RN test 3 NCLEX questions with detailed answers
2025\2026 update
The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing,
while transferring them from the bed to a chair. Upon entering the room, which
response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk." - Correct
answer d. The charge nurse should direct the AP to see to the patient's safety, then
address any concerns privately. The nurse then can discuss appropriate use of
therapeutic communication.
A public health nurse is leaving the home of a young mother who has an infant with
special needs. The neighbor states, "How is she doing, since the baby's father is no
help?" What is the nurse's best response?
,a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation." - Correct answer a. The nurse must maintain
confidentiality when providing care. The statement "New mothers need support" is a
general statement that all new parents need help. The statement is not judgmental
of the family's roles. "How are you today?" is dismissive of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care
center. During the admission interview, what question will the nurse ask the parents
to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting? - Correct
answer d. Using a clarifying question or comment allows the nurse to gain an
,understanding of the parents' observations, avoiding misunderstandings that could
lead to an inappropriate nursing diagnosis. A reflective question technique involves
repeating what the person has said or describes the person's feelings. Assertive
questions are direct, demonstrating the ability to stand up for self or others, using
open and honest communication. Open-ended questions encourage free
verbalization and expression of what the parents believe to be true.
A nurse enters a patient's room and examines the patient's intravenous (IV) fluids
and cardiac monitor. When asked, "who are you?", which response by the nurse is
most appropriate?
a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM." - Correct
answer d. The nurse should identify themselves, ensure the patient knows what will
be happening, and the duration of their relationship.
, A nurse enters the room of a patient with cancer. The patient is crying and states, "I
feel so alone." How will the nurse best communicate a therapeutic response?
a. The nurse stands at the patient's bedside and states, "I understand how you feel.
My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so alone."
c. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your
wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone is like
for you?" - Correct answer d. The use of touch conveys acceptance, and the
implementation of an open-ended question allows the patient time to verbalize
freely.
A primary nurse is preparing a discharge plan for a patient who has been hospitalized
following a double mastectomy. Which statement is most appropriate for the nurse
to use in the termination phase of the therapeutic relationship?
2025\2026 update
The charge nurse overhears an AP yelling loudly to a patient who is hard of hearing,
while transferring them from the bed to a chair. Upon entering the room, which
response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk." - Correct
answer d. The charge nurse should direct the AP to see to the patient's safety, then
address any concerns privately. The nurse then can discuss appropriate use of
therapeutic communication.
A public health nurse is leaving the home of a young mother who has an infant with
special needs. The neighbor states, "How is she doing, since the baby's father is no
help?" What is the nurse's best response?
,a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation." - Correct answer a. The nurse must maintain
confidentiality when providing care. The statement "New mothers need support" is a
general statement that all new parents need help. The statement is not judgmental
of the family's roles. "How are you today?" is dismissive of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute care
center. During the admission interview, what question will the nurse ask the parents
to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting? - Correct
answer d. Using a clarifying question or comment allows the nurse to gain an
,understanding of the parents' observations, avoiding misunderstandings that could
lead to an inappropriate nursing diagnosis. A reflective question technique involves
repeating what the person has said or describes the person's feelings. Assertive
questions are direct, demonstrating the ability to stand up for self or others, using
open and honest communication. Open-ended questions encourage free
verbalization and expression of what the parents believe to be true.
A nurse enters a patient's room and examines the patient's intravenous (IV) fluids
and cardiac monitor. When asked, "who are you?", which response by the nurse is
most appropriate?
a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM." - Correct
answer d. The nurse should identify themselves, ensure the patient knows what will
be happening, and the duration of their relationship.
, A nurse enters the room of a patient with cancer. The patient is crying and states, "I
feel so alone." How will the nurse best communicate a therapeutic response?
a. The nurse stands at the patient's bedside and states, "I understand how you feel.
My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so alone."
c. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your
wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone is like
for you?" - Correct answer d. The use of touch conveys acceptance, and the
implementation of an open-ended question allows the patient time to verbalize
freely.
A primary nurse is preparing a discharge plan for a patient who has been hospitalized
following a double mastectomy. Which statement is most appropriate for the nurse
to use in the termination phase of the therapeutic relationship?
