2023 RN Test 3 NCLEX questions and answers with explanations 2026

2023 RN test 3 NCLEX b b b b




130 QUESTIONS ANDANSwers WITH EXPLANATIONS 2026
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update
The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing, while tr
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ansferring them from the bed to a chair. Upon entering the room, which response by the char
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ge nurse is most appropriate?
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a. "Pleasebspeakbmorebquietlybsobyoubdon'tbdisturbbthebotherbpatients."
b. "Letbmebhelpbyoubwithbyourbtransferbtechnique."
c. "Whenbyoubarebfinished,bbebsurebtobapologizebforbshouting."
d. "Whenbyourbpatientbisbsafebandbcomfortable,bmeetbmebatbthebdesk."b-
ANS>>d. The charge nurse should direct the AP to see to the patient's safety, then address an
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y concerns privately. The nurse then can discuss appropriate use of therapeutic communicati
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on.


A public health nurse is leaving the home of a young mother who has an infant with special ne
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eds. The neighbor states, "How is she doing, since the baby's father is no help?" What is the n
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urse's best response? b b



a. "Newbmothersbneedbsupport."
b. "Theblackbofbabfatherbisbdifficult."
c. "Howbarebyoubtoday?"
d. "Itbisbabverybsadbsituation."b-
ANS>>a. The nurse must maintain confidentiality when providing care. The statement "New
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mothers need support" is a general statement that all new parents need help. The statement i
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s not judgmental of the family's roles. "How are you today?" is dismissive of the neighbor's qu
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estion.


A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care center. D
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uring the admission interview, what question will the nurse ask the parents to elicit the most
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useful information? b



a. "Watchingbyourbchildbvomitingbandbinbdiscomfortbmustbhavebbeenbscary."
b. "Thisbstartedbyesterday,bcorrect?"
c. "Hasbthisbchildbhasbhadbanythingbtobdrink?"
d. Couldbyoubtellbmebthebcolorbandbapproximatebamountbofbthebvomiting?b-
b ANS>>d. Using a clarifying question or comment allows the nurse to gain an understanding o
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,f the parents' observations, avoiding misunderstandings that could lead to an inappropriate n
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ursing diagnosis. A reflective question technique involves repeating what the person has said
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bor describes the person's feelings. Assertive questions are
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,direct, demonstrating the ability to stand up for self or others, using open and honest commu
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nication. Open- b


ended questions encourage free verbalization and expression of what the parents believe to be
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true.
b




A nurse enters a patient's room and examines the patient's intravenous (IV) fluids and cardiac
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monitor. When asked, "who are you?", which response by the nurse is most appropriate?
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a. "I'mbjustbthebIVbtherapistbcheckingbyourbIV."
b. "I'vebbeenbtransferredbtobthisbdivisionbandbwillbbebcaringbforbyou."
c. "I'mbsorry,bmybnamebisbJohnbSmithbandbIbambyourbnurse."
d. "IbambJohnbSmith,byourbnurse,bandbI'llbbebcaringbforbyoubuntilb11bPM."b-
ANS>>d. The nurse should identify themselves, ensure the patient knows what will be happe
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ning, and the duration of their relationship.
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A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so al
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one." How will the nurse best communicate a therapeutic response?
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a. Thebnursebstandsbatbthebpatient'sbbedsidebandbstates,b"Ibunderstandbhowbyoubfeel.bMybmothe
r said the same thing when she was ill."
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b. Thebnursebplacesbabhandbonbthebpatient'sbarmbandbstates,b"Youbfeelbsobalone."
c. Thebnursebstandsbinbthebpatient'sbroombandbasks,b"Whybdobyoubfeelbsobalone?bYourbwifebhasbb
een here every day."
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d. Thebnursebholdsbthebpatient'sbhandbandbasks,b"Tellbmebwhatbfeelingbsobalonebisblikebforbyou?"b
- ANS>>d. The use of touch conveys acceptance, and the implementation of an open-
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ended question allows the patient time to verbalize freely.
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A primary nurse is preparing a discharge plan for a patient who has been hospitalized followi
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ng a double mastectomy. Which statement is most appropriate for the nurse to use in the ter
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mination phase of the therapeutic relationship?
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a. "Let'sbreviewbthebprogressbyou'vebmadebinbmeetingbyourbgoals."
b. "I'dblikebtobreviewbyourbmedicationbschedulebwithbyou."
c. "Ibneedbtobdocumentbtoday'sbteachingbsessionbinbthebelectronicbhealthbrecord."
d. "Shouldbwebincludebyourbfamilybinbtoday'sbsession?"b-
ANS>>a. The termination phase occurs when the conclusion of the initial agreement is ackno
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wledged. Discharge planning correlates with the termination phase of a therapeutic relations
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hip and the progress toward the patient's goals are reviewed.
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30b/b36

, A nursing student is nervous and concerned about working at a clinical facility. Which action w
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ould best decrease anxiety and help ensure successful delivery of patient care?
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a. Determiningbthebestablishedbgoalsbofbthebinstitution
b. Ensuringbthatbverbalbandbnonverbalbcommunicationbisbcongruent
c. Engagingbinbself-talkbtobplanbthebdaybandbdecreasebfear
d. Speakingbwithbfellowbcolleaguesbaboutbhowbtheybfeelb-bANS>>c.bBybengagingbinbpositivebself-
talk, or intrapersonal communication, the nursing student can plan the day, decrease fear an
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d anxiety, and enhance clinical performance.
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31b/b36