NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated
2024 Complete Questions and Answers, Exams of Nursing
Question 1
A c. What document should be in guiding the care of this client?
A) Client Self Determination Act
B) Physician's treatment orders
C) Advance Directives.
D) Clinical Pathway protocols
Review Information: The correct answer is: C) Advance Directives. This document
specifies the client's wishes
Question 2
You are the of a health care team that consists of one licensed practical/vocational
nurse, 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 nurse
D) The nursing assistant
Review Information: The correct answer is:A) Yourself.
While the nurse may delegate a bed bath for a stable client, this care should be
performed by an RN for a new admission. Only tasks that do not require
independent judgment should be delegated.
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
Question 3
A mother brings her the clinic, complaining that the child seems to be .The nurse
expects to find which of the following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: The correct answer is: B) Rash and restlessness.
Question 4
As the nurse 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: The correct answer is: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
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
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) Refuse to see the client until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the client to a community pediatric hospital emergency room
D) manne
Review Information: The correct answer is:D) Assess and treat in the same
manner as any adult client.
Minors may become known as an "emancipated minor" through marriage,
pregnancy, high school graduation, independent living or service in the military.
Therefore, this client, who is married, has the legal capacity of an adult.
Question 6
A newly admitted elderly client is severely dehydrated. When planning care for
this client, which one of the following is an appropriate task for an Unlicensed
Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report out ml/hr
C) Monitor response to IV fluids
D) Check skin turgor every four hours
Review Information: The correct answer is:B) Report output of less than 30 ml/hr.
When directing a UAP, the nurse must communicate clearly about each delegated
task with specific instructions on what must be reported. Because the RN is
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
responsible for all care-related decisions,on1y implementation tasks should be
assigned because they do not require independent judgment.
Question 7
The nurse is assessing a 4 year-old for possible rheumatic fever. Which of the
following would the nurse suspect is related to this diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposur month
C) Treatment for ear infection two months ago
D) Episode of fungal skin infection last week
Review Information: The correct answer is: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 nurse becomes aware of feeling reluctant to interact with a manipulative
client, the BEST action by the nurse is to
A) Discus feelin reluctance objective
B) Limit contacts with the client to avoid reinforcing the manipulative behavior
C) Confront the client regarding the negative effects of his/her behavior on others
D) Develop a behavior modification plan that will promote more functional behavior
Review Information: The correct answer is:A) Discuss the feeling of reluctance
with an objective peer or supervisor.
NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated
2024 Complete Questions and Answers, Exams of Nursing
Question 1
A c. What document should be in guiding the care of this client?
A) Client Self Determination Act
B) Physician's treatment orders
C) Advance Directives.
D) Clinical Pathway protocols
Review Information: The correct answer is: C) Advance Directives. This document
specifies the client's wishes
Question 2
You are the of a health care team that consists of one licensed practical/vocational
nurse, 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 nurse
D) The nursing assistant
Review Information: The correct answer is:A) Yourself.
While the nurse may delegate a bed bath for a stable client, this care should be
performed by an RN for a new admission. Only tasks that do not require
independent judgment should be delegated.
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
Question 3
A mother brings her the clinic, complaining that the child seems to be .The nurse
expects to find which of the following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: The correct answer is: B) Rash and restlessness.
Question 4
As the nurse 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: The correct answer is: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
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
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) Refuse to see the client until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the client to a community pediatric hospital emergency room
D) manne
Review Information: The correct answer is:D) Assess and treat in the same
manner as any adult client.
Minors may become known as an "emancipated minor" through marriage,
pregnancy, high school graduation, independent living or service in the military.
Therefore, this client, who is married, has the legal capacity of an adult.
Question 6
A newly admitted elderly client is severely dehydrated. When planning care for
this client, which one of the following is an appropriate task for an Unlicensed
Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report out ml/hr
C) Monitor response to IV fluids
D) Check skin turgor every four hours
Review Information: The correct answer is:B) Report output of less than 30 ml/hr.
When directing a UAP, the nurse must communicate clearly about each delegated
task with specific instructions on what must be reported. Because the RN is
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN Updated 2024
responsible for all care-related decisions,on1y implementation tasks should be
assigned because they do not require independent judgment.
Question 7
The nurse is assessing a 4 year-old for possible rheumatic fever. Which of the
following would the nurse suspect is related to this diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposur month
C) Treatment for ear infection two months ago
D) Episode of fungal skin infection last week
Review Information: The correct answer is: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 nurse becomes aware of feeling reluctant to interact with a manipulative
client, the BEST action by the nurse is to
A) Discus feelin reluctance objective
B) Limit contacts with the client to avoid reinforcing the manipulative behavior
C) Confront the client regarding the negative effects of his/her behavior on others
D) Develop a behavior modification plan that will promote more functional behavior
Review Information: The correct answer is:A) Discuss the feeling of reluctance
with an objective peer or supervisor.
