NCLEX RN ACTUAL EXAM 2025 2026 TEST BANk QUESTIONS
AND CORRECT DETAILED WITH RATIONALES ANSWERS
|ALREADY GRADED A+
You are caring for a patient who has decided to discontinue treatment. You
recognize that the patient is competent to make this decision and support the
decision based on which of the following ethical principles?
a. Justice
b.Fidelity
c. Autonomy
d. Confidentiality - ANSWER--c. Autonomy
Which of the following would the nurse avoid documenting when an error has
occurred with a patient?
a. Names of witnesses
b. Interventions performed
c. Physician notified
d. Incident report submitted - ANSWER--d. Incident report submitted
The nurse would avoid documenting in the patient's record that an incident report
has been submitted. The medical record belongs to the patient and should include
all information related to the incident. The incident report belongs to the hospital
and should not be referred to in the medical record. Incident reports are used to
examine the issue and improve the quality of care for all patients.
,A hurricane is coming, and nurses have been activated to open a shelter. What
items should the public be encouraged to bring to the shelter?
a. Food and clothing
b. Cats and dogs
c. Medication and records
d. Radios, televisions and other electronics - ANSWER--c. Medication and
records
The public should be encouraged to bring all medications and medical records to
the shelter. Space will be limited at the shelter so they should not bring food,
clothing or any type of electronics. Animals will not be allowed at the shelter.
You are caring for a patient who has been sexually assaulted. The patient has
become quiet and calm. What defense mechanism does this indicate?
a. Denial
b. Projection
c. Rationalization
d. Intellectualization - ANSWER--a. Denial
You are caring for a patient who is being admitted to the psychiatric unit. Which of
the following would present the most concern to the nurse?
,a. Presence of bruises on the patient's body
b. Reports by the patient that they can't eat or sleep
c. Reports by the patient of suicidal thoughts
d. Significant other's disapproval of treatment - ANSWER--c. Reports by the
patient of suicidal thoughts
You are caring for a patient who demands to be released from the hospital
immediately. The patient was admitted voluntary for an anxiety disorder. What
action should you take?
A. Tell the patient that there is a waiting period for voluntary discharge
B. Call the patient's emergency contact or next of kin
C. Notify the physician that the patient wants to be discharged
D, Tell the patient that they must wait until the appropriate staff are available -
ANSWER--C. Notify the physician that the patient wants to be discharged
You are caring for a patient who has been admitted to the hospital involuntarily.
You know based on this admission that the patient:
, a. Is a harm to himself or others
b.Is requesting admission
c.Has agreed to admission
d.Has provided a written request for admission - ANSWER--a. Is a harm to himself
or others
You are observing one of the RNs on the unit administer medication. What action
by the nurse would lead you to conclude there is a risk for a medication error?
a. Answering a physician's page while giving medication
b. Documenting in military time
c. Asking for help with calculations
d. Holding a medication that the patient questions - ANSWER--a. Answering a
physician's page while giving medication
You are delegating to a licensed practical nurse (LPN) to wound care on a patient.
The LPN has never performed this type of wound care before. What component of
delegation have you neglected?
AND CORRECT DETAILED WITH RATIONALES ANSWERS
|ALREADY GRADED A+
You are caring for a patient who has decided to discontinue treatment. You
recognize that the patient is competent to make this decision and support the
decision based on which of the following ethical principles?
a. Justice
b.Fidelity
c. Autonomy
d. Confidentiality - ANSWER--c. Autonomy
Which of the following would the nurse avoid documenting when an error has
occurred with a patient?
a. Names of witnesses
b. Interventions performed
c. Physician notified
d. Incident report submitted - ANSWER--d. Incident report submitted
The nurse would avoid documenting in the patient's record that an incident report
has been submitted. The medical record belongs to the patient and should include
all information related to the incident. The incident report belongs to the hospital
and should not be referred to in the medical record. Incident reports are used to
examine the issue and improve the quality of care for all patients.
,A hurricane is coming, and nurses have been activated to open a shelter. What
items should the public be encouraged to bring to the shelter?
a. Food and clothing
b. Cats and dogs
c. Medication and records
d. Radios, televisions and other electronics - ANSWER--c. Medication and
records
The public should be encouraged to bring all medications and medical records to
the shelter. Space will be limited at the shelter so they should not bring food,
clothing or any type of electronics. Animals will not be allowed at the shelter.
You are caring for a patient who has been sexually assaulted. The patient has
become quiet and calm. What defense mechanism does this indicate?
a. Denial
b. Projection
c. Rationalization
d. Intellectualization - ANSWER--a. Denial
You are caring for a patient who is being admitted to the psychiatric unit. Which of
the following would present the most concern to the nurse?
,a. Presence of bruises on the patient's body
b. Reports by the patient that they can't eat or sleep
c. Reports by the patient of suicidal thoughts
d. Significant other's disapproval of treatment - ANSWER--c. Reports by the
patient of suicidal thoughts
You are caring for a patient who demands to be released from the hospital
immediately. The patient was admitted voluntary for an anxiety disorder. What
action should you take?
A. Tell the patient that there is a waiting period for voluntary discharge
B. Call the patient's emergency contact or next of kin
C. Notify the physician that the patient wants to be discharged
D, Tell the patient that they must wait until the appropriate staff are available -
ANSWER--C. Notify the physician that the patient wants to be discharged
You are caring for a patient who has been admitted to the hospital involuntarily.
You know based on this admission that the patient:
, a. Is a harm to himself or others
b.Is requesting admission
c.Has agreed to admission
d.Has provided a written request for admission - ANSWER--a. Is a harm to himself
or others
You are observing one of the RNs on the unit administer medication. What action
by the nurse would lead you to conclude there is a risk for a medication error?
a. Answering a physician's page while giving medication
b. Documenting in military time
c. Asking for help with calculations
d. Holding a medication that the patient questions - ANSWER--a. Answering a
physician's page while giving medication
You are delegating to a licensed practical nurse (LPN) to wound care on a patient.
The LPN has never performed this type of wound care before. What component of
delegation have you neglected?
