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Exam (elaborations)

RN Test 3 NCLEX – Questions with Correct Answers & Rationales (2025/2026 )

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RN Test 3 NCLEX – Questions with Correct Answers & Rationales (2025/2026 )

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This Exam contains:
 100% Guarantee Pass.
 2025\2026 update

 Multiple-Choice questions.

 Each Question Includes The Correct answers

>contains 130 questions with detailed answers

RN test 3 NCLEX QUESTIONS with detailed
Answers ALL 100% VERIFIED


1. 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." -
ANS>>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.

2.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." - ANS>>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.

3.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? -
ANS>>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.

4.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." -
ANS>>d. The nurse should identify themselves, ensure the patient knows
what will be happening, and the duration of their relationship.






,5.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?" - ANS>>d. The use of touch conveys acceptance, and
the implementation of an open-ended question allows the patient time to
verbalize freely.

6.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?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health
record."
d. "Should we include your family in today's session?" - ANS>>a. The
termination phase occurs when the conclusion of the initial agreement is
acknowledged. Discharge planning correlates with the termination phase
of a therapeutic relationship and the progress toward the patient's goals
are reviewed.

7.A nursing student is nervous and concerned about working at a clinical
facility. Which action would best decrease anxiety and help ensure
successful delivery of patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel - ANS>>c. By
engaging in positive self-talk, or intrapersonal communication, the nursing




, student can plan the day, decrease fear and anxiety, and enhance clinical
performance.

8.A nurse says to their nurse manager, "I need the day off, and you didn't
give it to me!" The manager replies, "I wasn't aware you needed the day off,
and it isn't possible since staffing is inadequate." How could the nurse best
modify the communication for a more positive interaction?
a. "I placed a request to have 8th of August off for a doctor's appointment,
but I'm scheduled to work."
b. "Could I make an appointment to discuss my schedule with you? I
requested the 8th of August off for a doctor's appointment."
c. "I will need to call in on the 8th of August because I have a doctor's
appointment."
d. "Since you didn't give me the 8th of August off, will I need to find
someone to work for me?" - ANS>>b. Effective communication involves
sending clear, nonthreatening, and respectful information to the receiver.
The nurse identifies the subject of the meeting and determines a mutually
agreed upon time.

9.During a nursing staff meeting to discuss delayed documentation, the
nurses unanimously agree that they will ensure all vital signs are reported
and charted within 15 minutes following assessments. This decision is
consistent with which characteristics of effective communication? Select all
that apply.
a. Group decision making
b. Group leadership
c. Group power
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness - ANS>>a, d, e, f. Solving problems involves group
decision making; ascertaining the task is important and agreeing to
complete the task on time is characteristic of group identity. Group
patterns of interaction involve honest communication and member
support; cohesiveness occurs when members generally trust each other,
have a high commitment to the group, and a high degree of cooperation.
Group leadership occurs when groups use effective styles of leadership to

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