Page | 1 NCSBN Question Bank | NUR 101 | NCLEX-RN & NCLEX-PN Examination –
Pretest Q&A | Verified 2024/2025 Edition
Pretest
Question 1
Ac. What document shouldbe inguidingthecareof this client?
A) Client Self DeterminationAct
B) Physician'streatmentorders
C) Advance Directives.
D) ClinicalPathwayprotocols
Review Information: Thecorrect answer is: C) AdvanceDirectives. Thisdocument
specifies theclient's wishes
Question 2
Youaretheofahealthcareteam that consistsofonelicensedpractical/vocationalnurse,
onenursing assistant , anursingstudentandyourself. Towhomis it appropriate to
assign completecarefor
A) Yourself
B) Thenursingstudent
C) The licensedvocational nurse
D) Thenursing assistant
Review Information: The correct answer is:A)Yourself.
, Whilethenursemaydelegateabed bathfor astableclient, this careshouldbe
performedbyanRNfor a newadmission.Only tasks that donot require
independentjudgmentshouldbedelegated.
Page | 2
3Question 3
Amother brings her theclinic, complainingthat thechildseems tobe Thenurse
expects to findwhich of thefollowingon the initial historyandphysical
assessment?
A) Increased temperature and lethargy
B) Rashand restlessness
C) Increasedsleeping andlistlessness
D) Diarrheaandpoorskinturgor
Review Information: Thecorrect answer is:B)Rash and restlessness.
, Question 4
Page | 3
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by
the parents require follow-upandareconsistentwith thediagnosis?
A) "Thechild has been listless and haslost weight."
B) "Her urineisdarkyellowandsmall inamounts."
C)"Clothesarebecoming tighter acrossher
abdomen." D+)"Wenoticemuscle
weaknessandsomeunsteadiness."
Review Information: Thecorrect answer is:C) "Clothesarebecoming tighter across
her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight issignificant, and should be followed by
additional assessments.
Question 5
A 16 year-old presents to the emergency department. The triage nurse finds that this
teenager is legally married and signed the consent form for treatment. What would
be the appropriate INITIAL action by the nurse?
A) Refusetoseetheclient until aparent orlegal guardiancanbe contacted
B) Withholdtreatment until telephoneconsent canbeobtainedfromthespouse
C) Refer the client toa community pediatric hospital emergency room
D) Assessandtreat inthesamemanner asanyadult client
Review Information: The correct answer is:D)Assess and treat in the same manner
as any adult client.
Minors may becomeknownas an"emancipatedminor"throughmarriage,
pregnancy, highschool graduation, independentlivingorserviceinthemilitary.
Therefore, thisclient, who ismarried,hasthelegal capacityofanadult.
, Page | 4
Question 6
Anewlyadmittedelderlyclient is severelydehydrated. Whenplanningcare for this
client, whichoneof the
Pretest Q&A | Verified 2024/2025 Edition
Pretest
Question 1
Ac. What document shouldbe inguidingthecareof this client?
A) Client Self DeterminationAct
B) Physician'streatmentorders
C) Advance Directives.
D) ClinicalPathwayprotocols
Review Information: Thecorrect answer is: C) AdvanceDirectives. Thisdocument
specifies theclient's wishes
Question 2
Youaretheofahealthcareteam that consistsofonelicensedpractical/vocationalnurse,
onenursing assistant , anursingstudentandyourself. Towhomis it appropriate to
assign completecarefor
A) Yourself
B) Thenursingstudent
C) The licensedvocational nurse
D) Thenursing assistant
Review Information: The correct answer is:A)Yourself.
, Whilethenursemaydelegateabed bathfor astableclient, this careshouldbe
performedbyanRNfor a newadmission.Only tasks that donot require
independentjudgmentshouldbedelegated.
Page | 2
3Question 3
Amother brings her theclinic, complainingthat thechildseems tobe Thenurse
expects to findwhich of thefollowingon the initial historyandphysical
assessment?
A) Increased temperature and lethargy
B) Rashand restlessness
C) Increasedsleeping andlistlessness
D) Diarrheaandpoorskinturgor
Review Information: Thecorrect answer is:B)Rash and restlessness.
, Question 4
Page | 3
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by
the parents require follow-upandareconsistentwith thediagnosis?
A) "Thechild has been listless and haslost weight."
B) "Her urineisdarkyellowandsmall inamounts."
C)"Clothesarebecoming tighter acrossher
abdomen." D+)"Wenoticemuscle
weaknessandsomeunsteadiness."
Review Information: Thecorrect answer is:C) "Clothesarebecoming tighter across
her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight issignificant, and should be followed by
additional assessments.
Question 5
A 16 year-old presents to the emergency department. The triage nurse finds that this
teenager is legally married and signed the consent form for treatment. What would
be the appropriate INITIAL action by the nurse?
A) Refusetoseetheclient until aparent orlegal guardiancanbe contacted
B) Withholdtreatment until telephoneconsent canbeobtainedfromthespouse
C) Refer the client toa community pediatric hospital emergency room
D) Assessandtreat inthesamemanner asanyadult client
Review Information: The correct answer is:D)Assess and treat in the same manner
as any adult client.
Minors may becomeknownas an"emancipatedminor"throughmarriage,
pregnancy, highschool graduation, independentlivingorserviceinthemilitary.
Therefore, thisclient, who ismarried,hasthelegal capacityofanadult.
, Page | 4
Question 6
Anewlyadmittedelderlyclient is severelydehydrated. Whenplanningcare for this
client, whichoneof the
