NCLEX Style Questions From Lippincott Book
Exam Study Guide
A nursing student is committed to providing thoughtful, person-centered care. Which
nursing actions demonstrate this type of care? Select all that apply.
a. Assisting patients to select meals based on their cultural observances
b. Providing nursing care based on patients' needs and preferences
c. Documenting nursing interventions in the electronic health record
d. Reviewing fingerstick blood glucose levels with the primary nurse
e. Listening to a patient's concern for their ill significant other - ANSWER a,b,e
A patient who is receiving cancer chemotherapy tells the nurse, "The treatment for this
cancer is worse than the disease itself. I'm stopping treatment." Which nursing action
best promotes a patient-centered, therapeutic relationship?
a. Determining if the patient database is adequate to address the problem
b. Considering whether to suggest a counseling session for the patient
c. Reassessing the patient and determining how to best support them
d. Identifying possible interventions and critiquing the merit of each option - ANSWER c
The nursing philosophy in an acute care hospital includes a commitment to deliver
thoughtful, person-centered care. Which description of the nursing process best
supports this commitment?
a. Systematic
b. Interpersonal
c. Dynamic
d. Universally applicable in nursing situations - ANSWER b
A staff nurse tells a new graduate nurse not to bother studying too hard, since most
clinical reasoning becomes second nature and intuitive once they begin practicing.
, Which response by the student is appropriate?
a. Intuitive problem solving comes with years of practice and observation based on
nursing knowledge and science.
b. For nursing to remain a science, nurses must continue to be vigilant about avoiding
intuitive reasoning.
c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back;
we need intuitive, creative thinkers.
d. The nurse's preference dictates whether they are logical, scientific thinkers or
intuitive, creative thinkers. - ANSWER a
The nurse uses blended competencies when caring for patients in a rehabilitation
facility. Which interventions reflect the use of cognitive skills? Select all that apply.
a. Monitoring for side effects of medications
b. Safely administering an injectable medication
c. Teaching a patient about diabetes and its management
d. Acting as witness by signing a surgical consent form
e. Helping a patient identify their progress in physical therapy
f. Comforting a patient who has received bad news - ANSWER a,c
A nurse uses critical-thinking skills to develop the care plan for an older adult with
dementia awaiting placement in a long-term care facility. Which statements describe
characteristics of the critical thinking used by nurses engaged in clinical reasoning?
Select all that apply.
a. Functions independently of nursing standards, ethics, and state practice acts
b. Based on the principles of the nursing process, problem solving, and the scientific
method
c. Driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care
d. Avoids designs to compensate for problems created by human nature, such as
medication errors
e. Constantly reevaluating, self-correcting, and striving for improvement
Exam Study Guide
A nursing student is committed to providing thoughtful, person-centered care. Which
nursing actions demonstrate this type of care? Select all that apply.
a. Assisting patients to select meals based on their cultural observances
b. Providing nursing care based on patients' needs and preferences
c. Documenting nursing interventions in the electronic health record
d. Reviewing fingerstick blood glucose levels with the primary nurse
e. Listening to a patient's concern for their ill significant other - ANSWER a,b,e
A patient who is receiving cancer chemotherapy tells the nurse, "The treatment for this
cancer is worse than the disease itself. I'm stopping treatment." Which nursing action
best promotes a patient-centered, therapeutic relationship?
a. Determining if the patient database is adequate to address the problem
b. Considering whether to suggest a counseling session for the patient
c. Reassessing the patient and determining how to best support them
d. Identifying possible interventions and critiquing the merit of each option - ANSWER c
The nursing philosophy in an acute care hospital includes a commitment to deliver
thoughtful, person-centered care. Which description of the nursing process best
supports this commitment?
a. Systematic
b. Interpersonal
c. Dynamic
d. Universally applicable in nursing situations - ANSWER b
A staff nurse tells a new graduate nurse not to bother studying too hard, since most
clinical reasoning becomes second nature and intuitive once they begin practicing.
, Which response by the student is appropriate?
a. Intuitive problem solving comes with years of practice and observation based on
nursing knowledge and science.
b. For nursing to remain a science, nurses must continue to be vigilant about avoiding
intuitive reasoning.
c. The emphasis on logical, scientific, evidence-based reasoning has held nursing back;
we need intuitive, creative thinkers.
d. The nurse's preference dictates whether they are logical, scientific thinkers or
intuitive, creative thinkers. - ANSWER a
The nurse uses blended competencies when caring for patients in a rehabilitation
facility. Which interventions reflect the use of cognitive skills? Select all that apply.
a. Monitoring for side effects of medications
b. Safely administering an injectable medication
c. Teaching a patient about diabetes and its management
d. Acting as witness by signing a surgical consent form
e. Helping a patient identify their progress in physical therapy
f. Comforting a patient who has received bad news - ANSWER a,c
A nurse uses critical-thinking skills to develop the care plan for an older adult with
dementia awaiting placement in a long-term care facility. Which statements describe
characteristics of the critical thinking used by nurses engaged in clinical reasoning?
Select all that apply.
a. Functions independently of nursing standards, ethics, and state practice acts
b. Based on the principles of the nursing process, problem solving, and the scientific
method
c. Driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care
d. Avoids designs to compensate for problems created by human nature, such as
medication errors
e. Constantly reevaluating, self-correcting, and striving for improvement
