,Chapter 1: 20 EXTRA Advanced NCLEX-Style Questions with Deep
Rationales
Question 1
A nurse is prioritizing care for a patient who is experiencing
homelessness and malnutrition. According to Maslow’s Hierarchy of
Needs, which action should the nurse prioritize first?
A) Refer the patient to a social worker for housing resources
B) Provide therapeutic communication to assess emotional well-
being
C) Administer supplemental nutrition to address physiological
deficits
D) Schedule the patient for long-term health promotion counseling
✅ Correct Answer: C)
Rationale: Maslow’s Hierarchy prioritizes physiological needs such
as nutrition, oxygen, and shelter first. Administering supplemental
nutrition addresses the most immediate physiological deficit. Social
support and emotional well-being are critical but come after life-
sustaining needs.
DIF: Applying
TOP: Nursing Process—Prioritization
MSC: NCLEX Client Needs: Physiological Integrity—Basic Care and
Comfort
Question 2
,Which nursing theorist is best known for focusing on the
interpersonal process between nurse and patient, emphasizing
therapeutic communication?
A) Jean Watson
B) Hildegard Peplau
C) Dorothea Orem
D) Madeleine Leininger
✅ Correct Answer: B)
Rationale: Hildegard Peplau developed the Interpersonal Relations
Theory, focusing on the therapeutic relationship between nurse and
patient. Watson emphasized caring, Orem focused on self-care, and
Leininger developed transcultural nursing theory.
DIF: Remembering
TOP: Communication
MSC: NCLEX Client Needs: Psychosocial Integrity
Question 3
A newly licensed nurse is discussing professional nursing roles.
Which statement reflects the role of the advocate?
A) "I will collaborate with physical therapy to promote patient
mobility."
B) "I will report unsafe practices that threaten patient safety."
C) "I will coordinate interdisciplinary rounds."
D) "I will educate patients about medication side effects."
✅ Correct Answer: B)
Rationale: The role of the advocate involves protecting the patient’s
rights and reporting unsafe practices. Educating is the role of
, teacher, coordinating care is the role of manager, and collaborating
is part of care coordination.
DIF: Understanding
TOP: Professional Roles
MSC: NCLEX Client Needs: Safe and Effective Care Environment—
Management of Care
Question 4
The primary purpose of the ANA’s Nursing Scope and Standards of
Practice is to:
A) Define medical diagnoses for nursing practice
B) Establish a legal framework for state boards of nursing
C) Guide nurses in delivering competent, professional care
D) Outline continuing education requirements for licensure
✅ Correct Answer: C)
Rationale: The ANA Scope and Standards of Practice provides
guidelines for professional nursing care and sets expectations for
quality practice. It is not a legal framework (that’s state nursing
practice acts) nor does it outline licensure requirements.
DIF: Understanding
TOP: Professional Standards
MSC: NCLEX Client Needs: Safe and Effective Care Environment
Question 5
Which of the following best represents evidence-based practice
(EBP) in nursing?
Rationales
Question 1
A nurse is prioritizing care for a patient who is experiencing
homelessness and malnutrition. According to Maslow’s Hierarchy of
Needs, which action should the nurse prioritize first?
A) Refer the patient to a social worker for housing resources
B) Provide therapeutic communication to assess emotional well-
being
C) Administer supplemental nutrition to address physiological
deficits
D) Schedule the patient for long-term health promotion counseling
✅ Correct Answer: C)
Rationale: Maslow’s Hierarchy prioritizes physiological needs such
as nutrition, oxygen, and shelter first. Administering supplemental
nutrition addresses the most immediate physiological deficit. Social
support and emotional well-being are critical but come after life-
sustaining needs.
DIF: Applying
TOP: Nursing Process—Prioritization
MSC: NCLEX Client Needs: Physiological Integrity—Basic Care and
Comfort
Question 2
,Which nursing theorist is best known for focusing on the
interpersonal process between nurse and patient, emphasizing
therapeutic communication?
A) Jean Watson
B) Hildegard Peplau
C) Dorothea Orem
D) Madeleine Leininger
✅ Correct Answer: B)
Rationale: Hildegard Peplau developed the Interpersonal Relations
Theory, focusing on the therapeutic relationship between nurse and
patient. Watson emphasized caring, Orem focused on self-care, and
Leininger developed transcultural nursing theory.
DIF: Remembering
TOP: Communication
MSC: NCLEX Client Needs: Psychosocial Integrity
Question 3
A newly licensed nurse is discussing professional nursing roles.
Which statement reflects the role of the advocate?
A) "I will collaborate with physical therapy to promote patient
mobility."
B) "I will report unsafe practices that threaten patient safety."
C) "I will coordinate interdisciplinary rounds."
D) "I will educate patients about medication side effects."
✅ Correct Answer: B)
Rationale: The role of the advocate involves protecting the patient’s
rights and reporting unsafe practices. Educating is the role of
, teacher, coordinating care is the role of manager, and collaborating
is part of care coordination.
DIF: Understanding
TOP: Professional Roles
MSC: NCLEX Client Needs: Safe and Effective Care Environment—
Management of Care
Question 4
The primary purpose of the ANA’s Nursing Scope and Standards of
Practice is to:
A) Define medical diagnoses for nursing practice
B) Establish a legal framework for state boards of nursing
C) Guide nurses in delivering competent, professional care
D) Outline continuing education requirements for licensure
✅ Correct Answer: C)
Rationale: The ANA Scope and Standards of Practice provides
guidelines for professional nursing care and sets expectations for
quality practice. It is not a legal framework (that’s state nursing
practice acts) nor does it outline licensure requirements.
DIF: Understanding
TOP: Professional Standards
MSC: NCLEX Client Needs: Safe and Effective Care Environment
Question 5
Which of the following best represents evidence-based practice
(EBP) in nursing?
