1
NCLEX RN NEXT GENERATION EXAM
NCLEX RN NEXT GENERATION EXAM FINALE
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE
3. The nurse is preparing to discharge a 53-year-old patient from the cardiac unit after
myocardial infarction (MI). The patient has a history of type 1 diabetes and osteoporosis. The
patient is ready for discharge and understands aftercare when:
A. The patient is given the discharge packet
B. The patient asks the nurse how they are supposed to prevent falls in the home
C. The patient tells the nurse how they plan to increase their activity and make changes to
their diet
D. The patient lists the medications they will be taking
Rationale:
, 2
NCLEX RN NEXT GENERATION EXAM
Correct answer: C
The discharge process is multifaceted and can he very confusing to patients. It is essential to
ensure the patient understands discharge instruc tions in order to prevent complications
and unnecessary readmissions. The nurse must educate the patieut regarding medications,
activity level, dietary chauges, and how to care for any procedural sites as applicable.
A is incorrect because handing the patient their discharge instructiou packet does not
ensure the patient understands the material. The nurse should not assume the patient will
read and comprehend the information. Direct, face-to-face teaching is the best method for
patient education.
B is incorrect because asking about fall prevention does not indicate an understanding of
discharge iustructions. This statement indicates a need for more teaching.
Dis incorrect because although the patient needs to know what medications they will be
taking, they also need to be able to tell the uurse why the medications are needed, when to
take them, and when to notify the healthcare provider.
3. A patient in the recovery room is experiencing pain despite administration of analgesia by
the nurse. Which of the following statements by the nurse is an example of therapeutic
communication?
A. "I will notify the healthcare provider that you are still experiencing pain and see if we can
get you some relief."
B. "This pain is a problem. What do you want me to do?"
C. "Your healthcare provider commonly under-medicates patients for pain."
D. "The pain should subside once the medication has had a chance to take fnll effect."
Rationale:
Correct answer: A
Therapeutic communication regarding pain should be goal-directed. In this example, the
goal is better management of pain.
B is incorrect because it prevents the nurse from using critical thinking to solve the problem
and is not therapentic. The nurse should remain in charge of the patient's care and not
transfer the authority to the patient. The patient should not be expected to make the
nnrsingjudgment about what should be done regarding unrelieved pain.
C is incorrect because it places blame on the healthcare provider and is not therapeutic.
Dis incorrect because this is dismissive. There is not enough information in the question
, 3
NCLEX RN NEXT GENERATION EXAM
(what pain medication was administered, what route was used, how long ago was it given)
for the nurse to make the assumption that the medication has not yet taken fnll effect.
Unrelieved pain can be a sign of a complication and shonld be addressed by the nurse.
3. The nurse is preparing to educate a patient regarding administration of enoxaparin
injections. Which of the following questions would be most appropri- ate for the nurse to
ask the patient?
A. "Are you able to use a computer?"
B. "Is your spouse here yet?"
C. "Are you ready to give yourself an injection?"
D. "What is your preferred way oflearning?"
Rationale:
Correct answer: D
Patient edncation is very important for patients to nnderstand how injections are performed
in order to prevent errors and complications. Everyone has different learning styles, so the
nurse must identify how the patient learns best in order to provide appropriate patient
education.
A is incorrect because use of a computer is unrelated to learning how to self-inject
enoxaparin.
Patients should not be encouraged to use the internet to learn about medication
administration, as the nurse can't be sure that the information they find will be accurate. The
nurse is responsible for the teaching.
B is incorrect because the spouse does not necessarily need to be present for teaching to
begin. Assessing the patient's learning style should be done first. The nurse must focus on
teaching the patient. Education should not be delayed because a family member is not
present. It is import ant to teach those who will be assisting in the patient's care at home,
but that can be done later.
C is incorrect because it is closed-ended and is inappropriate to ask until after the patient has
been educated about enoxaparin and how to safely administer this drug. The nurse may
administer the injection first and then assess readiness for self-injection at the next
scheduled dose.
3. The emergency room nurse is caring for a patient who has become belligerent and is
yelling at the staff. Which of the following interventions by the nurse is the most
, 4
NCLEX RN NEXT GENERATION EXAM
appropriate for this patient?
A. Speak clearly and louder than the patient to prevent having to repeat what the nurse has
said.
B. Stand near the door of the room and stay calm.
C. Have other members of the healthcare team enter the room to demonstrate ability to
gain control of the situation.
D. Ask the patient about what they do at home when they feel like this.
Rationale:
Correct answer: B
Patients who are belligerent are unpredictable and may be a risk to themselves or others.
Standing near the door prevents the patient from blocking the exit and allows for a rapid
exit by the nurse, if necessary. The nurse should attempt to de-escalate the situation
emotionally by staying calm and composed. Listen to what the patient is saying and explain
that you understand that they are npset. Often the canse of anger and belligerence is fear.
A is incorrect becanse simply speaking londer may make the patient feel threatened and
worsen the belligerence. The nnrse should be compas sionate and direct, make the patient
feel heard, and attempt to diminish what might be cansing their fear.
C is incorrect because bringing more team members in the room may be perceived by the
patient as threatening and can worsen the situation.
Dis incorrect because the nurse should not ask this type of question to the belligerent
patient. The nurse should validate that the patient is upset and offer measures to help them
calm down. It is important not to make promises that can't be fulfilled.
3. The nurse is preparing to measure vital signs on a patient. When measuring respirations,
which of the following is the best method?
A. Tell the patient respirations are going to be counted
B. Place the patient on a cardiac monitor for respiration rate
C. Instruct the patient to take a deep breath every 4 or 5 seconds
D. Count respirations while holding the patient's wrist
Rationale:
Correct answer: D
Count the patient's respirations while holding the patient's wrist as if measuring radial pulse.
This will distract the patient and help them breathe normally. This method will get the most
NCLEX RN NEXT GENERATION EXAM
NCLEX RN NEXT GENERATION EXAM FINALE
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE
3. The nurse is preparing to discharge a 53-year-old patient from the cardiac unit after
myocardial infarction (MI). The patient has a history of type 1 diabetes and osteoporosis. The
patient is ready for discharge and understands aftercare when:
A. The patient is given the discharge packet
B. The patient asks the nurse how they are supposed to prevent falls in the home
C. The patient tells the nurse how they plan to increase their activity and make changes to
their diet
D. The patient lists the medications they will be taking
Rationale:
, 2
NCLEX RN NEXT GENERATION EXAM
Correct answer: C
The discharge process is multifaceted and can he very confusing to patients. It is essential to
ensure the patient understands discharge instruc tions in order to prevent complications
and unnecessary readmissions. The nurse must educate the patieut regarding medications,
activity level, dietary chauges, and how to care for any procedural sites as applicable.
A is incorrect because handing the patient their discharge instructiou packet does not
ensure the patient understands the material. The nurse should not assume the patient will
read and comprehend the information. Direct, face-to-face teaching is the best method for
patient education.
B is incorrect because asking about fall prevention does not indicate an understanding of
discharge iustructions. This statement indicates a need for more teaching.
Dis incorrect because although the patient needs to know what medications they will be
taking, they also need to be able to tell the uurse why the medications are needed, when to
take them, and when to notify the healthcare provider.
3. A patient in the recovery room is experiencing pain despite administration of analgesia by
the nurse. Which of the following statements by the nurse is an example of therapeutic
communication?
A. "I will notify the healthcare provider that you are still experiencing pain and see if we can
get you some relief."
B. "This pain is a problem. What do you want me to do?"
C. "Your healthcare provider commonly under-medicates patients for pain."
D. "The pain should subside once the medication has had a chance to take fnll effect."
Rationale:
Correct answer: A
Therapeutic communication regarding pain should be goal-directed. In this example, the
goal is better management of pain.
B is incorrect because it prevents the nurse from using critical thinking to solve the problem
and is not therapentic. The nurse should remain in charge of the patient's care and not
transfer the authority to the patient. The patient should not be expected to make the
nnrsingjudgment about what should be done regarding unrelieved pain.
C is incorrect because it places blame on the healthcare provider and is not therapeutic.
Dis incorrect because this is dismissive. There is not enough information in the question
, 3
NCLEX RN NEXT GENERATION EXAM
(what pain medication was administered, what route was used, how long ago was it given)
for the nurse to make the assumption that the medication has not yet taken fnll effect.
Unrelieved pain can be a sign of a complication and shonld be addressed by the nurse.
3. The nurse is preparing to educate a patient regarding administration of enoxaparin
injections. Which of the following questions would be most appropri- ate for the nurse to
ask the patient?
A. "Are you able to use a computer?"
B. "Is your spouse here yet?"
C. "Are you ready to give yourself an injection?"
D. "What is your preferred way oflearning?"
Rationale:
Correct answer: D
Patient edncation is very important for patients to nnderstand how injections are performed
in order to prevent errors and complications. Everyone has different learning styles, so the
nurse must identify how the patient learns best in order to provide appropriate patient
education.
A is incorrect because use of a computer is unrelated to learning how to self-inject
enoxaparin.
Patients should not be encouraged to use the internet to learn about medication
administration, as the nurse can't be sure that the information they find will be accurate. The
nurse is responsible for the teaching.
B is incorrect because the spouse does not necessarily need to be present for teaching to
begin. Assessing the patient's learning style should be done first. The nurse must focus on
teaching the patient. Education should not be delayed because a family member is not
present. It is import ant to teach those who will be assisting in the patient's care at home,
but that can be done later.
C is incorrect because it is closed-ended and is inappropriate to ask until after the patient has
been educated about enoxaparin and how to safely administer this drug. The nurse may
administer the injection first and then assess readiness for self-injection at the next
scheduled dose.
3. The emergency room nurse is caring for a patient who has become belligerent and is
yelling at the staff. Which of the following interventions by the nurse is the most
, 4
NCLEX RN NEXT GENERATION EXAM
appropriate for this patient?
A. Speak clearly and louder than the patient to prevent having to repeat what the nurse has
said.
B. Stand near the door of the room and stay calm.
C. Have other members of the healthcare team enter the room to demonstrate ability to
gain control of the situation.
D. Ask the patient about what they do at home when they feel like this.
Rationale:
Correct answer: B
Patients who are belligerent are unpredictable and may be a risk to themselves or others.
Standing near the door prevents the patient from blocking the exit and allows for a rapid
exit by the nurse, if necessary. The nurse should attempt to de-escalate the situation
emotionally by staying calm and composed. Listen to what the patient is saying and explain
that you understand that they are npset. Often the canse of anger and belligerence is fear.
A is incorrect becanse simply speaking londer may make the patient feel threatened and
worsen the belligerence. The nnrse should be compas sionate and direct, make the patient
feel heard, and attempt to diminish what might be cansing their fear.
C is incorrect because bringing more team members in the room may be perceived by the
patient as threatening and can worsen the situation.
Dis incorrect because the nurse should not ask this type of question to the belligerent
patient. The nurse should validate that the patient is upset and offer measures to help them
calm down. It is important not to make promises that can't be fulfilled.
3. The nurse is preparing to measure vital signs on a patient. When measuring respirations,
which of the following is the best method?
A. Tell the patient respirations are going to be counted
B. Place the patient on a cardiac monitor for respiration rate
C. Instruct the patient to take a deep breath every 4 or 5 seconds
D. Count respirations while holding the patient's wrist
Rationale:
Correct answer: D
Count the patient's respirations while holding the patient's wrist as if measuring radial pulse.
This will distract the patient and help them breathe normally. This method will get the most
