2025 RN test 3 NCLEX Final Exam ( Updated 2025 ) 1 100
Complete Questions & Answers (Solved) 100% Correct
The charge nurse overhears an AP yelling loudly to a patient who is hard of
hearing, while transferring them from the bed to a chair. Upon entering the room,
which response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk." - ANSWER-
d. The charge nurse should direct the AP to see to the patient's safety, then
address any concerns privately. The nurse then can discuss appropriate use of
therapeutic communication.
,A public health nurse is leaving the home of a young mother who has an infant
with special needs. The neighbor states, "How is she doing, since the baby's father
is no help?" What is the nurse's best response?
a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation." - ANSWER-a. The nurse must maintain confidentiality
when providing care. The statement "New mothers need support" is a general
statement that all new parents need help. The statement is not judgmental of the
family's roles. "How are you today?" is dismissive of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care
center. During the admission interview, what question will the nurse ask the
parents to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting? -
ANSWER-d. Using a clarifying question or comment allows the nurse to gain an
understanding of the parents' observations, avoiding misunderstandings that
could lead to an inappropriate nursing diagnosis. A reflective question technique
involves repeating what the person has said or describes the person's feelings.
Assertive questions are direct, demonstrating the ability to stand up for self or
others, using open and honest communication. Open-ended questions encourage
free verbalization and expression of what the parents believe to be true.
A nurse enters a patient's room and examines the patient's intravenous (IV) fluids
and cardiac monitor. When asked, "who are you?", which response by the nurse
is most appropriate?
,a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM." - ANSWER-
d. The nurse should identify themselves, ensure the patient knows what will be
happening, and the duration of their relationship.
A nurse enters the room of a patient with cancer. The patient is crying and states,
"I feel so alone." How will the nurse best communicate a therapeutic response?
a. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so alone."
c. The nurse stands in the patient's room and asks, "Why do you feel so alone?
Your wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone is
like for you?" - ANSWER-d. The use of touch conveys acceptance, and the
implementation of an open-ended question allows the patient time to verbalize
freely.
A primary nurse is preparing a discharge plan for a patient who has been
hospitalized following a double mastectomy. Which statement is most
appropriate for the nurse to use in the termination phase of the therapeutic
relationship?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health record."
d. "Should we include your family in today's session?" - ANSWER-a. The
termination phase occurs when the conclusion of the initial agreement is
, acknowledged. Discharge planning correlates with the termination phase of a
therapeutic relationship and the progress toward the patient's goals are
reviewed.
A nursing student is nervous and concerned about working at a clinical facility.
Which action would best decrease anxiety and help ensure successful delivery of
patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel - ANSWER-c. By engaging
in positive self-talk, or intrapersonal communication, the nursing student can plan
the day, decrease fear and anxiety, and enhance clinical performance.
A nurse says to their nurse manager, "I need the day off, and you didn't give it to
me!" The manager replies, "I wasn't aware you needed the day off, and it isn't
possible since staffing is inadequate." How could the nurse best modify the
communication for a more positive interaction?
a. "I placed a request to have 8th of August off for a doctor's appointment, but
I'm scheduled to work."
b. "Could I make an appointment to discuss my schedule with you? I requested
the 8th of August off for a doctor's appointment."
c. "I will need to call in on the 8th of August because I have a doctor's
appointment."
d. "Since you didn't give me the 8th of August off, will I need to find someone to
work for me?" - ANSWER-b. Effective communication involves sending clear,
nonthreatening, and respectful information to the receiver. The nurse identifies
the subject of the meeting and determines a mutually agreed upon time.
Complete Questions & Answers (Solved) 100% Correct
The charge nurse overhears an AP yelling loudly to a patient who is hard of
hearing, while transferring them from the bed to a chair. Upon entering the room,
which response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk." - ANSWER-
d. The charge nurse should direct the AP to see to the patient's safety, then
address any concerns privately. The nurse then can discuss appropriate use of
therapeutic communication.
,A public health nurse is leaving the home of a young mother who has an infant
with special needs. The neighbor states, "How is she doing, since the baby's father
is no help?" What is the nurse's best response?
a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation." - ANSWER-a. The nurse must maintain confidentiality
when providing care. The statement "New mothers need support" is a general
statement that all new parents need help. The statement is not judgmental of the
family's roles. "How are you today?" is dismissive of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care
center. During the admission interview, what question will the nurse ask the
parents to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting? -
ANSWER-d. Using a clarifying question or comment allows the nurse to gain an
understanding of the parents' observations, avoiding misunderstandings that
could lead to an inappropriate nursing diagnosis. A reflective question technique
involves repeating what the person has said or describes the person's feelings.
Assertive questions are direct, demonstrating the ability to stand up for self or
others, using open and honest communication. Open-ended questions encourage
free verbalization and expression of what the parents believe to be true.
A nurse enters a patient's room and examines the patient's intravenous (IV) fluids
and cardiac monitor. When asked, "who are you?", which response by the nurse
is most appropriate?
,a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM." - ANSWER-
d. The nurse should identify themselves, ensure the patient knows what will be
happening, and the duration of their relationship.
A nurse enters the room of a patient with cancer. The patient is crying and states,
"I feel so alone." How will the nurse best communicate a therapeutic response?
a. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so alone."
c. The nurse stands in the patient's room and asks, "Why do you feel so alone?
Your wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone is
like for you?" - ANSWER-d. The use of touch conveys acceptance, and the
implementation of an open-ended question allows the patient time to verbalize
freely.
A primary nurse is preparing a discharge plan for a patient who has been
hospitalized following a double mastectomy. Which statement is most
appropriate for the nurse to use in the termination phase of the therapeutic
relationship?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health record."
d. "Should we include your family in today's session?" - ANSWER-a. The
termination phase occurs when the conclusion of the initial agreement is
, acknowledged. Discharge planning correlates with the termination phase of a
therapeutic relationship and the progress toward the patient's goals are
reviewed.
A nursing student is nervous and concerned about working at a clinical facility.
Which action would best decrease anxiety and help ensure successful delivery of
patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel - ANSWER-c. By engaging
in positive self-talk, or intrapersonal communication, the nursing student can plan
the day, decrease fear and anxiety, and enhance clinical performance.
A nurse says to their nurse manager, "I need the day off, and you didn't give it to
me!" The manager replies, "I wasn't aware you needed the day off, and it isn't
possible since staffing is inadequate." How could the nurse best modify the
communication for a more positive interaction?
a. "I placed a request to have 8th of August off for a doctor's appointment, but
I'm scheduled to work."
b. "Could I make an appointment to discuss my schedule with you? I requested
the 8th of August off for a doctor's appointment."
c. "I will need to call in on the 8th of August because I have a doctor's
appointment."
d. "Since you didn't give me the 8th of August off, will I need to find someone to
work for me?" - ANSWER-b. Effective communication involves sending clear,
nonthreatening, and respectful information to the receiver. The nurse identifies
the subject of the meeting and determines a mutually agreed upon time.
