NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with w w w w w
rationale
w
Question w1
A wc. wWhat wdocument wshould wbe win wguiding wthe wcare wof wthis wclient?
A) Client wSelf wDetermination wAct
B) Physician's wtreatment worders
C) Advance w Directives.
D) Clinical wPathway wprotocols
Review w Information: wThe wcorrect wanswer wis: wC) wAdvance wDirectives. wThis wdocument wspecifies wthe wclient's wwishes
Question w2
You ware wthe wof wa whealth wcare wteam wthat wconsists wof wone wlicensed wpractical/vocational wnurse, wone wnursing wassistant w, wa
wnursing wstudent wand wyourself. wTo wwhom wis wit wappropriate wto wassign wcomplete wcare wfor
A) Yourself
B) The w nursing w student
C) The wlicensed wvocational wnurse
D) The wnursing wassistant
Review wInformation: wThe wcorrect wanswer wis:A)wYourself.
While wthe wnurse wmay wdelegate wa wbed wbath wfor wa wstable wclient, wthis wcare wshould wbe wperformed wby wan wRN wfor wa wnew
wadmission. wOnly wtasks wthat wdo wnot wrequire windependent wjudgment wshould wbe wdelegated.
3Question w3
A wmother wbrings wher wthe wclinic, wcomplaining wthat wthe wchild wseems wto wbe w The wnurse wexpects wto wfind wwhich wof
wthe wfollowing won wthe winitial whistory wand wphysical wassessment?
A) Increased wtemperature wand wlethargy
B) Rash wand wrestlessness
C) Increased wsleeping wand wlistlessness
,NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with
w w w w w
rationale
w
D) Diarrhea wand wpoor wskin wturgor
Review w Information: wThe wcorrect wanswer wis:B) wRash wand wrestlessness.
,NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with w w w w w
rationale
w
Question w4
As wthe wnurse wtakes wa whistory wof wa w3 wyear-old wwith wneuroblastoma, wwhat wcomments wby wthe wparents wrequire
wfollow-up wand ware wconsistent w
with wthe wdiagnosis?
A) "The wchild whas wbeen wlistless wand whas wlost wweight."
B) "Her wurine wis wdark wyellow wand wsmall win wamounts."
C) "Clothes ware wbecoming wtighter wacross wher wabdomen." wD+)
"We wnotice wmuscle wweakness wandwsome wunsteadiness."
w
Review w Information: w The w correct w answer w is:C) w "Clothes w are w becoming w tighter w across w her w abdomen.".
One wof wthe wmost wcommon wsigns wof wneuroblastoma wis wincreasing wabdominal wgirth. wThe wparents'' wreport wthat
wclothing wis wtight wis wsignificant, wand wshould wbe wfollowed wby wadditional wassessments.
Question w5
A w16 wyear-old wpresents wto wthe wemergency wdepartment. wThe wtriage wnurse wfinds wthat wthis wteenager wis wlegally
wmarried wand wsigned wthe wconsent wform wfor wtreatment. wWhat wwould wbe wthe wappropriate wINITIAL waction wby wthe
wnurse?
A) Refuse wto wsee wthe wclient wuntil wa wparent wor wlegal wguardian wcan wbe wcontacted
B) Withhold w treatment w until w telephone w consent wcan w be w obtained w from w the w spouse
C) Refer wthe wclient wto wa wcommunity w pediatric whospital wemergency wroom
D) Assess wand wtreat win wthe wsame wmanner was wany wadult wclient
Review w Information: wThe wcorrect wanswer wis:D) wAssess wand wtreat win wthe wsame wmanner was wany wadult wclient.
Minors wmay wbecome wknown was wan w"emancipated wminor" wthrough wmarriage, wpregnancy, whigh wschool
wgraduation, windependent wliving wor wservice win wthe wmilitary. wTherefore, wthis wclient, wwho wis wmarried, whas wthe wlegal
wcapacity wof wan wadult.
, NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers withw w w w w
rationale
w
Question w6
A wnewly wadmitted welderly wclient wis wseverely wdehydrated. wWhen wplanning wcare wfor wthis wclient, wwhich wone wof wthe
wfollowing wis wan wappropriate wtask wfor wan wUnlicensed wAssistive wPersonnel w(UAP)?
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with w w w w w
rationale
w
Question w1
A wc. wWhat wdocument wshould wbe win wguiding wthe wcare wof wthis wclient?
A) Client wSelf wDetermination wAct
B) Physician's wtreatment worders
C) Advance w Directives.
D) Clinical wPathway wprotocols
Review w Information: wThe wcorrect wanswer wis: wC) wAdvance wDirectives. wThis wdocument wspecifies wthe wclient's wwishes
Question w2
You ware wthe wof wa whealth wcare wteam wthat wconsists wof wone wlicensed wpractical/vocational wnurse, wone wnursing wassistant w, wa
wnursing wstudent wand wyourself. wTo wwhom wis wit wappropriate wto wassign wcomplete wcare wfor
A) Yourself
B) The w nursing w student
C) The wlicensed wvocational wnurse
D) The wnursing wassistant
Review wInformation: wThe wcorrect wanswer wis:A)wYourself.
While wthe wnurse wmay wdelegate wa wbed wbath wfor wa wstable wclient, wthis wcare wshould wbe wperformed wby wan wRN wfor wa wnew
wadmission. wOnly wtasks wthat wdo wnot wrequire windependent wjudgment wshould wbe wdelegated.
3Question w3
A wmother wbrings wher wthe wclinic, wcomplaining wthat wthe wchild wseems wto wbe w The wnurse wexpects wto wfind wwhich wof
wthe wfollowing won wthe winitial whistory wand wphysical wassessment?
A) Increased wtemperature wand wlethargy
B) Rash wand wrestlessness
C) Increased wsleeping wand wlistlessness
,NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with
w w w w w
rationale
w
D) Diarrhea wand wpoor wskin wturgor
Review w Information: wThe wcorrect wanswer wis:B) wRash wand wrestlessness.
,NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers with w w w w w
rationale
w
Question w4
As wthe wnurse wtakes wa whistory wof wa w3 wyear-old wwith wneuroblastoma, wwhat wcomments wby wthe wparents wrequire
wfollow-up wand ware wconsistent w
with wthe wdiagnosis?
A) "The wchild whas wbeen wlistless wand whas wlost wweight."
B) "Her wurine wis wdark wyellow wand wsmall win wamounts."
C) "Clothes ware wbecoming wtighter wacross wher wabdomen." wD+)
"We wnotice wmuscle wweakness wandwsome wunsteadiness."
w
Review w Information: w The w correct w answer w is:C) w "Clothes w are w becoming w tighter w across w her w abdomen.".
One wof wthe wmost wcommon wsigns wof wneuroblastoma wis wincreasing wabdominal wgirth. wThe wparents'' wreport wthat
wclothing wis wtight wis wsignificant, wand wshould wbe wfollowed wby wadditional wassessments.
Question w5
A w16 wyear-old wpresents wto wthe wemergency wdepartment. wThe wtriage wnurse wfinds wthat wthis wteenager wis wlegally
wmarried wand wsigned wthe wconsent wform wfor wtreatment. wWhat wwould wbe wthe wappropriate wINITIAL waction wby wthe
wnurse?
A) Refuse wto wsee wthe wclient wuntil wa wparent wor wlegal wguardian wcan wbe wcontacted
B) Withhold w treatment w until w telephone w consent wcan w be w obtained w from w the w spouse
C) Refer wthe wclient wto wa wcommunity w pediatric whospital wemergency wroom
D) Assess wand wtreat win wthe wsame wmanner was wany wadult wclient
Review w Information: wThe wcorrect wanswer wis:D) wAssess wand wtreat win wthe wsame wmanner was wany wadult wclient.
Minors wmay wbecome wknown was wan w"emancipated wminor" wthrough wmarriage, wpregnancy, whigh wschool
wgraduation, windependent wliving wor wservice win wthe wmilitary. wTherefore, wthis wclient, wwho wis wmarried, whas wthe wlegal
wcapacity wof wan wadult.
, NCSBN TEST BANK - for the NCLEX- RN
w w w w w w w
& NCLEX-PN, UPDATED EDITION,
w w w w w
Complete Questions & Answers withw w w w w
rationale
w
Question w6
A wnewly wadmitted welderly wclient wis wseverely wdehydrated. wWhen wplanning wcare wfor wthis wclient, wwhich wone wof wthe
wfollowing wis wan wappropriate wtask wfor wan wUnlicensed wAssistive wPersonnel w(UAP)?
