NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
NCLEX Nursing Unit 1,2,3,5,8 Exam Practices
Questions With Correctly Detailed Answers
With Rationale New Update
Terms In This Set (200)
Which teaching method is most effective 1. Teach-back
when providing instruction to members of Rationale: When providing education to members of special populations, return
special populations ? explanation and demonstration (teach-back) are of particular importance to
1. Teach-back ensure safety and mutual understanding. This method is the most reliable in
2. Video instruction confirming client understanding of the instructions. Video instruc-tion, written
3. Written materials materials, and verbal explanation are helpful and may be incorporated with the
4. Verbal explanation teach-back method.
Which is most appropriate when 1. Using preferred pronoun
communicating with a transgender person Rationale: The nurse needs to address the client with the name and pronouns that
? the client prefers, and the first name may not necessarily be preferred. For the
1. Using preferred pronouns transgender person, it is likely that they would like to be addressed using
2. Using their first name to address them pronouns associated with the sex they identify with now, which typically is not
3. Using pronouns associated with birth their birth sex. Anticipating the client's needs and making suggestions may be
sex seen as passing judgment, so the nurse should refrain from doing this.
4. Anticipating the client's needs and
making suggestions .
The nurse is volunteering with an 4. Complaints and tingling in both feet
outreach program to provide basic health
care for homeless people. Which finding , Rationale: The nurse needs to address the complaints of pain and numbness and
if noted , must be addressed first ? tingling in both feet first with this popula-tion. If the client perceives value to the
service provided and his or her complaint is addressed, they will be more likely to
1. Blood pressure 154/72 mm Hg return for follow-up care. Although the blood pressure, blood glucose, and vision
2. Visual acuity of 20/200 in both eyes results are concerning, the client's stated concern must be addressed first.
3. Random blood glucose of pain
associated with numbness level of 206
mg / dl .
4. Complaints and tingling in both feet
The nurse is completing the admission 1. The history
assessment of a client who is intellectually
disabled. Which part of the client Rationale: Intellectually disabled clients tend to have culty trying to remember
encounter may require more time to their medical history. It may be essary for the nurse to take more time to ask
complete? questions variety of different ways when collecting the history data. Physical
1. The history assessment, nursing plan of care, and readmis: risk assessment portions, although
2. The physical assessment they rely on the hist take less time because they require less client questioning.
3. The nursing plan of care
4. The readmission risk assessment
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse is completing the admission 4. The readmission risk assessment
assessment of a client who is intellectually
disabled . Which part of the client
encounter may require more time to
complete ?
1. The history
2. The physical assessment
3. The nursing plan of care
4. The readmission risk assessment
The nurse is caring for a female client in 3. A reddish - purple mark on the neck
the emergency department who presents
with a complaint of fatigue and shortness Rationale: The client in this question must be screened for abuse.
of breath . Which physical assessment Battered women experience bruises, particularly around the eyes, red or purple
findings , if noted by the nurse , warrant a marks on the neck, sprained or broken wrists, chronic fatigue, shortness of breath,
need for follow - up ? muscle tension, involuntary shaking, changes in eating and sleeping, sexual
1. Reddened sclera of the eyes dysfunction, and fertility issues. Mental health problems can also arise, including
2. Dry flaking noted on the scalp posttraumatic stress disorder, nightmares, anxiety, uncontrollable thoughts,
3. A reddish - purple mark on the neck 4. depression, low self-esteem, and alcohol and drug abuse. Reddened sclera, a dry
A scaly rash noted on the elbows and rash on the elbows, and flaking of the scalp do not pose an indication of abuse.
knees
The nurse working in a correctional 3. "Living in a prison can predispose a person to different health conditions."
facility is caring for a new prisoner . The
client asks about health risks associated Rationale: The environment of a prison can predispose a person to different health
with living in a prison . How would the conditions, such as tuberculosis, sexuallv transmitted infections, or other infectious
nurse respond ? diseases.
1. " Health care is very limited in the prison Option 1 does not address the client's question. Options 2 and 4 convey incorrect
setting . " information.
2. " Living in a prison isn't different than
living at home . "
3. " Living in a prison can predispose a
person to different health conditions."
4. " Living in a prison is similar to living in a
condominium complex or dormitory . "
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse working in a community 3, 4, 5, 6
outreach program for foster children
plans care knowing that which health Rationale: Foster children are at risk for a variety of health conditions, including
conditions are common in this population attention-deficit/hyperactivity disorder, aggressive behavior, anxiety disorder,
? Select all that apply. bipolar disorder, depres sion, mood disorder, post-traumatic stress disorder
1. Asthma (PTSD), reactive detachment disorder, sleep problems, and personality disorder.
2. Claustrophobia Claustrophobia
3. Sleep problems
4. Bipolar disorder
5. Aggressive behavior
6. Attention - deficit / hyperactivity
disorder ( ADHD )
4. Post-traumatic stress disorder
The nurse assisting in planning care for a
military veteran must prioritize nursing
Rationale: PTSD is extremely common in this population.
interventions targeted at managing which
Identifying and treating mental health problems assists in mitigating suicide risk.
condition, if present, that commonly
Treatment of comorbid conditions such as PTSD may also help to address any
occurs in this population?
substance use disorder. Use of screening tools in identifying substance use
1. Hypertension
disorder is helpful. Treatment of PTSD includes exposure ther-apy, psychotherapy,
2. Hyperlipidemia
and family/group therapy. Hypertension and hyperlipidemia are important but are
3. Substance abuse disorder
not the priority; the risk of suicide and other safety concerns associated with PTSD
4Post-traumatic stress disorder
are the priority for this population.
The nurse caring for a refugee considers 4.Access to mental health care services
which health care need a priority for this
client?
1. Access to housing
2. Access to clean water
3. Access to transportation
4. Access to to mental health care
services
Which action by the nurse will best 1. Arranging for home health care
facilitate adherence to the treatment
regimen for a client with a chronic illness?
1. Arranging for home health care
2. Focusing on managing a single illness
at a time
3. Communicating with one provider only
to avoid confusion for the client
4. Allowing the client to teach a support
person about their treatment regimen
4. Access to mental health care services
The nurse caring for a refugee considers
which health care need a priority for this
Rationale: Mental health problems are the primary issue for this population as a
client?
result of difficult events. Although all other options are important for all clients,
1. Access to housing
they do not address the specific needs of this special population.
2. Access to clean water
Test-Taking Strategy: Note the strategic word, priority. This indicates that all
3. Access to transportation
options are important and are most likely correct. It is necessary to recall that due
4. Access to mental health care services
to the potential trauma experienced by
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse is recording a nursing hands- 4. Total number of scheduled medications that the
off (end-of-shift) report for a client. Which dient received on that shift
information needs to be included?
1. As-needed medications given that shift Rationale: The nursing hands-off (end-of-shift) report needs to be an efficient and
2. Normal vital signs that have been the accurate account of the client's condition during the last shift. It needs to include
same since admission pertinent information about the client, such as tests and treatments; as-needed
3. All of the tests and treatments the client medications given or therapies performed during the past 24 hours, including the
has had client's response to them; changes in the client's condition; scheduled tests and
since admission treatments; current problems; and any other special concerns. It is not necessary
4. Total number of scheduled medications to include.
that the
dient received on that shift
The nurse is planning the client 2. A client who requires frequent ambulation
assignments for the day. Which is the most
appropriate assignment for rationale: The nurse must determine the most appropriate assignment on the basis
the assistive personnel (AP)? of the skills of the staff member and the needs of the client. In this case the best
1. A client who requires wound irrigation assignment for the AP would be to care for the client who requires frequent
2. A client who requires frequent ambulation. The AP is skilled in this task. The client who had a cardiac
ambulation catheterization will require specific monitoring in addition to that of the vital signs.
3. A client who is receiving continuous Wound irrigations and tube feedings are not performed by unlicensed personnel.
tube feedings
4. A client who requires frequent vital
signs after a cardiac catheterization
The nurse is assigned to care for four 2.A client who is dependent on a ventilator
clients. When planning client rounds,
which client would the nurse check first?
1. A client in skeletal traction
2. A client who is dependent on a
ventilator
3. A postoperative dient preparing for
discharge
4. A client admitted during the previous
shift with a diagnosis of gastroenteritis
The nurse employed in an emergency 4. A client with chest pain who states that they just ate pizza that was made with a
department very spicy sauce
(ED) is assigned to assist with the triage of
clients arriving at the ED. The nurse would
assign priority to which client?
1. A client complaining of muscle ache,
headache, and malaise
2. A client who twisted their ankle when
they fell in-line skating
3. A client with a minor laceration on the
index finger sustained while cutting an
eggplant
4. A client with chest pain who states that
they just ate pizza that was made with a
very spicy sauce
NCLEX Nursing Unit 1,2,3,5,8 Exam Practices
Questions With Correctly Detailed Answers
With Rationale New Update
Terms In This Set (200)
Which teaching method is most effective 1. Teach-back
when providing instruction to members of Rationale: When providing education to members of special populations, return
special populations ? explanation and demonstration (teach-back) are of particular importance to
1. Teach-back ensure safety and mutual understanding. This method is the most reliable in
2. Video instruction confirming client understanding of the instructions. Video instruc-tion, written
3. Written materials materials, and verbal explanation are helpful and may be incorporated with the
4. Verbal explanation teach-back method.
Which is most appropriate when 1. Using preferred pronoun
communicating with a transgender person Rationale: The nurse needs to address the client with the name and pronouns that
? the client prefers, and the first name may not necessarily be preferred. For the
1. Using preferred pronouns transgender person, it is likely that they would like to be addressed using
2. Using their first name to address them pronouns associated with the sex they identify with now, which typically is not
3. Using pronouns associated with birth their birth sex. Anticipating the client's needs and making suggestions may be
sex seen as passing judgment, so the nurse should refrain from doing this.
4. Anticipating the client's needs and
making suggestions .
The nurse is volunteering with an 4. Complaints and tingling in both feet
outreach program to provide basic health
care for homeless people. Which finding , Rationale: The nurse needs to address the complaints of pain and numbness and
if noted , must be addressed first ? tingling in both feet first with this popula-tion. If the client perceives value to the
service provided and his or her complaint is addressed, they will be more likely to
1. Blood pressure 154/72 mm Hg return for follow-up care. Although the blood pressure, blood glucose, and vision
2. Visual acuity of 20/200 in both eyes results are concerning, the client's stated concern must be addressed first.
3. Random blood glucose of pain
associated with numbness level of 206
mg / dl .
4. Complaints and tingling in both feet
The nurse is completing the admission 1. The history
assessment of a client who is intellectually
disabled. Which part of the client Rationale: Intellectually disabled clients tend to have culty trying to remember
encounter may require more time to their medical history. It may be essary for the nurse to take more time to ask
complete? questions variety of different ways when collecting the history data. Physical
1. The history assessment, nursing plan of care, and readmis: risk assessment portions, although
2. The physical assessment they rely on the hist take less time because they require less client questioning.
3. The nursing plan of care
4. The readmission risk assessment
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse is completing the admission 4. The readmission risk assessment
assessment of a client who is intellectually
disabled . Which part of the client
encounter may require more time to
complete ?
1. The history
2. The physical assessment
3. The nursing plan of care
4. The readmission risk assessment
The nurse is caring for a female client in 3. A reddish - purple mark on the neck
the emergency department who presents
with a complaint of fatigue and shortness Rationale: The client in this question must be screened for abuse.
of breath . Which physical assessment Battered women experience bruises, particularly around the eyes, red or purple
findings , if noted by the nurse , warrant a marks on the neck, sprained or broken wrists, chronic fatigue, shortness of breath,
need for follow - up ? muscle tension, involuntary shaking, changes in eating and sleeping, sexual
1. Reddened sclera of the eyes dysfunction, and fertility issues. Mental health problems can also arise, including
2. Dry flaking noted on the scalp posttraumatic stress disorder, nightmares, anxiety, uncontrollable thoughts,
3. A reddish - purple mark on the neck 4. depression, low self-esteem, and alcohol and drug abuse. Reddened sclera, a dry
A scaly rash noted on the elbows and rash on the elbows, and flaking of the scalp do not pose an indication of abuse.
knees
The nurse working in a correctional 3. "Living in a prison can predispose a person to different health conditions."
facility is caring for a new prisoner . The
client asks about health risks associated Rationale: The environment of a prison can predispose a person to different health
with living in a prison . How would the conditions, such as tuberculosis, sexuallv transmitted infections, or other infectious
nurse respond ? diseases.
1. " Health care is very limited in the prison Option 1 does not address the client's question. Options 2 and 4 convey incorrect
setting . " information.
2. " Living in a prison isn't different than
living at home . "
3. " Living in a prison can predispose a
person to different health conditions."
4. " Living in a prison is similar to living in a
condominium complex or dormitory . "
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse working in a community 3, 4, 5, 6
outreach program for foster children
plans care knowing that which health Rationale: Foster children are at risk for a variety of health conditions, including
conditions are common in this population attention-deficit/hyperactivity disorder, aggressive behavior, anxiety disorder,
? Select all that apply. bipolar disorder, depres sion, mood disorder, post-traumatic stress disorder
1. Asthma (PTSD), reactive detachment disorder, sleep problems, and personality disorder.
2. Claustrophobia Claustrophobia
3. Sleep problems
4. Bipolar disorder
5. Aggressive behavior
6. Attention - deficit / hyperactivity
disorder ( ADHD )
4. Post-traumatic stress disorder
The nurse assisting in planning care for a
military veteran must prioritize nursing
Rationale: PTSD is extremely common in this population.
interventions targeted at managing which
Identifying and treating mental health problems assists in mitigating suicide risk.
condition, if present, that commonly
Treatment of comorbid conditions such as PTSD may also help to address any
occurs in this population?
substance use disorder. Use of screening tools in identifying substance use
1. Hypertension
disorder is helpful. Treatment of PTSD includes exposure ther-apy, psychotherapy,
2. Hyperlipidemia
and family/group therapy. Hypertension and hyperlipidemia are important but are
3. Substance abuse disorder
not the priority; the risk of suicide and other safety concerns associated with PTSD
4Post-traumatic stress disorder
are the priority for this population.
The nurse caring for a refugee considers 4.Access to mental health care services
which health care need a priority for this
client?
1. Access to housing
2. Access to clean water
3. Access to transportation
4. Access to to mental health care
services
Which action by the nurse will best 1. Arranging for home health care
facilitate adherence to the treatment
regimen for a client with a chronic illness?
1. Arranging for home health care
2. Focusing on managing a single illness
at a time
3. Communicating with one provider only
to avoid confusion for the client
4. Allowing the client to teach a support
person about their treatment regimen
4. Access to mental health care services
The nurse caring for a refugee considers
which health care need a priority for this
Rationale: Mental health problems are the primary issue for this population as a
client?
result of difficult events. Although all other options are important for all clients,
1. Access to housing
they do not address the specific needs of this special population.
2. Access to clean water
Test-Taking Strategy: Note the strategic word, priority. This indicates that all
3. Access to transportation
options are important and are most likely correct. It is necessary to recall that due
4. Access to mental health care services
to the potential trauma experienced by
, NCLEX Nursing Unit 1,2,3,5,8 Exam Practices Questions With Correctly Detailed Answers With Rationale New Update
The nurse is recording a nursing hands- 4. Total number of scheduled medications that the
off (end-of-shift) report for a client. Which dient received on that shift
information needs to be included?
1. As-needed medications given that shift Rationale: The nursing hands-off (end-of-shift) report needs to be an efficient and
2. Normal vital signs that have been the accurate account of the client's condition during the last shift. It needs to include
same since admission pertinent information about the client, such as tests and treatments; as-needed
3. All of the tests and treatments the client medications given or therapies performed during the past 24 hours, including the
has had client's response to them; changes in the client's condition; scheduled tests and
since admission treatments; current problems; and any other special concerns. It is not necessary
4. Total number of scheduled medications to include.
that the
dient received on that shift
The nurse is planning the client 2. A client who requires frequent ambulation
assignments for the day. Which is the most
appropriate assignment for rationale: The nurse must determine the most appropriate assignment on the basis
the assistive personnel (AP)? of the skills of the staff member and the needs of the client. In this case the best
1. A client who requires wound irrigation assignment for the AP would be to care for the client who requires frequent
2. A client who requires frequent ambulation. The AP is skilled in this task. The client who had a cardiac
ambulation catheterization will require specific monitoring in addition to that of the vital signs.
3. A client who is receiving continuous Wound irrigations and tube feedings are not performed by unlicensed personnel.
tube feedings
4. A client who requires frequent vital
signs after a cardiac catheterization
The nurse is assigned to care for four 2.A client who is dependent on a ventilator
clients. When planning client rounds,
which client would the nurse check first?
1. A client in skeletal traction
2. A client who is dependent on a
ventilator
3. A postoperative dient preparing for
discharge
4. A client admitted during the previous
shift with a diagnosis of gastroenteritis
The nurse employed in an emergency 4. A client with chest pain who states that they just ate pizza that was made with a
department very spicy sauce
(ED) is assigned to assist with the triage of
clients arriving at the ED. The nurse would
assign priority to which client?
1. A client complaining of muscle ache,
headache, and malaise
2. A client who twisted their ankle when
they fell in-line skating
3. A client with a minor laceration on the
index finger sustained while cutting an
eggplant
4. A client with chest pain who states that
they just ate pizza that was made with a
very spicy sauce
