NCLEX-PNTESTBANK (2021/2022)Questions, b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
Pretest
Question i#1
Ac. i#Whatdocumentshouldbeinguidingthecareof i#thisclient?
A) Client#iSelf#D
i etermination#
iAct
B) Physician's#itreatment#iorders
C) Advance i#Directives.
D) Clinical#iPathway#iprotocols
Review i # Information:#iThecorrectanswer#iis:#iC)#iAdvance#iDirectives.#iThisdocumentspecifiestheclient's i#wishes
Question i#2
Youaretheof#iahealthcareteamthatconsists#iofonelicensedpractical/vocational #inurse,one#inursing i#assistant,abnur
i#singstudentandyourself.Towhomisitappropriatetoassigncompletecarefor
A) Yourself
B) Thei#nursingi#student
C) The#ilicensed#ivocational#inurse
D) The#inursing#iassistant
Review i#Information:Thecorrectansweris:A)Yourself.
Whilethenurse i#maydelegateabedbath i#forastableclient,thiscareshould #ibeperformed i#b yanRNfor #ia i#new i#admissio
n.#iOnly i#tasks i#that i#do#inot i#require i#independent i#judgment i#should i#be i#delegated.
3Question i#3
A#imother#ibrings#iher#ithe#iclinic,#icomplaining#ithat#ithe#ichild#iseems#ito#ibe i # The#
inurse#
iexpects#
ito#
ifind#
iwhich#
iof#
ithe#
ifollowi i#ng i#on
i#thei#initiali#history i#and i#physicali#assessment?
A) Increasedtemperatureandlethargy
B) Rashi#andbrestlessness
C) Increased#isleepingand#ilistlessness
D) Diarrhea#iand#ipoor#iskin#iturgor
Review i#Information:Thecorrectansweris:B)Rashandrestlessness.
, NCLEX-PNTESTBANK (2021/2022)Questions, b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
Question i#4
As#ithe#inurse#itakes#ia#ihistory#iof#ia#i3#iyear-old#iwith#ineuroblastoma,#iwhat#icomments#iby#ithe#iparents#irequire#ifollow-
i#upandareconsistentwiththediagnosis?
A) "Thechildhasbeenlistlessandhaslostweight."
B) "Her#iurine#iis#idark#iyellow#iand#ismall#iin#iamounts."
C) "Clothesarebecomingtighteracrossherabdomen." #iD+)"
i#Wenoticemuscleweaknessandsomeunsteadiness."
Review i # Information:i#Thei#correcti#answer i#is:C) i#"Clothesi#are#ibecomingi#tighteri#acrossi#her#iabdomen.".
One#iofi#t he#imost#ic ommon#isigns#iof#ineuroblastomabis#iincreasingi#a bdominal#igirth.#iThe#iparents''#ireport#it hat#iclothing i#is
ti ightis#isignificant,andshould#ibefollowed#iby#a
# i dditional #
ai ssessments.
Question i#5
A#i16#iyear-
old#ipresents#ito#ithei#emergency#idepartment.#iThe#itriage#inurse#ifinds#ithat#ithis#iteenager#iis#ilegally#imarried#iand#isigned i#the
i consent#
# i form#
i for#
i treatment.#
i What#
i would#
i be#
i the#
i appropriate# i INITIAL# i action#
i by#
i the#
i nurse?
A) Refuse#itobsee#ithe#iclient#iuntil#ia#iparent#ior#ilegal#iguardian#ican#ibe#icontacted
B) Withhold#itreatmenti#untili#telephonei#consent#ican i#bei#obtained#ifrom#ithei#spouse
C) Refer#ithe#iclient#ito#ia#icommunity#ipediatric#ihospital#iemergency#iroom
D) Assessandtreatinthesamemannerasany i# i # adultclient
Review i # i # i # Information: i#Thecorrectansweris:D) i#Assessandtreatinthesamemannerasanyadultclient.
Minors i#may i#become i#known i#as i#an i#"emancipated i#minor" i#through i#marriage, i#pregnancy, i#high i#school
i#graduation,indep i#endentliving#
iorserviceinthemilitary.Therefore,thisclient,whoismarried,hasthelegal i#capacity i#of i#ani#adult.
Question i#6
Anewly#iadmitted#ielderly#iclient#iis#iseverely#idehydrated.#iWhenplanning#icare#ifor#ithis#iclient,#iwhich#ioneofthei#following#ii i#s i#an
iappropriate i#task i#forban#
# iUnlicensed i#Assistive i#Personneli#(UAP)?
, NCLEX-PNTESTBANK (2021/2022)Questions, b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
A) Obtainahistoryoffluidloss
B) Reportoutputoflessthan30 i # ml/hr
C) Monitor#iresponse#ito#iIV#ifluids
D) Checkskinturgoreveryfourhours
Review i # Information:#iThe#icorrect#iansweri#is:B)i#Reporti#outputi#ofi#less#ithan#i30#iml/hr.
Whendirectinga #iUAP,thenursemustcommunicateclearlyabouteachdelegatedtaskwithspecific i#instructions i#on
i # what#imust#ibe#
ireported.i#
Becausei#t he#iRN#iisi#responsible#ifor#iall#icare-
related i#decisions,only i# implementation#itasks#ishould#ibei#assigned#ibecausethey#idonot#irequirei#independentjudgme
i # nt.
Question i#7
Thenurseisassessinga4year-
oldforpossiblerheumaticfever.Whichofthefollowingwouldthenurse #isuspect#ii s#irelated #it othis#idiagnosis?
A) Diagnosis#iof i#chickenpox i#sixi#monthsi#ago
B) Exposure#ito#istrep#ithroat#iin#idaycare#ilast#imonth
C) Treatment#ifor#iear#iinfection#itwo#imonths#iago
D) Episode#iof#ifungalskininfectionlastweek
Review i # i # Information: i#Thecorrectansweris:B) i#Exposuretostrepthroatindaycarelastmonth.
Evidence i#supports i#abstrong i#relationship i#between i#infection i#with i#Group i#A i#streptococci i#and i#subsequent
i # rheuma i#tic i#fever i#(usually i#within i#2-
6 i#weeks). i#Therefore, i#the i#history i#of i#playmates i#recovering i#from i#strep i#throat i#would i#indicate i#that i#the i#child
i#diagn i#osed i#with i#rheumatic i#fever i#most i#likely i#also i#had i#strep i#throat. i#Sometimes, i#such i#an i#infection i#has i#no
i#clinical i#sy i#mptoms.
Question i#8
When#ithe#inurse#ibecomes#iaware#iof#ifeeling#ireluctant#ito#iinteract#iwith#iabmanipulative#iclient,#ithe#iBEST#iaction#iby#ithe#in i#urse i#is
i#to
A) Discuss#ithe#ifeeling#iof#ireluctance#iwith#ian#iobjective#ipeer#iorsupervisor
B) Limitcontactswith#ti heclient#ti o#a
i void#
ireinforcingthemanipulativebehavior
C) Confronttheclient#iregarding#ithe#inegativeeffects#iof#ihis/her#ibehavior#ion#iothers
D) Developabehaviormodificationplanthatwillpromotemorefunctionalbehavior
Review i # i # Information:i#Thecorrectansweris:A)Discussthefeelingofreluctancewithanobjectivepeeror
i # superviso i # r.
The#inurse#iwho#iis#iexperiencing#istress#iin#ithe#itherapeutic#irelationship#ican#igain#iobjectivity#ithrough#isupervision.#iThen i#urse
imustattempt#
# itodiscoverattitudes#
iandbfeelings#
iintheselfthatinfluence #
ithe#
inurse-
, NCLEX-PNTESTBANK (2021/2022)Questions,
b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
clienti#relationship.
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
Pretest
Question i#1
Ac. i#Whatdocumentshouldbeinguidingthecareof i#thisclient?
A) Client#iSelf#D
i etermination#
iAct
B) Physician's#itreatment#iorders
C) Advance i#Directives.
D) Clinical#iPathway#iprotocols
Review i # Information:#iThecorrectanswer#iis:#iC)#iAdvance#iDirectives.#iThisdocumentspecifiestheclient's i#wishes
Question i#2
Youaretheof#iahealthcareteamthatconsists#iofonelicensedpractical/vocational #inurse,one#inursing i#assistant,abnur
i#singstudentandyourself.Towhomisitappropriatetoassigncompletecarefor
A) Yourself
B) Thei#nursingi#student
C) The#ilicensed#ivocational#inurse
D) The#inursing#iassistant
Review i#Information:Thecorrectansweris:A)Yourself.
Whilethenurse i#maydelegateabedbath i#forastableclient,thiscareshould #ibeperformed i#b yanRNfor #ia i#new i#admissio
n.#iOnly i#tasks i#that i#do#inot i#require i#independent i#judgment i#should i#be i#delegated.
3Question i#3
A#imother#ibrings#iher#ithe#iclinic,#icomplaining#ithat#ithe#ichild#iseems#ito#ibe i # The#
inurse#
iexpects#
ito#
ifind#
iwhich#
iof#
ithe#
ifollowi i#ng i#on
i#thei#initiali#history i#and i#physicali#assessment?
A) Increasedtemperatureandlethargy
B) Rashi#andbrestlessness
C) Increased#isleepingand#ilistlessness
D) Diarrhea#iand#ipoor#iskin#iturgor
Review i#Information:Thecorrectansweris:B)Rashandrestlessness.
, NCLEX-PNTESTBANK (2021/2022)Questions, b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
Question i#4
As#ithe#inurse#itakes#ia#ihistory#iof#ia#i3#iyear-old#iwith#ineuroblastoma,#iwhat#icomments#iby#ithe#iparents#irequire#ifollow-
i#upandareconsistentwiththediagnosis?
A) "Thechildhasbeenlistlessandhaslostweight."
B) "Her#iurine#iis#idark#iyellow#iand#ismall#iin#iamounts."
C) "Clothesarebecomingtighteracrossherabdomen." #iD+)"
i#Wenoticemuscleweaknessandsomeunsteadiness."
Review i # Information:i#Thei#correcti#answer i#is:C) i#"Clothesi#are#ibecomingi#tighteri#acrossi#her#iabdomen.".
One#iofi#t he#imost#ic ommon#isigns#iof#ineuroblastomabis#iincreasingi#a bdominal#igirth.#iThe#iparents''#ireport#it hat#iclothing i#is
ti ightis#isignificant,andshould#ibefollowed#iby#a
# i dditional #
ai ssessments.
Question i#5
A#i16#iyear-
old#ipresents#ito#ithei#emergency#idepartment.#iThe#itriage#inurse#ifinds#ithat#ithis#iteenager#iis#ilegally#imarried#iand#isigned i#the
i consent#
# i form#
i for#
i treatment.#
i What#
i would#
i be#
i the#
i appropriate# i INITIAL# i action#
i by#
i the#
i nurse?
A) Refuse#itobsee#ithe#iclient#iuntil#ia#iparent#ior#ilegal#iguardian#ican#ibe#icontacted
B) Withhold#itreatmenti#untili#telephonei#consent#ican i#bei#obtained#ifrom#ithei#spouse
C) Refer#ithe#iclient#ito#ia#icommunity#ipediatric#ihospital#iemergency#iroom
D) Assessandtreatinthesamemannerasany i# i # adultclient
Review i # i # i # Information: i#Thecorrectansweris:D) i#Assessandtreatinthesamemannerasanyadultclient.
Minors i#may i#become i#known i#as i#an i#"emancipated i#minor" i#through i#marriage, i#pregnancy, i#high i#school
i#graduation,indep i#endentliving#
iorserviceinthemilitary.Therefore,thisclient,whoismarried,hasthelegal i#capacity i#of i#ani#adult.
Question i#6
Anewly#iadmitted#ielderly#iclient#iis#iseverely#idehydrated.#iWhenplanning#icare#ifor#ithis#iclient,#iwhich#ioneofthei#following#ii i#s i#an
iappropriate i#task i#forban#
# iUnlicensed i#Assistive i#Personneli#(UAP)?
, NCLEX-PNTESTBANK (2021/2022)Questions, b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
A) Obtainahistoryoffluidloss
B) Reportoutputoflessthan30 i # ml/hr
C) Monitor#iresponse#ito#iIV#ifluids
D) Checkskinturgoreveryfourhours
Review i # Information:#iThe#icorrect#iansweri#is:B)i#Reporti#outputi#ofi#less#ithan#i30#iml/hr.
Whendirectinga #iUAP,thenursemustcommunicateclearlyabouteachdelegatedtaskwithspecific i#instructions i#on
i # what#imust#ibe#
ireported.i#
Becausei#t he#iRN#iisi#responsible#ifor#iall#icare-
related i#decisions,only i# implementation#itasks#ishould#ibei#assigned#ibecausethey#idonot#irequirei#independentjudgme
i # nt.
Question i#7
Thenurseisassessinga4year-
oldforpossiblerheumaticfever.Whichofthefollowingwouldthenurse #isuspect#ii s#irelated #it othis#idiagnosis?
A) Diagnosis#iof i#chickenpox i#sixi#monthsi#ago
B) Exposure#ito#istrep#ithroat#iin#idaycare#ilast#imonth
C) Treatment#ifor#iear#iinfection#itwo#imonths#iago
D) Episode#iof#ifungalskininfectionlastweek
Review i # i # Information: i#Thecorrectansweris:B) i#Exposuretostrepthroatindaycarelastmonth.
Evidence i#supports i#abstrong i#relationship i#between i#infection i#with i#Group i#A i#streptococci i#and i#subsequent
i # rheuma i#tic i#fever i#(usually i#within i#2-
6 i#weeks). i#Therefore, i#the i#history i#of i#playmates i#recovering i#from i#strep i#throat i#would i#indicate i#that i#the i#child
i#diagn i#osed i#with i#rheumatic i#fever i#most i#likely i#also i#had i#strep i#throat. i#Sometimes, i#such i#an i#infection i#has i#no
i#clinical i#sy i#mptoms.
Question i#8
When#ithe#inurse#ibecomes#iaware#iof#ifeeling#ireluctant#ito#iinteract#iwith#iabmanipulative#iclient,#ithe#iBEST#iaction#iby#ithe#in i#urse i#is
i#to
A) Discuss#ithe#ifeeling#iof#ireluctance#iwith#ian#iobjective#ipeer#iorsupervisor
B) Limitcontactswith#ti heclient#ti o#a
i void#
ireinforcingthemanipulativebehavior
C) Confronttheclient#iregarding#ithe#inegativeeffects#iof#ihis/her#ibehavior#ion#iothers
D) Developabehaviormodificationplanthatwillpromotemorefunctionalbehavior
Review i # i # Information:i#Thecorrectansweris:A)Discussthefeelingofreluctancewithanobjectivepeeror
i # superviso i # r.
The#inurse#iwho#iis#iexperiencing#istress#iin#ithe#itherapeutic#irelationship#ican#igain#iobjectivity#ithrough#isupervision.#iThen i#urse
imustattempt#
# itodiscoverattitudes#
iandbfeelings#
iintheselfthatinfluence #
ithe#
inurse-
, NCLEX-PNTESTBANK (2021/2022)Questions,
b
Answersplus Rationale|(100%Guaranteed Pass)
i# i#
clienti#relationship.
