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Exam (elaborations)

2026 RN test 3 NCLEX Questions And Answers (Verified Answers) With Complete Solutions| Grade A+.

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2026 RN test 3 NCLEX Questions And Answers (Verified Answers) With Complete Solutions| Grade A+.

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2026 RN test 3 NCLEX Questions And Answers
(Verified Answers) With Complete Solutions| Grade
A+.




A nurse enters a patient's room and examines the patient's intravenous
(IV) fluids and cardiac monitor. When asked, "who are you?", which
response by the nurse is most appropriate?
a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM."
d. The nurse should identify themselves, ensure the patient knows what
will be happening, and the duration of their relationship.




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."
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.




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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?
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 nurse enters the room of a patient with cancer. The patient is crying
and states, "I feel so alone." How will the nurse best communicate a
therapeutic response?
a. The nurse stands at the patient's bedside and states, "I understand
how you feel. My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so
alone."

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,c. The nurse stands in the patient's room and asks, "Why do you feel so
alone? Your wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so
alone is like for you?"
d. The use of touch conveys acceptance, and the implementation of an
open-ended question allows the patient time to verbalize freely.




A primary nurse is preparing a discharge plan for a patient who has
been hospitalized following a double mastectomy. Which statement is
most appropriate for the nurse to use in the termination phase of the
therapeutic relationship?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health
record."
d. "Should we include your family in today's session?"
a. The termination phase occurs when the conclusion of the initial
agreement is acknowledged. Discharge planning correlates with the
termination phase of a therapeutic relationship and the progress toward
the patient's goals are reviewed.




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



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, 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.




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."
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 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?"




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