,NCSBN,TEST,BANK,-,for,the,,NCLEX-RN,&,NCLEX-PN,UPDATED,,Question,and,Answers,
NCSBN TEST BANK for the NCLEXRN &
NCLEX-PN UPDATED 2025- 2026
QUESTIONS AND VERIFIED 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,n
ursing,assistant,,a,nursing,student,and,yourself.,To,whom,is,it,appropriate,to,assign,complete,c
are,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,a
n,RN,for,a,new,admission.,Only,tasks,that,do,not,require,independent,judgment,should,be,dele
gated.,
Question,3,
A,mother,brings,her,the,clinic,,complaining,that,the,child,seems,to,be,,.The,nurse,expects,to,fin
d,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,abdome
n.".,
One,of,the,most,common,signs,of,neuroblastoma,is,increasing,abdominal,girth.,The,parents'',re
port,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,act
ion,by,the,nurse?,A),Refuse,to,see,the,client,until,a,parent,or,legal,guardian,can,be,contacted
B) Withhold,treatment,until,telephone,consent,can,be,obtained,from,the,spouse
C) Refer,the,client,to,a,community,pediatric,hospital,emergency,room
D) Assess,and,treat,in,the,same,manner,as,any,adult,client
Review,Information:,The,correct,answer,is:D),Assess,and,treat,in,the,same,manner,as,any,adult
,client.,
Minors,may,become,known,as,an,"emancipated,minor",through,marriage,,pregnancy,,high,sch
ool,graduation,,independent,living,or,service,in,the,military.,Therefore,,this,client,,who,is,marri
ed,,has,the,legal,capacity,of,an,adult.,
,
,Question,6,
A,newly,admitted,elderly,client,is,severely,dehydrated.,When,planning,care,for,this,client,,whic
h,one,of,the,following,is,an,appropriate,task,for,an,Unlicensed,Assistive,Personnel,(UAP)?
A) Obtain,a,history,of,fluid,loss
B) Report,output,of,less,than,30,ml/hr
C) Monitor,response,to,IV,fluids
D) Check,skin,turgor,every,four,hours
Review,Information:,The,correct,answer,is:B),Report,output,of,less,than,30,ml/hr.,
When,directing,a,UAP,,the,nurse,must,communicate,clearly,about,each,delegated,task,with,spe
cific,instructions,on,what,must,be,reported.,Because,the,RN,is,responsible,for,all,care-
related,decisions,only,implementation,tasks,should,be,assigned,because,they,do,not,require,in
dependent,judgment.,
,
, Question,7,
The,nurse,is,assessing,a,4,year-
old,for,possible,rheumatic,fever.,Which,of,the,following,would,the,nurse,suspect,is,related,to,t
his,diagnosis?
A) Diagnosis,of,chickenpox,six,months,ago
B) Exposure,to,strep,throat,in,daycare,last,month
C) Treatment,for,ear,infection,two,months,ago
D) Episode,of,fungal,skin,infection,last,week
Review,Information:,The,correct,answer,is:B),Exposure,to,strep,throat,in,daycare,last,month.,
Evidence,supports,a,strong,relationship,between,infection,with,Group,A,streptococci,and,subse
quent,rheumatic,fever,(usually,within,2-
6,weeks).,Therefore,,the,history,of,playmates,recovering,from,strep,throat,would,indicate,that,
the,child,diagnosed,with,rheumatic,fever,most,likely,also,had,strep,throat.,Sometimes,,such,an,
infection,has,no,clinical,symptoms.,
,
Question,8,
When,the,nurse,becomes,aware,of,feeling,reluctant,to,interact,with,a,manipulative,client,,the,B
EST,action,by,the,nurse,is,to
A) Discuss,the,feeling,of,reluctance,with,an,objective,peer,or,supervisor
B) Limit,contacts,with,the,client,to,avoid,reinforcing,the,manipulative,behavior
C) Confront,the,client,regarding,the,negative,effects,of,his/her,behavior,on,others
D) Develop,a,behavior,modification,plan,that,will,promote,more,functional,behavior
Review,Information:,The,correct,answer,is:A),Discuss,the,feeling,of,reluctance,with,an,objectiv
e,peer,or,supervisor.,
The,nurse,who,is,experiencing,stress,in,the,therapeutic,relationship,can,gain,objectivity,through
,supervision.,The,nurse,must,attempt,to,discover,attitudes,and,feelings,in,the,self,that,influenc
e,the,nurse-client,relationship.,
,
NCSBN TEST BANK for the NCLEXRN &
NCLEX-PN UPDATED 2025- 2026
QUESTIONS AND VERIFIED 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,n
ursing,assistant,,a,nursing,student,and,yourself.,To,whom,is,it,appropriate,to,assign,complete,c
are,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,a
n,RN,for,a,new,admission.,Only,tasks,that,do,not,require,independent,judgment,should,be,dele
gated.,
Question,3,
A,mother,brings,her,the,clinic,,complaining,that,the,child,seems,to,be,,.The,nurse,expects,to,fin
d,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,abdome
n.".,
One,of,the,most,common,signs,of,neuroblastoma,is,increasing,abdominal,girth.,The,parents'',re
port,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,act
ion,by,the,nurse?,A),Refuse,to,see,the,client,until,a,parent,or,legal,guardian,can,be,contacted
B) Withhold,treatment,until,telephone,consent,can,be,obtained,from,the,spouse
C) Refer,the,client,to,a,community,pediatric,hospital,emergency,room
D) Assess,and,treat,in,the,same,manner,as,any,adult,client
Review,Information:,The,correct,answer,is:D),Assess,and,treat,in,the,same,manner,as,any,adult
,client.,
Minors,may,become,known,as,an,"emancipated,minor",through,marriage,,pregnancy,,high,sch
ool,graduation,,independent,living,or,service,in,the,military.,Therefore,,this,client,,who,is,marri
ed,,has,the,legal,capacity,of,an,adult.,
,
,Question,6,
A,newly,admitted,elderly,client,is,severely,dehydrated.,When,planning,care,for,this,client,,whic
h,one,of,the,following,is,an,appropriate,task,for,an,Unlicensed,Assistive,Personnel,(UAP)?
A) Obtain,a,history,of,fluid,loss
B) Report,output,of,less,than,30,ml/hr
C) Monitor,response,to,IV,fluids
D) Check,skin,turgor,every,four,hours
Review,Information:,The,correct,answer,is:B),Report,output,of,less,than,30,ml/hr.,
When,directing,a,UAP,,the,nurse,must,communicate,clearly,about,each,delegated,task,with,spe
cific,instructions,on,what,must,be,reported.,Because,the,RN,is,responsible,for,all,care-
related,decisions,only,implementation,tasks,should,be,assigned,because,they,do,not,require,in
dependent,judgment.,
,
, Question,7,
The,nurse,is,assessing,a,4,year-
old,for,possible,rheumatic,fever.,Which,of,the,following,would,the,nurse,suspect,is,related,to,t
his,diagnosis?
A) Diagnosis,of,chickenpox,six,months,ago
B) Exposure,to,strep,throat,in,daycare,last,month
C) Treatment,for,ear,infection,two,months,ago
D) Episode,of,fungal,skin,infection,last,week
Review,Information:,The,correct,answer,is:B),Exposure,to,strep,throat,in,daycare,last,month.,
Evidence,supports,a,strong,relationship,between,infection,with,Group,A,streptococci,and,subse
quent,rheumatic,fever,(usually,within,2-
6,weeks).,Therefore,,the,history,of,playmates,recovering,from,strep,throat,would,indicate,that,
the,child,diagnosed,with,rheumatic,fever,most,likely,also,had,strep,throat.,Sometimes,,such,an,
infection,has,no,clinical,symptoms.,
,
Question,8,
When,the,nurse,becomes,aware,of,feeling,reluctant,to,interact,with,a,manipulative,client,,the,B
EST,action,by,the,nurse,is,to
A) Discuss,the,feeling,of,reluctance,with,an,objective,peer,or,supervisor
B) Limit,contacts,with,the,client,to,avoid,reinforcing,the,manipulative,behavior
C) Confront,the,client,regarding,the,negative,effects,of,his/her,behavior,on,others
D) Develop,a,behavior,modification,plan,that,will,promote,more,functional,behavior
Review,Information:,The,correct,answer,is:A),Discuss,the,feeling,of,reluctance,with,an,objectiv
e,peer,or,supervisor.,
The,nurse,who,is,experiencing,stress,in,the,therapeutic,relationship,can,gain,objectivity,through
,supervision.,The,nurse,must,attempt,to,discover,attitudes,and,feelings,in,the,self,that,influenc
e,the,nurse-client,relationship.,
,