NCLEX-PN 3000 Questions and Answers|
Latest Update
A client with chronic obstructive pulmonary disease, who has been receiving mechanical
ventilation for the past 5 days, expresses to a nurse his desire to have treatment withdrawn.
Which statement about the client's legal rights is true in this situation?
1. The nurse's assessment of the client and communication with the family guides the decision-
making process.
2. The nurse is an advocate for the client and should encourage the client to accept his current
treatment regimen.
3. The health care team must follow the treatment plan that was already established with client
and family input.
4. The client has the right to refuse treatment at any time. ✔️✔️Correct Answer: 4
,RATIONALES: Health care professionals must ensure a health care ethic that respects the role of
the client in the decision-making process. According to the Patient's Bill of Rights, the client has
the right to make decisions about his care at any time. The nurse should be a client advocate
and be supportive of the decision he made.
A client with newly diagnosed breast cancer asks the nurse, "Why me? I've always been a good
person. What have I done to deserve this?" Which response by the nurse would be most
therapeutic?
1. "Don't worry. You'll probably live longer than I will."
2. "I'm sure a cure will be found soon."
3. "You seem upset. Let's talk about something happy."
4. "Would you like to talk about this?" ✔️✔️Correct Answer: 4
,RATIONALES: Listening, responding quickly, and providing support promote therapeutic
communication. Offering to talk about the client's feelings validates those feelings and allows
the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the
client's feelings but doesn't follow through by exploring them.
The mother of a 3-year-old child is complaining that her son still throws temper tantrums when
he doesn't get his way. How should the nurse advise the mother to respond?
1. Tell the mother to ignore the child because eventually he will stop having temper tantrums.
2. Tell the mother to promise him a new toy if he stops the tantrum.
3. Tell the mother to give in to his demands; he is only 3-years-old.
4. Tell the mother to mimic him so that he can see what his behavior looks like. ✔️✔️Correct
Answer: 1
, RATIONALES: This child is in Erikson's developmental stage of initiative versus guilt. Guilt
develops when the child is made to feel bad about his behavior. Ignoring the negative behavior
shows the child that he'll gain nothing through negative behavior such as temper tantrums.
Promising the child a new toy or giving in to his demands will reinforce his negative behavior by
rewarding his tantrums. Mimicking the child will make him feel guilty.
A client asks the nurse about the rhythm (calendar-basal body temperature) method of family
planning. The nurse explains that this method involves:
1. chemical barriers that act as spermicidal agents.
2. hormones that prevent ovulation.
3. mechanical barriers that prevent sperm from reaching the cervix.
4. determination of the fertile period to identify safe times for sexual intercourse. ✔️✔️Correct
Answer: 4
Latest Update
A client with chronic obstructive pulmonary disease, who has been receiving mechanical
ventilation for the past 5 days, expresses to a nurse his desire to have treatment withdrawn.
Which statement about the client's legal rights is true in this situation?
1. The nurse's assessment of the client and communication with the family guides the decision-
making process.
2. The nurse is an advocate for the client and should encourage the client to accept his current
treatment regimen.
3. The health care team must follow the treatment plan that was already established with client
and family input.
4. The client has the right to refuse treatment at any time. ✔️✔️Correct Answer: 4
,RATIONALES: Health care professionals must ensure a health care ethic that respects the role of
the client in the decision-making process. According to the Patient's Bill of Rights, the client has
the right to make decisions about his care at any time. The nurse should be a client advocate
and be supportive of the decision he made.
A client with newly diagnosed breast cancer asks the nurse, "Why me? I've always been a good
person. What have I done to deserve this?" Which response by the nurse would be most
therapeutic?
1. "Don't worry. You'll probably live longer than I will."
2. "I'm sure a cure will be found soon."
3. "You seem upset. Let's talk about something happy."
4. "Would you like to talk about this?" ✔️✔️Correct Answer: 4
,RATIONALES: Listening, responding quickly, and providing support promote therapeutic
communication. Offering to talk about the client's feelings validates those feelings and allows
the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the
client's feelings but doesn't follow through by exploring them.
The mother of a 3-year-old child is complaining that her son still throws temper tantrums when
he doesn't get his way. How should the nurse advise the mother to respond?
1. Tell the mother to ignore the child because eventually he will stop having temper tantrums.
2. Tell the mother to promise him a new toy if he stops the tantrum.
3. Tell the mother to give in to his demands; he is only 3-years-old.
4. Tell the mother to mimic him so that he can see what his behavior looks like. ✔️✔️Correct
Answer: 1
, RATIONALES: This child is in Erikson's developmental stage of initiative versus guilt. Guilt
develops when the child is made to feel bad about his behavior. Ignoring the negative behavior
shows the child that he'll gain nothing through negative behavior such as temper tantrums.
Promising the child a new toy or giving in to his demands will reinforce his negative behavior by
rewarding his tantrums. Mimicking the child will make him feel guilty.
A client asks the nurse about the rhythm (calendar-basal body temperature) method of family
planning. The nurse explains that this method involves:
1. chemical barriers that act as spermicidal agents.
2. hormones that prevent ovulation.
3. mechanical barriers that prevent sperm from reaching the cervix.
4. determination of the fertile period to identify safe times for sexual intercourse. ✔️✔️Correct
Answer: 4
