1
Nclex style exam EXAM NEWEST VERSION -2025/2026- 100+ Q
AND ANS MOST POPULAR EXAM GUARANTEED SUCCESS
A patient is exhibiting anxious behavior and states, "I just found out that I have
cancer everywhere and I don't have very long to live. My life is over." Which is the
best response by the nurse?
1. It might be good if your family were here right now. Shall I call them?
2. What might be the best way to approach this terrible news?
3. That is so sad. You must feel like crying
4. It sounds like you feel hopeless
4. It sounds like you feel hopeless
This is an example of reflective technique because the nurse incorporated the
patient's feelings into the response. When no solutions to a problem are evident,
a person becomes hopeless
A patient is to have arthroscopic surgery of the knee to repair a torn tendon. The
patient says, "I don't know if I'll make it through this surgery." Which responses by
the nurse may block further communication by the patient? SELECT ALL THAT
APPLY
1. The type of surgery you are having is minor
2. Surgery can often be frightening
3. Everything will be all right
4. You are not going to die
5. You sound scared
, 2
1. The type of surgery you are having is minor
3. Everything will be all right
4. You are not going to die
While performing a head-to-toe assessment, you perform the Romberg test. You
do this to test the patient's
Balance
The most common test of balance is the Romberg test. Ask the patient to stand
about 2 feet in front of you, with her feet together, toes pointed forward, and her
hands at her sides. While you extend your hands so that one is on either side of
the patient, ask her to close her eyes. Watch to see how well she can maintain
balance in that position. A minimum of swaying is normal, but if the patient sways
more than a couple of inches, stop the test and document that the patient
demonstrated difficulty maintaining balance on Romberg testing.
When using and maintaining your stethoscope, it is important to
Insert the earpieces at an angle toward your nose
Angling the earpieces toward your nose helps ensure that sounds are effectively
transmitted to your eardrums.
You are performing a physical examination of the spine for an older adult. Which
of the following findings is common with aging?
Kyphosis
Kyphosis, a pronounced "hunchback" curvature of the spine, is an abnormal
angulation of the posterior curve of the thoracic spine, usually a result of
osteoporosis. It is most common in older adults and tends to increase with aging.
, 3
This pronounced convexity of the thoracic spine is also common in older patients
who have had vertebral fractures.
When performing a respiratory assessment, you auscultate wet, popping sounds
at the inspiratory phase of each respiratory cycle. These sounds are best identified
as
crackles
Crackles, which are sometimes called rales, are wet, popping sounds created by
air moving through liquid or by collapsed alveoli snapping open on inspiration.
They are most common at the end of inspiration.
When performing a complete, head-to-toe physical examination, which physical-
assessment technique should you perform first?
Inspection
Inspection is the process of observation. You will first inspect the body
systematically, observing for normal as well as abnormal physical signs. When
assessing most body systems, the recommended order is inspection, palpation,
percussion, and auscultation. Abdominal assessment is an exception, since any
manipulation of or pressure on the abdomen may stimulate peristalsis, the waves
of contraction that propel contents through the gastrointestinal tract, and thus
alter the patient's bowel sounds. So, when assessing the abdomen, inspection is
still first, but auscultation comes before percussion and palpation.
What is your primary goal in performing a comprehensive physical assessment?
To develop a plan of care
, 4
Remember the nursing process: assessment, diagnosis, planning, implementation,
evaluation. Assessment is the first part of the process. It generates the database
from which you will make nursing decisions. Your objective in interacting with
patients is to identify their needs and concerns and help find solutions. That is the
nursing process in action - and your map is the nursing care plan you establish for
each patient. Analyzing and synthesizing data will provide the basis for each
nursing diagnosis and for the selection of nursing interventions to manage actual
or potential health problems.
While performing a cardiovascular assessment, you might encounter a variety of
pulsations and sounds. Which of the following findings is considered normal?
A brief thump felt near the fourth or fifth intercostal space near the left
midclavicular line
This is where you would inspect and palpate for the point of maximal impulse.
Also called an apical pulsation, it occurs as the apex of the heart bumps against
the chest wall with each heartbeat. The apical impulse is not always visible but
can be felt as a brief thump. This is a normal and expected finding when you are
preparing to auscultate an apical pulse.
A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills?
Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation.
The nurse is using critical thinking when analyzing a client's critical issues and then
planning to intervene with an appropriate action.
A nurse is following the steps of the nursing process when caring for a group of
clients. Which of the following actions by the nurse demonstrates the evaluation
step of the nursing process?
Nclex style exam EXAM NEWEST VERSION -2025/2026- 100+ Q
AND ANS MOST POPULAR EXAM GUARANTEED SUCCESS
A patient is exhibiting anxious behavior and states, "I just found out that I have
cancer everywhere and I don't have very long to live. My life is over." Which is the
best response by the nurse?
1. It might be good if your family were here right now. Shall I call them?
2. What might be the best way to approach this terrible news?
3. That is so sad. You must feel like crying
4. It sounds like you feel hopeless
4. It sounds like you feel hopeless
This is an example of reflective technique because the nurse incorporated the
patient's feelings into the response. When no solutions to a problem are evident,
a person becomes hopeless
A patient is to have arthroscopic surgery of the knee to repair a torn tendon. The
patient says, "I don't know if I'll make it through this surgery." Which responses by
the nurse may block further communication by the patient? SELECT ALL THAT
APPLY
1. The type of surgery you are having is minor
2. Surgery can often be frightening
3. Everything will be all right
4. You are not going to die
5. You sound scared
, 2
1. The type of surgery you are having is minor
3. Everything will be all right
4. You are not going to die
While performing a head-to-toe assessment, you perform the Romberg test. You
do this to test the patient's
Balance
The most common test of balance is the Romberg test. Ask the patient to stand
about 2 feet in front of you, with her feet together, toes pointed forward, and her
hands at her sides. While you extend your hands so that one is on either side of
the patient, ask her to close her eyes. Watch to see how well she can maintain
balance in that position. A minimum of swaying is normal, but if the patient sways
more than a couple of inches, stop the test and document that the patient
demonstrated difficulty maintaining balance on Romberg testing.
When using and maintaining your stethoscope, it is important to
Insert the earpieces at an angle toward your nose
Angling the earpieces toward your nose helps ensure that sounds are effectively
transmitted to your eardrums.
You are performing a physical examination of the spine for an older adult. Which
of the following findings is common with aging?
Kyphosis
Kyphosis, a pronounced "hunchback" curvature of the spine, is an abnormal
angulation of the posterior curve of the thoracic spine, usually a result of
osteoporosis. It is most common in older adults and tends to increase with aging.
, 3
This pronounced convexity of the thoracic spine is also common in older patients
who have had vertebral fractures.
When performing a respiratory assessment, you auscultate wet, popping sounds
at the inspiratory phase of each respiratory cycle. These sounds are best identified
as
crackles
Crackles, which are sometimes called rales, are wet, popping sounds created by
air moving through liquid or by collapsed alveoli snapping open on inspiration.
They are most common at the end of inspiration.
When performing a complete, head-to-toe physical examination, which physical-
assessment technique should you perform first?
Inspection
Inspection is the process of observation. You will first inspect the body
systematically, observing for normal as well as abnormal physical signs. When
assessing most body systems, the recommended order is inspection, palpation,
percussion, and auscultation. Abdominal assessment is an exception, since any
manipulation of or pressure on the abdomen may stimulate peristalsis, the waves
of contraction that propel contents through the gastrointestinal tract, and thus
alter the patient's bowel sounds. So, when assessing the abdomen, inspection is
still first, but auscultation comes before percussion and palpation.
What is your primary goal in performing a comprehensive physical assessment?
To develop a plan of care
, 4
Remember the nursing process: assessment, diagnosis, planning, implementation,
evaluation. Assessment is the first part of the process. It generates the database
from which you will make nursing decisions. Your objective in interacting with
patients is to identify their needs and concerns and help find solutions. That is the
nursing process in action - and your map is the nursing care plan you establish for
each patient. Analyzing and synthesizing data will provide the basis for each
nursing diagnosis and for the selection of nursing interventions to manage actual
or potential health problems.
While performing a cardiovascular assessment, you might encounter a variety of
pulsations and sounds. Which of the following findings is considered normal?
A brief thump felt near the fourth or fifth intercostal space near the left
midclavicular line
This is where you would inspect and palpate for the point of maximal impulse.
Also called an apical pulsation, it occurs as the apex of the heart bumps against
the chest wall with each heartbeat. The apical impulse is not always visible but
can be felt as a brief thump. This is a normal and expected finding when you are
preparing to auscultate an apical pulse.
A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills?
Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation.
The nurse is using critical thinking when analyzing a client's critical issues and then
planning to intervene with an appropriate action.
A nurse is following the steps of the nursing process when caring for a group of
clients. Which of the following actions by the nurse demonstrates the evaluation
step of the nursing process?
