NCLEX-RN & NCLEX-PN Study Guide : Complete Questions & Answers with Rationales (Grade A+)

NCLEX-RN & NCLEX-PN, Updated V V V V


2022/2023, Complete Questions & 100% An
V V V V VV


swers with rationale
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Best Latest Examination Study Guide Rate
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d Grade A+
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MultipleVQuestionsVwithVAnswers

QuestionV1

AVc.VWhatVdocumentVshouldVbeVinVguidingVtheVcareVofVthisVclient?

A) ClientVSelfVDeterminationVAct

B) Physician'sVtreatmentVorders

C) AdvanceVDirectives.

D) ClinicalVPathwayVprotocols

ReviewV Information:VTheVcorrectVanswerVis:VC)VAdvanceVDirectives.VThisVdocumentVspeci$esVtheVclient'sVwis
hes




QuestionV2

YouVareVtheVofVaVhealthVcareVteamVthatVconsistsVofVoneVlicensedVpractical/vocationalVnurse,VoneVnursingVassista
ntV,VaVnursingVstudentVandVyourself.VToVwhomVisVitVappropriateVtoVassignVcompleteVcareVfor

A) Yourself

B) TheVnursingVstudent

C) TheVlicensedVvocationalVnurse

D) TheVnursingVassistant

ReviewVInformation:VTheVcorrectVanswerVis:A)VYourself.

,NCLEX-RN & NCLEX-PN, Updated V V V V


2022/2023, Complete Questions & 100% An
V V V V VV


swers with rationale
V V V




Best Latest Examination Study Guide Rate
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d Grade A+
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WhileVtheVnurseVmayVdelegateVaVbedVbathVforVaVstableVclient,VthisVcareVshouldVbeVperformedVbyVanVRNVforVaV
newVadmission.VOnlyVtasksVthatVdoVnotVrequireVindependentVjudgmentVshouldVbeVdelegated.




3QuestionV3

AVmotherVbringsVherVtheVclinic,VcomplainingVthatVtheVchildVseemsVtoVbeV TheVnurseVexpectsVtoV$ndVwhichVofV
theVfollowingVonVtheVinitialVhistoryVandVphysicalVassessment?

A) IncreasedVtemperatureVandVlethargy


B) RashVandVrestlessness


C) IncreasedVsleepingVandVlistlessness

D) DiarrheaVandVpoorVskinVturgor

ReviewVInformation:VTheVcorrectVanswerVis:B)VRashVandVrestlessness.

,QuestionV4

AsVtheVnurseVtakesVaVhistoryVofVaV3Vyear-
oldVwithVneuroblastoma,VwhatVcommentsVbyVtheVparentsVrequireVfollow-
upVandVareVconsistentVwithVtheVdiagnosis?

A) "TheVchildVhasVbeenVlistlessVandVhasVlostVweight."

B) "HerVurineVisVdarkVyellowVandVsmallVinVamounts."

C) "ClothesVareVbecomingVtighterVacrossVherVabdomen."VD

+)V"WeVnoticeVmuscleVweaknessVandVsomeVunsteadiness."

ReviewV Information:VTheVcorrectVanswerVis:C)V"ClothesVareVbecomingVtighterVacrossVherVabdomen.".

OneVofVtheVmostVcommonVsignsVofVneuroblastomaVisVincreasingVabdominalVgirth.VTheVparents''VreportVthat
VclothingVisVtightVisVsigni$cant,VandVshouldVbeVfollowedVbyVadditionalVassessments.




QuestionV5

AV16Vyear-
oldVpresentsVtoVtheVemergencyVdepartment.VTheVtriageVnurseV$ndsVthatVthisVteenagerVisVlegallyVmarriedVand
VsignedVtheVconsentVformVforVtreatment.VWhatVwouldVbeVtheVappropriateVINITIALVactionVbyVtheVnurse?

A) RefuseVtoVseeVtheVclientVuntilVaVparentVorVlegalVguardianVcanVbeVcontacted

B) WithholdVtreatmentVuntilVtelephoneVconsentVcanVbeVobtainedVfromVtheVspouse

C) ReferVtheVclientVtoVaVcommunityVpediatricVhospitalVemergencyVroom

D) AssessVandVtreatVinVtheVsameVmannerVasVanyVadultVclient

ReviewVInformation:VTheVcorrectVanswerVis:D)VAssessVandVtreatVinVtheVsameVmannerVasVanyVadultVclient.

MinorsVmayVbecomeVknownVasVanV"emancipatedVminor"VthroughVmarriage,Vpregnancy,VhighVschoolVgraduatio
n,VindependentVlivingVorVserviceVinVtheVmilitary.VTherefore,VthisVclient,VwhoVisVmarried,VhasVtheVlegalVcapacity
VofVanVadult.




QuestionV6

AVnewlyVadmittedVelderlyVclientVisVseverelyVdehydrated.VWhenVplanningVcareVforVthisVclient,VwhichVoneVofVtheVf
ollowingVisVanVappropriateVtaskVforVanVUnlicensedVAssistiveVPersonnelV(UAP)?

, A) ObtainVaVhistoryVofV;uidVloss

B) ReportVoutputVofVlessVthanV30Vml/hr

C) MonitorVresponseVtoVIVV;uids

D) CheckVskinVturgorVeveryVfourVhours

ReviewV Information:VTheVcorrectVanswerVis:B)VReportVoutputVofVlessVthanV30Vml/hr.

WhenVdirectingVaVUAP,VtheVnurseVmustVcommunicateVclearlyVaboutVeachVdelegatedVtaskVwithVspeci$cVinstruc
tionsVonVwhatVmustVbeVreported.VBecauseVtheVRNVisVresponsibleVforVallVcare-
relatedVdecisions,onlyVimplementationVtasksVshouldVbeVassignedVbecauseVtheyVdoVnotVrequireVindependentVj
udgment.




QuestionV7

TheVnurseVisVassessingVaV4Vyear-
oldVforVpossibleVrheumaticVfever.VWhichVofVtheVfollowingVwouldVtheVnurseVsuspectVisVrelatedVtoVthisVdiagnosis
?

A) DiagnosisVofVchickenpoxVsixVmonthsVago

B) ExposureVtoVstrepVthroatVinVdaycareVlastVmonth

C) TreatmentVforVearVinfectionVtwoVmonthsVago

D) EpisodeVofVfungalVskinVinfectionVlastVweek

ReviewVInformation:VTheVcorrectVanswerVis:B)VExposureVtoVstrepVthroatVinVdaycareVlastVmonth.

EvidenceVsupportsVaVstrongVrelationshipVbetweenVinfectionVwithVGroupVAVstreptococciVandVsubsequent
VrheumaticVfeverV(usuallyVwithinV2-
6Vweeks).VTherefore,VtheVhistoryVofVplaymatesVrecoveringVfromVstrepVthroatVwouldVindicateVthatVtheVchi
ldVdiagnosedVwithVrheumaticVfeverVmostVlikelyValsoVhadVstrepVthroat.VSometimes,VsuchVanVinfectionVha
sVnoVclinicalVsymptoms.




QuestionV8

WhenVtheVnurseVbecomesVawareVofVfeelingVreluctantVtoVinteractVwithVaVmanipulativeVclient,VtheVBESTVaction
VbyVtheVnurseVisVto

A) DiscussVtheVfeelingVofVreluctanceVwithVanVobjectiveVpeerVorVsupervisor

B) LimitVcontactsVwithVtheVclientVtoVavoidVreinforcingVtheVmanipulativeVbehavior

C) ConfrontVtheVclientVregardingVtheVnegativeVeffectsVofVhis/herVbehaviorVonVothers

D) DevelopVaVbehaviorVmodi$cationVplanVthatVwillVpromoteVmoreVfunctionalVbehavior

ReviewVInformation:VTheVcorrectVanswerVis:A)VDiscussVtheVfeelingVofVreluctanceVwithVanVobjectiveVpeerVorVs
upervisor.

TheVnurseVwhoVisVexperiencingVstressVinVtheVtherapeuticVrelationshipVcanVgainVobjectivityVthroughVsupervisio
n.VTheVnurseVmustVattemptVtoVdiscoverVattitudesVandVfeelingsVinVtheVselfVthatVin;uenceVtheVnurse-
VclientVrelationship.