NCLEX RN Test 3 Questions and Answers
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 ap- propriate 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. Dis- charge 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."
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 ap- propriate 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. Dis- charge 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."
