2023 RN TEST 3 NCLEX QUESTIONS AND
ANSWERS 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 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.
During a nursing staff meeting to discuss delayed documentation, the nurses
unanimously agree that they will ensure all vital signs are reported and charted within
15 minutes following assessments. This decision is consistent with which characteristics
of effective communication? Select all that apply.
a. Group decision making
b. Group leadership
c. Group power
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness - answer a, d, e, f. Solving problems involves group decision
making; ascertaining the task is important and agreeing to complete the task on time is
characteristic of group identity. Group patterns of interaction involve honest
communication and member support; cohesiveness occurs when members generally
trust each other, have a high commitment to the group, and a high degree of
cooperation. Group leadership occurs when groups use effective styles of leadership to
meet goals; with group power, sources of power are recognized and appropriately used
to accomplish group outcomes.
ANSWERS 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 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.
During a nursing staff meeting to discuss delayed documentation, the nurses
unanimously agree that they will ensure all vital signs are reported and charted within
15 minutes following assessments. This decision is consistent with which characteristics
of effective communication? Select all that apply.
a. Group decision making
b. Group leadership
c. Group power
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness - answer a, d, e, f. Solving problems involves group decision
making; ascertaining the task is important and agreeing to complete the task on time is
characteristic of group identity. Group patterns of interaction involve honest
communication and member support; cohesiveness occurs when members generally
trust each other, have a high commitment to the group, and a high degree of
cooperation. Group leadership occurs when groups use effective styles of leadership to
meet goals; with group power, sources of power are recognized and appropriately used
to accomplish group outcomes.
