurse-
JclientJrelationship.
