lOMoAR cPSD| 8981423
NCLEX PN-TESTBANK-
g
NCLEX TEST BANKQUESTION AND ANSWE
g g g g
RS WELL DETAILED
g g
, lOMoAR cPSD| 8981423
NCLEX-PN®TESTQUESTIONS
ThefollowingquestionsaresimilartothosethatmayappearontheNCLEX-
RN®exam.Somequestionsmayhavemorethanonecorrectresponse.Duringthisreview,youshouldselecttheonebestresponse.
CHAPTER1
1.1Aclientisbeingdischargedandneeds gin Answer:a
structionsgongwoundgcare.Whenplannin Rationale:Toprovidethemostappropriateteaching,thenursefirstneedstoidentifywhat
gtoteachtheclient,gthenurseshould: theclientneedstoknowanddeterminetheclient’seducationallevelandlearningabilit
a. identifytheclient’slearningneedsa y.
ndlearningability. Comprehension
b. identifytheclient’slearningneedsa Implementation
ndadvisehimwhattodo. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. identifytheclient’sproblemsandm
aketheappropriatereferral.
d. providepamphletsorvideotapesforo
ngoinglearning.
1.2Aclientisrequestingasecondopinion.T Answer:d
henursewhosupportsandpromotesthecli Rationale:Thenurse’sroleasclientadvocateinvolvesactivelypromotingclients’right
ent’srightsisactingastheclient’s: stomakedecisionsandchoices.
a. teacher. Comprehension
b. adviser. Assessment
c. supporter. Safe,EffectiveCareEnvironment:CoordinatedCare
d. advocate. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
1.3Theclientgtellsthenursegshehasbeens Answer:a
mokingonepackofcigarettesadayforthepa Rationale:Datacollectionoccursduringtheassessmentphase;theinformationcangbego
st20years.Thenurserecognizesgthisiswhat btainedgduringgtheginitialgassessmentgasgwellgasgduringgongoingassessment.
partofthenursingprocess? Knowledge
a. assessment Assessment
b. planning HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. implementation
d. evaluation
1.4Duringgthegassessmentgstepgofgthen Answer:b
ursinggprocess,gthegnursegcollectssubjec Rationale:Informationobtainedduringtheassessmentstepisusedinplanningandim
tiveandobjectivedata.Thenurseusesthegin plementingnursingcare,gbasedontheproblemsidentifiedfromtheassessmentdata.
formationgtogidentify: Analysis
a. medicaldiagnoses. Planning
b. actualorpotentialproblems. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblem
c. client’sresponsetoillness.
d. needforcommunitysupportgroups.
1.5Thenurseperformsdaily,routinegequ Answer:b
ipmentgchecksgtogdetectgpossiblemal Rationale:Qualityofcareisevaluatedthroughdocumentationreviews,inte
function.gThisgisgpartgofgthegnurse’sr rviewsandsurveys,observationandequipmentchecks.
oleinthe: ApplicationImpl
a. nursingprocess. ementation
b. qualityassuranceplan. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. caremanagement.
d. assessmentplan.
1.6Thenurseisdevelopinganursing g Answer:a
diagnosisgforgagclientgwho Rationale:Nursingdiagnosesreflectclientproblemsthatthenursecantreatindependently
hasgpneumonia.gThegnursegrecogniz .
esthegdiagnosisgdescribesgangactualg Application
orpotentialproblemthat: Planning
a.thenursecantreatindependently. Safe,EffectiveCareEnvironment:CoordinatedCare
398 NCLEX-PN®TestBankQuestions ©2007PearsonEducation,Inc.
, lOMoAR cPSD| 8981423
b. thenursecantreatwithaphysician’s
order.
c. requiresphysician’sintervention.
d. relatestotheclients’primarydia
gnosis.
1.7Afteradministeringpainmedication,t Answer:d
henursereturnstochecktheclient’slevelof Rationale:Intheevaluationstepthenursedeterminesiftheinterventionswereeffec
comfort.Thisstageofthenursingprocessi tive.
sknownas: Analysis/Diagnosis
a. assessment. Evaluation
b. planning. Safe,EffectiveCareEnvironment:CoordinatedCare
c. implementation.
d. evaluation.
1.8Agclientghasglostg10gpounds grelate Answer:b
dtonauseaandvomiting.Thenurseidentifi Rationale:gExpectedgoutcomesgshouldgreflectgaggoalgthatgisgclientgcentered,r
esgangappropriategexpectedoutcome: ealistic,andmeasurable.Answersaandcarenotmeasurable;disnotrealistic.Analysis/D
Theclientwill: iagnosis
a. gaingweight. Planning
b. gain2poundswithin1week. PhysiologicalIntegrity:PhysiologicalAdaptation
c. notloseweight.
d. gain10poundsing2days.
1.9Agproblem- Answer:a
solvinggprocessgthatrequiresempathy,gkn Rationale:Criticalthinkinginvolvesself-
owledge,gdivergentthinking,gdiscipline,ga directedthinking,combiningthenurse’scognitiveskillsaswellasattitude,experience,empat
ndgcreativitygisknownas: hy,anddiscipline.
a. criticalthinking. ComprehensionA
b. nursingprocess. nalysis/Diagnosis
c. frameworkfornurses. Safe,EffectiveCareEnvironment:CoordinatedCare
d. caremanagement.
1.10Attheendoftheshift,thenurseisreadyt Answer:a
oleavebuthasnotbeenrelievedbytheonco Rationale:gThegCodegofgEthicsgguidesgthegbehaviorgofgnurses.gThegnurse’sgpri
mingshiftnurse.Thenurse’sresponsibilityg marycommitmentistotheclient,gensuringheorshereceivessafe,gcompetent,gandconti
togprovidegcaregforgclientsispartofthen nualcare.
urse’s: Comprehension
a. CodeofEthics. Implementation
b. nursingprocess. Safe,EffectiveCareEnvironment:CoordinatedCare
c. criticalthinking.
d. qualityassurance.
CHAPTER2
2.1AccordingtoHavighurst,the Answer:a
developmentaltasksthatdescribeadults Rationale:Thesetasksoccurpredominantlyintheyoungadultagegroup.
aslearningtolivewithamate,have Knowledge
children,andholdajobarefoundin Assessment
whichofthefollowingstages? HealthPromotion:GrowthandDevelopment
a.youngadult(18–35yearsofage)
b.middleadult(36–60yearsofage)
c.olderadult(over60yearsofage)
d.productiveadult(18–60yearsofage)
2.2Whencaringgforthemiddleage Answer:c
adultthenurserecognizesamajorrisk Rationale:Duetoadecreaseinbasalmetabolicrateandoftenactivitylevelas
factoris: well,themiddleadultisatriskforweightgainandobesity.
a.cigarettesmoking. Comprehension
b.multiplegsexgpartners. Integrativeprocess:Assessment
c.decreasedphysicalactivity. Testplan:HealthPromotion:Preventionand/orEarlyDetectionofHealth
d.obesity. Problems
©2007PearsonEducation,Inc. NCLEX-PN®TestBankQuestions 399
, lOMoAR cPSD| 8981423
2.3Becauseofthephysiologicchanges Answer:b
inthegastrointestinalsystem,thenurseshou Rationale:Adecreaseinperistalsiscanleadtoconstipation;increasingfiberinthedietwil
ldencouragetheolderadulttoconsumeadiet lhelptocombatthis.
highin: Comprehension
a. Na. Planning
b. fiber. HealthPromotion:GrowthandDevelopment
c. carbohydrates.
d. calories.
2.4Womengingthegmiddlegadultgagegro Answer:d
upareatriskforcancerofthebreastandrepr Rationale:Thisoptiongivesthemostspecificrecommendationsforteststhatshould
oductiveorgans.gThenursecansuggestthef bedonetodetectcancer.gTheotheroptionsprovidemoregeneralinformation.
ollowinginhealthpromotionteaching: ApplicationImpl
a. “Yougneedgtogcontactgyourgphysici ementation
anaboutmammography.” HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
b. “Ifgtheregisgnotgaghistorygofgcancer
ginthegwomengofgyourgfamily,gyougn
eednotbeconcerned.”
c. “Anannualphysicalexamisimporta
nttodetectearlysignsandsymptoms
ofcancer.”
d. “Self-
breastexammonthlyandanannualPa
psmeararenecessaryforearlydetecti
onofcancer.”
2.5Whengteachinggthegold- Answer:a
oldgadult(overgageg85)gwhoghasgbeeng Rationale:Duetoneurovascularandsensorylosses,olderadultsneedadjustmentinteachi
diagnosedwithanewillness,thenursereco ngmethods,althoughtheystillhavetheabilitytolearn.
gnizesthisagegroup: Application
a. needsgclientgteachinggatgagslowerp Planning
ace,withvisualaidsandrepetition. HealthPromotion:GrowthandDevelopment
b. doesnotprofitfrompatientt
eaching.
c. learnsatthesamerateasyoung-
oldadults.
d. isgenerallycognitivelyimpairedandu
nabletolearnnewinformation.
2.6Whenplanningcareforelderlyclientsinl Answer:c
ong- Rationale:Althoughalltheoptionsareimportant,maintenanceofasafeenvironmentis
termcarefacilities,thenursegiveshighestpr alwaysofhighestpriority.
iorityto: ApplicationImpl
a. ensuringthattheyconsumeatleast1, ementation
200caloriesaday. Safe,EffectiveCareEnvironment:SafetyandInfectionControl
b. providinggregulargperiodsgofgexercis
edaily.
c. maintainingasafeenvironment.
d. providinggopportunitiesgforgsoci
alinteractions.
2.7gThenursevisitsanelderlyclientwholiv Answer:a
esalone,gisnoteatingwell,gandhasverylittl Rationale:Assessingtheclient’sabilitytoobtainfoodwouldbeessentialtodetermin
efoodavailableinthehome.Thenursemaya ewhytheclientisn’teatingandhas glittlefoodavailable.
lsowanttoassesstheclient’s: AnalysisAss
a. abilitytodoherowngrocerysh essment
opping. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
b. accesstolocalrestaurants.
c. numberofvisitsbyfamily.
d. availabilityoflocalgrocerystores.
NCLEX PN-TESTBANK-
g
NCLEX TEST BANKQUESTION AND ANSWE
g g g g
RS WELL DETAILED
g g
, lOMoAR cPSD| 8981423
NCLEX-PN®TESTQUESTIONS
ThefollowingquestionsaresimilartothosethatmayappearontheNCLEX-
RN®exam.Somequestionsmayhavemorethanonecorrectresponse.Duringthisreview,youshouldselecttheonebestresponse.
CHAPTER1
1.1Aclientisbeingdischargedandneeds gin Answer:a
structionsgongwoundgcare.Whenplannin Rationale:Toprovidethemostappropriateteaching,thenursefirstneedstoidentifywhat
gtoteachtheclient,gthenurseshould: theclientneedstoknowanddeterminetheclient’seducationallevelandlearningabilit
a. identifytheclient’slearningneedsa y.
ndlearningability. Comprehension
b. identifytheclient’slearningneedsa Implementation
ndadvisehimwhattodo. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. identifytheclient’sproblemsandm
aketheappropriatereferral.
d. providepamphletsorvideotapesforo
ngoinglearning.
1.2Aclientisrequestingasecondopinion.T Answer:d
henursewhosupportsandpromotesthecli Rationale:Thenurse’sroleasclientadvocateinvolvesactivelypromotingclients’right
ent’srightsisactingastheclient’s: stomakedecisionsandchoices.
a. teacher. Comprehension
b. adviser. Assessment
c. supporter. Safe,EffectiveCareEnvironment:CoordinatedCare
d. advocate. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
1.3Theclientgtellsthenursegshehasbeens Answer:a
mokingonepackofcigarettesadayforthepa Rationale:Datacollectionoccursduringtheassessmentphase;theinformationcangbego
st20years.Thenurserecognizesgthisiswhat btainedgduringgtheginitialgassessmentgasgwellgasgduringgongoingassessment.
partofthenursingprocess? Knowledge
a. assessment Assessment
b. planning HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. implementation
d. evaluation
1.4Duringgthegassessmentgstepgofgthen Answer:b
ursinggprocess,gthegnursegcollectssubjec Rationale:Informationobtainedduringtheassessmentstepisusedinplanningandim
tiveandobjectivedata.Thenurseusesthegin plementingnursingcare,gbasedontheproblemsidentifiedfromtheassessmentdata.
formationgtogidentify: Analysis
a. medicaldiagnoses. Planning
b. actualorpotentialproblems. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblem
c. client’sresponsetoillness.
d. needforcommunitysupportgroups.
1.5Thenurseperformsdaily,routinegequ Answer:b
ipmentgchecksgtogdetectgpossiblemal Rationale:Qualityofcareisevaluatedthroughdocumentationreviews,inte
function.gThisgisgpartgofgthegnurse’sr rviewsandsurveys,observationandequipmentchecks.
oleinthe: ApplicationImpl
a. nursingprocess. ementation
b. qualityassuranceplan. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. caremanagement.
d. assessmentplan.
1.6Thenurseisdevelopinganursing g Answer:a
diagnosisgforgagclientgwho Rationale:Nursingdiagnosesreflectclientproblemsthatthenursecantreatindependently
hasgpneumonia.gThegnursegrecogniz .
esthegdiagnosisgdescribesgangactualg Application
orpotentialproblemthat: Planning
a.thenursecantreatindependently. Safe,EffectiveCareEnvironment:CoordinatedCare
398 NCLEX-PN®TestBankQuestions ©2007PearsonEducation,Inc.
, lOMoAR cPSD| 8981423
b. thenursecantreatwithaphysician’s
order.
c. requiresphysician’sintervention.
d. relatestotheclients’primarydia
gnosis.
1.7Afteradministeringpainmedication,t Answer:d
henursereturnstochecktheclient’slevelof Rationale:Intheevaluationstepthenursedeterminesiftheinterventionswereeffec
comfort.Thisstageofthenursingprocessi tive.
sknownas: Analysis/Diagnosis
a. assessment. Evaluation
b. planning. Safe,EffectiveCareEnvironment:CoordinatedCare
c. implementation.
d. evaluation.
1.8Agclientghasglostg10gpounds grelate Answer:b
dtonauseaandvomiting.Thenurseidentifi Rationale:gExpectedgoutcomesgshouldgreflectgaggoalgthatgisgclientgcentered,r
esgangappropriategexpectedoutcome: ealistic,andmeasurable.Answersaandcarenotmeasurable;disnotrealistic.Analysis/D
Theclientwill: iagnosis
a. gaingweight. Planning
b. gain2poundswithin1week. PhysiologicalIntegrity:PhysiologicalAdaptation
c. notloseweight.
d. gain10poundsing2days.
1.9Agproblem- Answer:a
solvinggprocessgthatrequiresempathy,gkn Rationale:Criticalthinkinginvolvesself-
owledge,gdivergentthinking,gdiscipline,ga directedthinking,combiningthenurse’scognitiveskillsaswellasattitude,experience,empat
ndgcreativitygisknownas: hy,anddiscipline.
a. criticalthinking. ComprehensionA
b. nursingprocess. nalysis/Diagnosis
c. frameworkfornurses. Safe,EffectiveCareEnvironment:CoordinatedCare
d. caremanagement.
1.10Attheendoftheshift,thenurseisreadyt Answer:a
oleavebuthasnotbeenrelievedbytheonco Rationale:gThegCodegofgEthicsgguidesgthegbehaviorgofgnurses.gThegnurse’sgpri
mingshiftnurse.Thenurse’sresponsibilityg marycommitmentistotheclient,gensuringheorshereceivessafe,gcompetent,gandconti
togprovidegcaregforgclientsispartofthen nualcare.
urse’s: Comprehension
a. CodeofEthics. Implementation
b. nursingprocess. Safe,EffectiveCareEnvironment:CoordinatedCare
c. criticalthinking.
d. qualityassurance.
CHAPTER2
2.1AccordingtoHavighurst,the Answer:a
developmentaltasksthatdescribeadults Rationale:Thesetasksoccurpredominantlyintheyoungadultagegroup.
aslearningtolivewithamate,have Knowledge
children,andholdajobarefoundin Assessment
whichofthefollowingstages? HealthPromotion:GrowthandDevelopment
a.youngadult(18–35yearsofage)
b.middleadult(36–60yearsofage)
c.olderadult(over60yearsofage)
d.productiveadult(18–60yearsofage)
2.2Whencaringgforthemiddleage Answer:c
adultthenurserecognizesamajorrisk Rationale:Duetoadecreaseinbasalmetabolicrateandoftenactivitylevelas
factoris: well,themiddleadultisatriskforweightgainandobesity.
a.cigarettesmoking. Comprehension
b.multiplegsexgpartners. Integrativeprocess:Assessment
c.decreasedphysicalactivity. Testplan:HealthPromotion:Preventionand/orEarlyDetectionofHealth
d.obesity. Problems
©2007PearsonEducation,Inc. NCLEX-PN®TestBankQuestions 399
, lOMoAR cPSD| 8981423
2.3Becauseofthephysiologicchanges Answer:b
inthegastrointestinalsystem,thenurseshou Rationale:Adecreaseinperistalsiscanleadtoconstipation;increasingfiberinthedietwil
ldencouragetheolderadulttoconsumeadiet lhelptocombatthis.
highin: Comprehension
a. Na. Planning
b. fiber. HealthPromotion:GrowthandDevelopment
c. carbohydrates.
d. calories.
2.4Womengingthegmiddlegadultgagegro Answer:d
upareatriskforcancerofthebreastandrepr Rationale:Thisoptiongivesthemostspecificrecommendationsforteststhatshould
oductiveorgans.gThenursecansuggestthef bedonetodetectcancer.gTheotheroptionsprovidemoregeneralinformation.
ollowinginhealthpromotionteaching: ApplicationImpl
a. “Yougneedgtogcontactgyourgphysici ementation
anaboutmammography.” HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
b. “Ifgtheregisgnotgaghistorygofgcancer
ginthegwomengofgyourgfamily,gyougn
eednotbeconcerned.”
c. “Anannualphysicalexamisimporta
nttodetectearlysignsandsymptoms
ofcancer.”
d. “Self-
breastexammonthlyandanannualPa
psmeararenecessaryforearlydetecti
onofcancer.”
2.5Whengteachinggthegold- Answer:a
oldgadult(overgageg85)gwhoghasgbeeng Rationale:Duetoneurovascularandsensorylosses,olderadultsneedadjustmentinteachi
diagnosedwithanewillness,thenursereco ngmethods,althoughtheystillhavetheabilitytolearn.
gnizesthisagegroup: Application
a. needsgclientgteachinggatgagslowerp Planning
ace,withvisualaidsandrepetition. HealthPromotion:GrowthandDevelopment
b. doesnotprofitfrompatientt
eaching.
c. learnsatthesamerateasyoung-
oldadults.
d. isgenerallycognitivelyimpairedandu
nabletolearnnewinformation.
2.6Whenplanningcareforelderlyclientsinl Answer:c
ong- Rationale:Althoughalltheoptionsareimportant,maintenanceofasafeenvironmentis
termcarefacilities,thenursegiveshighestpr alwaysofhighestpriority.
iorityto: ApplicationImpl
a. ensuringthattheyconsumeatleast1, ementation
200caloriesaday. Safe,EffectiveCareEnvironment:SafetyandInfectionControl
b. providinggregulargperiodsgofgexercis
edaily.
c. maintainingasafeenvironment.
d. providinggopportunitiesgforgsoci
alinteractions.
2.7gThenursevisitsanelderlyclientwholiv Answer:a
esalone,gisnoteatingwell,gandhasverylittl Rationale:Assessingtheclient’sabilitytoobtainfoodwouldbeessentialtodetermin
efoodavailableinthehome.Thenursemaya ewhytheclientisn’teatingandhas glittlefoodavailable.
lsowanttoassesstheclient’s: AnalysisAss
a. abilitytodoherowngrocerysh essment
opping. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
b. accesstolocalrestaurants.
c. numberofvisitsbyfamily.
d. availabilityoflocalgrocerystores.
