1
NCSBN NCLEX-RN & NCLEX-PN Test
Bank: 100% Verified Questions &
Answers with Rationales
Pretest
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
nursing assistant , a nursing student and yourself. To whom is it appropriate to assign complete care
for
A Yourself
B The nursing student
The licensed pvocational pnurse
pThe pnursing passistant
Review pInformation: pThe pcorrect panswer pis:A) pYourself.
While pthe pnurse pmay pdelegate pa pbed pbath pfor pa pstable pclient, pthis pcare pshould pbe
pperformed pby pan pRN pfor pa pnew padmission. pOnly ptasks pthat pdo pnot prequire pindependent
pjudgment pshould pbe pdelegated.
3Question p3
A pmother pbrings pher pthe pclinic, pcomplaining pthat pthe pchild pseems pto pbe pThe pnurse pexpects
pto pfind pwhich pof pthe pfollowing pon pthe pinitial phistory pand pphysical passessment?
pg. 1
,Increased ptemperature pand plethargy
pg. 2
, 2
Rash pand prestlessness
Increased psleeping pand
plistlessness pDiarrhea pand ppoor
pskin pturgor
Review pInformation: pThe pcorrect panswer pis:B) pRash pand prestlessness.
pg. 3
, 3
Question p4
As pthe pnurse ptakes pa phistory pof pa p3 pyear-old pwith pneuroblastoma, pwhat pcomments pby pthe
pparents prequire pfollow-up pand pare pconsistent pwith pthe pdiagnosis?
"The pchild phas pbeen plistless pand phas plost
pweight." p"Her purine pis pdark pyellow pand
psmall pin pamounts."
"Clothes pare pbecoming ptighter pacross pher pabdomen." pD+) p"We pnotice pmuscle pweakness pand
psome punsteadiness."
Review pInformation: pThe pcorrect panswer pis:C) p"Clothes pare pbecoming ptighter pacross pher pabdomen.".
One pof pthe pmost pcommon psigns pof pneuroblastoma pis pincreasing pabdominal pgirth. pThe
pparents'' preport pthat pclothing pis ptight pis psignificant, pand pshould pbe pfollowed pby padditional
passessments.
Question p5
A p16 pyear-old ppresents pto pthe pemergency pdepartment. pThe ptriage pnurse pfinds pthat pthis
pteenager pis plegally pmarried pand psigned pthe pconsent pform pfor ptreatment. pWhat pwould pbe pthe
pappropriate pINITIAL paction pby pthe pnurse?
Refuse pto psee pthe pclient puntil pa pparent por plegal pguardian pcan pbe
pcontacted pWithhold ptreatment puntil ptelephone pconsent pcan pbe pobtained
pfrom pthe pspouse pRefer pthe pclient pto pa pcommunity ppediatric phospital
pemergency proom
Assess pand ptreat pin pthe psame pmanner pas pany padult pclient
Review pInformation: pThe pcorrect panswer pis:D) pAssess pand ptreat pin pthe psame pmanner pas pany
padult pclient.
Minors pmay pbecome pknown pas pan p"emancipated pminor" pthrough pmarriage, ppregnancy, phigh
pschool pgraduation, pindependent pliving por pservice pin pthe pmilitary. pTherefore, pthis pclient, pwho
pis pmarried, phas pthe plegal pcapacity pof pan padult.
pg. 4
NCSBN NCLEX-RN & NCLEX-PN Test
Bank: 100% Verified Questions &
Answers with Rationales
Pretest
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
nursing assistant , a nursing student and yourself. To whom is it appropriate to assign complete care
for
A Yourself
B The nursing student
The licensed pvocational pnurse
pThe pnursing passistant
Review pInformation: pThe pcorrect panswer pis:A) pYourself.
While pthe pnurse pmay pdelegate pa pbed pbath pfor pa pstable pclient, pthis pcare pshould pbe
pperformed pby pan pRN pfor pa pnew padmission. pOnly ptasks pthat pdo pnot prequire pindependent
pjudgment pshould pbe pdelegated.
3Question p3
A pmother pbrings pher pthe pclinic, pcomplaining pthat pthe pchild pseems pto pbe pThe pnurse pexpects
pto pfind pwhich pof pthe pfollowing pon pthe pinitial phistory pand pphysical passessment?
pg. 1
,Increased ptemperature pand plethargy
pg. 2
, 2
Rash pand prestlessness
Increased psleeping pand
plistlessness pDiarrhea pand ppoor
pskin pturgor
Review pInformation: pThe pcorrect panswer pis:B) pRash pand prestlessness.
pg. 3
, 3
Question p4
As pthe pnurse ptakes pa phistory pof pa p3 pyear-old pwith pneuroblastoma, pwhat pcomments pby pthe
pparents prequire pfollow-up pand pare pconsistent pwith pthe pdiagnosis?
"The pchild phas pbeen plistless pand phas plost
pweight." p"Her purine pis pdark pyellow pand
psmall pin pamounts."
"Clothes pare pbecoming ptighter pacross pher pabdomen." pD+) p"We pnotice pmuscle pweakness pand
psome punsteadiness."
Review pInformation: pThe pcorrect panswer pis:C) p"Clothes pare pbecoming ptighter pacross pher pabdomen.".
One pof pthe pmost pcommon psigns pof pneuroblastoma pis pincreasing pabdominal pgirth. pThe
pparents'' preport pthat pclothing pis ptight pis psignificant, pand pshould pbe pfollowed pby padditional
passessments.
Question p5
A p16 pyear-old ppresents pto pthe pemergency pdepartment. pThe ptriage pnurse pfinds pthat pthis
pteenager pis plegally pmarried pand psigned pthe pconsent pform pfor ptreatment. pWhat pwould pbe pthe
pappropriate pINITIAL paction pby pthe pnurse?
Refuse pto psee pthe pclient puntil pa pparent por plegal pguardian pcan pbe
pcontacted pWithhold ptreatment puntil ptelephone pconsent pcan pbe pobtained
pfrom pthe pspouse pRefer pthe pclient pto pa pcommunity ppediatric phospital
pemergency proom
Assess pand ptreat pin pthe psame pmanner pas pany padult pclient
Review pInformation: pThe pcorrect panswer pis:D) pAssess pand ptreat pin pthe psame pmanner pas pany
padult pclient.
Minors pmay pbecome pknown pas pan p"emancipated pminor" pthrough pmarriage, ppregnancy, phigh
pschool pgraduation, pindependent pliving por pservice pin pthe pmilitary. pTherefore, pthis pclient, pwho
pis pmarried, phas pthe plegal pcapacity pof pan padult.
pg. 4
