NCSBN TEST BANK - For theNCLEX -RN & NCLEX -PN
Updated2025 CompleteQuestionandAnswers
A c. What documentshould be in guiding the care of this client?
A) Client Self DeterminationAct
B) Physician's treatmentorders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: The correct answer is: C) Advance Directives. This document specifies the client's
wishes
Question2
You are the of a healthcare teamthat consistsof one licensedpractical/vocationalnurse, one nursing assistant, a nursing student and
yourself. To whom is it appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensedvocationalnurse
D) The nursing assistant
Review Information: The correct answeris:A) Yourself.
While the nursemay delegate a bed bath
for a stable client,this care should be performed by
an RN for a new admission. Only tasks
that do not require independent judgment should be delegated.
Question3
A mother bringsher the clinic, complaining thatthe child seemsto be thenurse expectsto find which of the following on the
initial history and physical assessment?
A) Increasedtemperatureand lethargy
B) Rash and restlessness
C) Increasedsleeping and listlessness
D) Diarrhea and poor skin turgor
,ReviewInformation: The correctansweris:B) Rash and restlessness.
,Question4
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 beenlistless 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 weaknessand some unsteadiness."
Review Information: The correct answeris:C) "Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that clothing is tight is
significant, and should be followed by additional assessments.
Question5
A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally married
and signed the
consent formfor treatment. What wouldbe the appropriate INITIAL action bythe nurse?
A) Refuseto seethe client until a parentor legal guardian can be contacted
B) Withhold treatmentuntil telephoneconsentcan be obtainedfrom the spouse
C) Referthe client to a community pediatrichospitalemergencyroom
D) Assess and treatin the same manner as any adult client
Review Information: The correct answeris:D) Assess and treat in the same manner as any adult client.
Minors may become knownas an "emancipated minor" through marriage, pregnancy, high school graduation,independentliving
or servicein themilitary. Therefore,this client, who is married,has thelegal capacity of an adult.
Question6
, A newly admittedelderly client is severelydehydrated. Whenplanning care for this client, which one of the following is an
appropriate task for an Unlicensed Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report outputof lessthan 30 ml/hr
C) Monitor response toIV fluids
D) Check skin turgor every four hours
Review Information: The correct answeris:B) Report output of less than 30 ml/hr.
When directing a UAP, the nurse must communicate clearly about each delegated task with specific instructions
on whatmust be
reported.Because theRN is responsiblefor all care-relateddecisions,only implementation tasks should be assigned because they do
not require independent judgment.
Question7
The nurse is assessing a 4 year
-old for possible rheumaticfever. Which ofthe following would thenurse suspect is related to this
diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposure to strepthroatin daycarelast month
C) Treatmentfor earinfection two monthsago
D) Episode of fungal skin infection last week
Review Information: The correct answeris:B) Exposure to strep throat in daycarelast month.
Evidence supports a strong relationship between infection with Group A streptococci and subsequent rheumatic fever
(usually within 2-6 weeks). Therefore, the history of playmates recovering
from strep throat wouldindicate that the child
diagnosed with rheumatic fever most likely also hadstrep throat. Sometimes, such an infection has no clinical symptoms.
Question8
When the nurse becomesawareof feelingreluctantto interactwith a manipulativeclient, the BEST action by the nurse is to
A) Discuss thefeelingof reluctancewith an objective peeror supervisor
B) Limit contactswith theclient to avoid reinforcing themanipulativebehavior
C) Confront theclient regardingthenegativeeffectsof his/herbehavioron others
D) Develop a behaviormodification plan thatwill promotemore functionalbehavior
Review Information: The correct answer is:A) Discuss the feeling of reluctance with an objective peer
supervisor.
or
Updated2025 CompleteQuestionandAnswers
A c. What documentshould be in guiding the care of this client?
A) Client Self DeterminationAct
B) Physician's treatmentorders
C) Advance Directives.
D) Clinical Pathwayprotocols
Review Information: The correct answer is: C) Advance Directives. This document specifies the client's
wishes
Question2
You are the of a healthcare teamthat consistsof one licensedpractical/vocationalnurse, one nursing assistant, a nursing student and
yourself. To whom is it appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensedvocationalnurse
D) The nursing assistant
Review Information: The correct answeris:A) Yourself.
While the nursemay delegate a bed bath
for a stable client,this care should be performed by
an RN for a new admission. Only tasks
that do not require independent judgment should be delegated.
Question3
A mother bringsher the clinic, complaining thatthe child seemsto be thenurse expectsto find which of the following on the
initial history and physical assessment?
A) Increasedtemperatureand lethargy
B) Rash and restlessness
C) Increasedsleeping and listlessness
D) Diarrhea and poor skin turgor
,ReviewInformation: The correctansweris:B) Rash and restlessness.
,Question4
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 beenlistless 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 weaknessand some unsteadiness."
Review Information: The correct answeris:C) "Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that clothing is tight is
significant, and should be followed by additional assessments.
Question5
A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally married
and signed the
consent formfor treatment. What wouldbe the appropriate INITIAL action bythe nurse?
A) Refuseto seethe client until a parentor legal guardian can be contacted
B) Withhold treatmentuntil telephoneconsentcan be obtainedfrom the spouse
C) Referthe client to a community pediatrichospitalemergencyroom
D) Assess and treatin the same manner as any adult client
Review Information: The correct answeris:D) Assess and treat in the same manner as any adult client.
Minors may become knownas an "emancipated minor" through marriage, pregnancy, high school graduation,independentliving
or servicein themilitary. Therefore,this client, who is married,has thelegal capacity of an adult.
Question6
, A newly admittedelderly client is severelydehydrated. Whenplanning care for this client, which one of the following is an
appropriate task for an Unlicensed Assistive Personnel (UAP)?
A) Obtain a history of fluid loss
B) Report outputof lessthan 30 ml/hr
C) Monitor response toIV fluids
D) Check skin turgor every four hours
Review Information: The correct answeris:B) Report output of less than 30 ml/hr.
When directing a UAP, the nurse must communicate clearly about each delegated task with specific instructions
on whatmust be
reported.Because theRN is responsiblefor all care-relateddecisions,only implementation tasks should be assigned because they do
not require independent judgment.
Question7
The nurse is assessing a 4 year
-old for possible rheumaticfever. Which ofthe following would thenurse suspect is related to this
diagnosis?
A) Diagnosis of chickenpox six months ago
B) Exposure to strepthroatin daycarelast month
C) Treatmentfor earinfection two monthsago
D) Episode of fungal skin infection last week
Review Information: The correct answeris:B) Exposure to strep throat in daycarelast month.
Evidence supports a strong relationship between infection with Group A streptococci and subsequent rheumatic fever
(usually within 2-6 weeks). Therefore, the history of playmates recovering
from strep throat wouldindicate that the child
diagnosed with rheumatic fever most likely also hadstrep throat. Sometimes, such an infection has no clinical symptoms.
Question8
When the nurse becomesawareof feelingreluctantto interactwith a manipulativeclient, the BEST action by the nurse is to
A) Discuss thefeelingof reluctancewith an objective peeror supervisor
B) Limit contactswith theclient to avoid reinforcing themanipulativebehavior
C) Confront theclient regardingthenegativeeffectsof his/herbehavioron others
D) Develop a behaviormodification plan thatwill promotemore functionalbehavior
Review Information: The correct answer is:A) Discuss the feeling of reluctance with an objective peer
supervisor.
or
