NCSBN NEWEST EXAM TEST BANK 2025 –
WITH 900 NCLEX-RN & NCLEX-PN UPDATED
QUESTIONS AND ANSWERS
Question 1
A c. What document should be in guiding the care of this patient?
A) Patient Self Determination Act
B) Physician's treatment orders
C) Advance Directives.
D) Clinical Pathway protocols
Review Information: RIGHT ANS✔✔ C) Advance Directives. This document specifies
the patient's wishes
Question 2
You are the of a health care team that consists of one licensed practical/vocational
nursing practitioner, one nursing assistant, a nursing student and yourself. To whom is it
appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensed vocational nursing practitioner
D) The nursing assistant
Review Information: RIGHT ANS✔✔A) Yourself.
While the nursing practitioner may delegate a bed bath for a stable patient, this care
should be performed by an RN for a new admission. Only tasks that do not require
independent judgment should be delegated.
Question 3
,A mother brings her the clinic, complaining that the child seems to be .The nursing
practitioner expects to find which of the following on the initial history and physical
assessment?
A) Increased temperature and lethargy
B) Rash and restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: RIGHT ANS✔✔ B) Rash and restlessness.
Question 4
As the nursing practitioner takes a history of a 3 year-old with neuroblastoma, what
comments by the parents require follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "Her urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D+) "We notice muscle weakness and some unsteadiness."
Review Information: RIGHT ANS✔✔C) "Clothes are becoming tighter across her
abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight is significant, and should be followed by additional
assessments.
Question 5
A 16 year-old presents to the emergency department. The triage nursing practitioner finds
that this teenager is legally married and signed the consent form for treatment. What
would be the appropriate INITIAL action by the nursing practitioner?
A) Refuse to see the patient until a parent or legal guardian can be contacted
,B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the patient to a community pediatric hospital emergency room
D) Assess and treat in the same manner as any adult patient
Review Information: RIGHT ANS✔✔D) Assess and treat in the same manner as any
adult patient.
Minors may become known as an "emancipated minor" through marriage, pregnancy,
high school graduation, independent living or service in the military. Therefore, this
patient, who is married, has the legal capacity of an adult.
Question 6
A newly admitted elderly patient is severely dehydrated. When planning care for
this patient, which one of the following is an appropriate task for an Unlicensed
Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report output of less than 30 ml/hr
C) Monitor response to IV fluids
D) Check skin turgor every four hours
Review Information: RIGHT ANS✔✔B) Report output of less than 30 ml/hr.
When directing a UAP, the nursing practitioner must communicate clearly about each
delegated task with specific instructions on what must be reported. Because the RN is
responsible for all care-related decisions,only implementation tasks should be assigned
because they do not require independent judgment.
Question 7
The nursing practitioner is assessing a 4 year-old for possible rheumatic fever. Which of
the following would the nursing practitioner suspect is related to this diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposure to strep throat in daycare last month
, C) Treatment for ear infection two months ago
D) Episode of fungal skin infection last week
Review Information: RIGHT ANS✔✔B) Exposure to strep throat in daycare last month.
Evidence supports a strong relationship between infection with Group A streptococci and
subsequent rheumatic fever (usually within 2-6 weeks). Therefore, the history of
playmates recovering from strep throat would indicate that the child diagnosed with
rheumatic fever most likely also had strep throat. Sometimes, such an infection has no
clinical symptoms.
Question 8
When the nursing practitioner becomes aware of feeling reluctant to interact with a
manipulative patient, the BEST action by the nursing practitioner is to
A) Discuss the feeling of reluctance with an objective peer or supervisor
B) Limit contacts with the patient to avoid reinforcing the manipulative behavior
C) Confront the patient regarding the negative effects of his/her behavior on others
D) Develop a behavior modification plan that will promote more functional behavior
Review Information: RIGHT ANS✔✔A) Discuss the feeling of reluctance with an
objective peer or supervisor.
The nursing practitioner who is experiencing stress in the therapeutic relationship can
gain objectivity through supervision. The nursing practitioner must attempt to discover
attitudes and feelings in the self that influence the nursing practitioner-patient
relationship.
Question 9
A patient is being treated for paranoid schizophrenia. When the patient became loud
and boisterous, the nursing practitioner immediately placed him in seclusion as a
precautionary measure. The patient willingly complied. The nursing practitioner's
action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nursing practitioner vulnerable for charges of assault and battery
WITH 900 NCLEX-RN & NCLEX-PN UPDATED
QUESTIONS AND ANSWERS
Question 1
A c. What document should be in guiding the care of this patient?
A) Patient Self Determination Act
B) Physician's treatment orders
C) Advance Directives.
D) Clinical Pathway protocols
Review Information: RIGHT ANS✔✔ C) Advance Directives. This document specifies
the patient's wishes
Question 2
You are the of a health care team that consists of one licensed practical/vocational
nursing practitioner, one nursing assistant, a nursing student and yourself. To whom is it
appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensed vocational nursing practitioner
D) The nursing assistant
Review Information: RIGHT ANS✔✔A) Yourself.
While the nursing practitioner may delegate a bed bath for a stable patient, this care
should be performed by an RN for a new admission. Only tasks that do not require
independent judgment should be delegated.
Question 3
,A mother brings her the clinic, complaining that the child seems to be .The nursing
practitioner expects to find which of the following on the initial history and physical
assessment?
A) Increased temperature and lethargy
B) Rash and restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: RIGHT ANS✔✔ B) Rash and restlessness.
Question 4
As the nursing practitioner takes a history of a 3 year-old with neuroblastoma, what
comments by the parents require follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "Her urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D+) "We notice muscle weakness and some unsteadiness."
Review Information: RIGHT ANS✔✔C) "Clothes are becoming tighter across her
abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight is significant, and should be followed by additional
assessments.
Question 5
A 16 year-old presents to the emergency department. The triage nursing practitioner finds
that this teenager is legally married and signed the consent form for treatment. What
would be the appropriate INITIAL action by the nursing practitioner?
A) Refuse to see the patient until a parent or legal guardian can be contacted
,B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the patient to a community pediatric hospital emergency room
D) Assess and treat in the same manner as any adult patient
Review Information: RIGHT ANS✔✔D) Assess and treat in the same manner as any
adult patient.
Minors may become known as an "emancipated minor" through marriage, pregnancy,
high school graduation, independent living or service in the military. Therefore, this
patient, who is married, has the legal capacity of an adult.
Question 6
A newly admitted elderly patient is severely dehydrated. When planning care for
this patient, which one of the following is an appropriate task for an Unlicensed
Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report output of less than 30 ml/hr
C) Monitor response to IV fluids
D) Check skin turgor every four hours
Review Information: RIGHT ANS✔✔B) Report output of less than 30 ml/hr.
When directing a UAP, the nursing practitioner must communicate clearly about each
delegated task with specific instructions on what must be reported. Because the RN is
responsible for all care-related decisions,only implementation tasks should be assigned
because they do not require independent judgment.
Question 7
The nursing practitioner is assessing a 4 year-old for possible rheumatic fever. Which of
the following would the nursing practitioner suspect is related to this diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposure to strep throat in daycare last month
, C) Treatment for ear infection two months ago
D) Episode of fungal skin infection last week
Review Information: RIGHT ANS✔✔B) Exposure to strep throat in daycare last month.
Evidence supports a strong relationship between infection with Group A streptococci and
subsequent rheumatic fever (usually within 2-6 weeks). Therefore, the history of
playmates recovering from strep throat would indicate that the child diagnosed with
rheumatic fever most likely also had strep throat. Sometimes, such an infection has no
clinical symptoms.
Question 8
When the nursing practitioner becomes aware of feeling reluctant to interact with a
manipulative patient, the BEST action by the nursing practitioner is to
A) Discuss the feeling of reluctance with an objective peer or supervisor
B) Limit contacts with the patient to avoid reinforcing the manipulative behavior
C) Confront the patient regarding the negative effects of his/her behavior on others
D) Develop a behavior modification plan that will promote more functional behavior
Review Information: RIGHT ANS✔✔A) Discuss the feeling of reluctance with an
objective peer or supervisor.
The nursing practitioner who is experiencing stress in the therapeutic relationship can
gain objectivity through supervision. The nursing practitioner must attempt to discover
attitudes and feelings in the self that influence the nursing practitioner-patient
relationship.
Question 9
A patient is being treated for paranoid schizophrenia. When the patient became loud
and boisterous, the nursing practitioner immediately placed him in seclusion as a
precautionary measure. The patient willingly complied. The nursing practitioner's
action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nursing practitioner vulnerable for charges of assault and battery
