NCSBN TEST BANK - for the NCLEX-RN & NCLEX- PN, Updated 2022, Complete Questions & Answers with rationale BEST EXAM SOLUTION GRADED A+

NCSBNgTESTgBANKg-gforgthegNCLEX-RNg&gNCLEX-
PN,gUpdatedg2022,gCompletegQuestionsg&gAnswersgwit
hgrationale
BESTgEXAMgSOLUTIONgGRADEDgA+

Questiong1


Agc.gWhatgdocumentgshouldgbegingguidinggthegcaregofgthisgclient?

A) ClientgSelfgDeterminationgAct

B) Physician'sgtreatmentgorders

C) Advance g Directives.

D) ClinicalgPathwaygprotocols

Reviewg Information:gThegcorrectganswergis:gC)gAdvancegDirectives.gThisgdocumentgspecifiesgthegclient'sgwishes




Questiong2


Yougaregthegofgaghealthgcaregteamgthatgconsistsgofgoneglicensedgpractical/vocationalgnurse,gonegnursinggassistantg,gagn
ursinggstudentgandgyourself.gTogwhomgisgitgappropriategtogassigngcompletegcaregfor

A) Yourself

B) Theg nursinggstudent

C) Theglicensedgvocationalgnurse

D) Thegnursinggassistant

ReviewgInformation:gThegcorrectganswergis:A)gYourself.

Whilegthegnursegmaygdelegategagbedgbathgforgagstablegclient,gthisgcaregshouldgbegperformedgbygangRNgforgagnewgadmiss
ion.gOnlygtasksgthatgdognotgrequiregindependentgjudgmentgshouldgbegdelegated.




3Questiong3


Agmothergbringsghergthegclinic,gcomplaininggthatgthegchildgseemsgtogbeg Thegnursegexpectsgtogfindgwhichgofgthegfollo
winggongtheginitialghistorygandgphysicalgassessment?

A) Increasedgtemperaturegandglethargy


B) Rashgandgrestlessness


C) Increasedgsleepinggandglistlessness

D) Diarrheagandgpoorgskingturgor

Reviewg Information:gThegcorrectganswergis:B)gRashgandgrestlessness.

,NCSBNgTESTgBANKg-gforgthegNCLEX-RNg&gNCLEX-
PN,gUpdatedg2022,gCompletegQuestionsg&gAnswersgwit
hgrationale
BESTgEXAMgSOLUTIONgGRADEDgA+

Questiong4


Asgthegnursegtakesgaghistorygofgag3gyear-oldgwithgneuroblastoma,gwhatgcommentsgbygthegparentsgrequiregfollow-
upgandgaregconsistentgwithgthegdiagnosis?

A) "Thegchildghasgbeenglistlessgandghasglostgweight."

B) "Hergurinegisgdarkgyellowgandgsmallgingamounts."

C) "Clothesgaregbecominggtightergacrossghergabdomen."gD+)g

"Wegnoticegmusclegweaknessgandgsomegunsteadiness."

Reviewg Information:g Theg correctg answerg is:C)g "Clothesg areg becomingg tighterg acrossg hergabdomen.".

Onegofgthegmostgcommongsignsgofgneuroblastomagisgincreasinggabdominalggirth.gThegparents''greportgthatgclothi
nggisgtightgisgsignificant,gandgshouldgbegfollowedgbygadditionalgassessments.




Questiong5


Ag16gyear-
oldgpresentsgtogthegemergencygdepartment.gThegtriagegnursegfindsgthatgthisgteenagergisglegallygmarriedgandgsign
edgthegconsentgformgforgtreatment.gWhatgwouldgbegthegappropriategINITIALgactiongbygthegnurse?

A) Refusegtogseegthegclientguntilgagparentgorglegalgguardiangcangbegcontacted

B) Withholdgtreatmentg untilg telephoneg consentgcang beg obtainedgfromg theg spouse

C) Refergthegclientgtogagcommunitygpediatricghospitalgemergencygroom

D) Assessgandgtreatgingthegsamegmannergasganygadultgclient

Reviewg Information:gThegcorrectganswergis:D)gAssessgandgtreatgingthegsamegmannergasganygadultgclient.

Minorsgmaygbecomegknowngasgang"emancipatedgminor"gthroughgmarriage,gpregnancy,ghighgschoolggraduation,gind
ependentglivinggorgservicegingthegmilitary.gTherefore,gthisgclient,gwhogisgmarried,ghasgtheglegalgcapacitygofgangadult
.




Questiong6


Agnewlygadmittedgelderlygclientgisgseverelygdehydrated.gWhengplanninggcaregforgthisgclient,gwhichgonegofgthegfollowin
ggisgangappropriategtaskgforgangUnlicensedgAssistivegPersonnelg(UAP)?

,NCSBNgTESTgBANKg-gforgthegNCLEX-RNg&gNCLEX-
PN,gUpdatedg2022,gCompletegQuestionsg&gAnswersgwit
hgrationale
BESTgEXAMgSOLUTIONgGRADEDgA+
A) Obtaingaghistorygofgfluidgloss

B) Reportgoutputgofglessgthang30gml/hr

C) MonitorgresponsegtogIVgfluids

D) Checkgskingturgorgeverygfourghours

Reviewg Information:gTheg correctganswerg is:B)gReportg outputg ofg lessgthang30g ml/hr.

WhengdirectinggagUAP,gthegnursegmustgcommunicategclearlygaboutgeachgdelegatedgtaskgwithgspecificginstructionsg
ongwhatgmustgbegreported.gBecausegthegRNgisgresponsiblegforgallgcare-
relatedgdecisions,onlygimplementationgtasksgshouldgbegassignedgbecausegtheygdognotgrequiregindependentgjudgm
ent.




Questiong7


Thegnursegisgassessinggag4gyear-
oldgforgpossiblegrheumaticgfever.gWhichgofgthegfollowinggwouldgthegnursegsuspectgisgrelatedgtogthisgdiagnosis?

A) Diagnosisgofg chickenpoxg sixg monthsg ago

B) Exposuregtogstrepgthroatgingdaycareglastgmonth

C) Treatmentgforgearginfectiongtwogmonthsgago

D) Episodegofgfungalgskinginfectionglastgweek

Reviewg Information:gThegcorrectganswergis:B)gExposuregtogstrepgthroatgingdaycareglastgmonth.

EvidencegsupportsgagstronggrelationshipgbetweenginfectiongwithgGroupgAgstreptococcigandgsubsequentgrheu
maticgfeverg(usuallygwithing2-
6gweeks).gTherefore,gtheghistorygofgplaymatesgrecoveringgfromgstrepgthroatgwouldgindicategthatgthegchildgdia
gnosedgwithgrheumaticgfevergmostglikelygalsoghadgstrepgthroat.gSometimes,gsuchganginfectionghasgnogclinica
lgsymptoms.




Questiong8


Whengthegnursegbecomesgawaregofgfeelinggreluctantgtoginteractgwithgagmanipulativegclient,gthegBESTgactiongbygth
egnursegisgto

A) Discussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupervisor

B) Limitgcontactsgwithgthegclientgtogavoidgreinforcinggthegmanipulativegbehavior

C) Confrontgthegclientgregardinggthegnegativegeffectsgofghis/hergbehaviorgongothers

D) Developgagbehaviorgmodificationgplangthatgwillgpromotegmoregfunctionalgbehavior

Reviewg Information:gThegcorrectganswergis:A)gDiscussgthegfeelinggofgreluctancegwithgangobjectivegpeergorgsupervis
or.

Thegnursegwhogisgexperiencinggstressgingthegtherapeuticgrelationshipgcanggaingobjectivitygthroughgsupervision.gTh
egnursegmustgattemptgtogdiscovergattitudesgandgfeelingsgingthegselfgthatginfluencegthegnurse-

, NCSBNgTESTgBANKg-gforgthegNCLEX-RNg&gNCLEX-
PN,gUpdatedg2022,gCompletegQuestionsg&gAnswersgwit
hgrationale
BESTgEXAMgSOLUTIONgGRADEDgA+
clientgrelationship.