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NCSBN NCLEX-RN Test Plan: Key Content Areas and Clinical Judgment Framework

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This study guide is based on the official NCSBN NCLEX-RN Test Plan. It organizes content by the four major Client Needs categories (Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity) and integrates the NCSBN Clinical Judgment Measurement Model (NCJMM). Designed to help nursing students prioritize study efforts for board exam success

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NCSBN
TEST BANK
NCLEX-RN &
NCLEX-PN
UPDATED
2023 Q&A

, NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers




NCSBN TEST BANK - for the
NCLEX-RN &
NCLEX-PN UPDATED
Question and Answers
Question 1

A c. What document should be in guiding the care of this client?

A) Client Self Determination Act

B) Physician's treatment orders

C) Advance Directives.

D) Clinical Pathway protocols

Review Information: The correct answer is: C) Advance Directives. This document
specifies the client's wishes



Question 2

You are the of a health care team that consists of one licensed practical/vocational nurse,
one nursing assistant, a nursing student and yourself. To whom is it appropriate to assign
complete care for

A) Yourself

B) The nursing student

C) The licensed vocational nurse

D) The nursing assistant

Review Information: The correct answer is:A) Yourself.

While the nurse may delegate a bed bath for a stable client, this care should be performed
by an RN for a new admission. Only tasks that do not require independent judgment
should be delegated.


NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers




1

, NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers




Question 3




NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers




2

, NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers


A mother brings her the clinic, complaining that the child seems to be .The nurse expects
to find which of the following on the initial history and physical assessment?

A) Increased temperature and lethargy

B) Rash and restlessness

C) Increased sleeping and listlessness

D) Diarrhea and poor skin turgor

Review Information: The correct answer is: B) Rash and restlessness.




Question 4

As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the
parents require follow-up and are consistent with the diagnosis?

A) "The child has been listless and has lost weight."

B) "Her urine is dark yellow and small in amounts."

C) "Clothes are becoming tighter across her abdomen."

D+) "We notice muscle weakness and some unsteadiness."

Review Information: The correct answer is:C) "Clothes are becoming tighter across her
abdomen.".

One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight is significant, and should be followed by additional
assessments.



Question 5

A 16 year-old presents to the emergency department. The triage nurse finds that this
teenager is legally married and signed the consent form for treatment. What would be the
appropriate INITIAL action by the nurse?

A) Refuse to see the client until a parent or legal guardian can be contacted

NCSBN TEST BANK - for the NCLEX-RN &
NCLEX-PN UPDATED Question andAnswers




3

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