NCLEX Practice Exam Prep U (New 2026/
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
What is a crucial goal of therapeutic communication when helping the client deal with
personal issues and painful feelings? - Correct answer conveying client respect and
acceptance even if not all of the client's behaviors are tolerated
Explanation:
The nurse is required to set limits on inappropriate behavior while conveying respect
and acceptance of that person. Doing so conveys to the client that he is worthy without
posing any harm or embarrassment to the client. Touch is a complex issue that must
be used cautiously. Touch may be misinterpreted or misperceived by a client who has
been abused or who has perceptual or thought disturbances. Mutual sharing reflects a
social friendship, not a therapeutic one. Total confidentiality is not desirable. For
example, treatment team members and insurance companies need selected
information to ensure quality services.
,A 4-year-old has just returned from surgery. He has a nasogastric (NG) tube in place
and is attached to intermittent suction. The child says to the nurse, "I'm going to throw
up." What should the nurse do first? - Correct answer Irrigate the NG tube to ensure
patency.
Explanation:
The nurse should first irrigate the NG tube because if the tube isn't draining properly or
is kinked, the child will experience nausea. There's no reason to notify the physician
immediately because a nurse should be able to handle the situation. Giving the child an
antiemetic doesn't really address the problem. Encouraging the mother to calm the
child is always a good intervention but isn't the first thing to do in this case.
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis
of the left tibia, when assessing the area over the tibia, which is an expected finding? -
Correct answer increased warmth
Explanation:
,Findings associated with osteomyelitis commonly include pain over the area, increased
warmth, localized tenderness, and diffuse swelling over the involved bone. The area
over the affected bone is red.
The nurse is caring for an infant admitted with a severe respiratory infection. The
nurse is explaining the risk of airway obstruction and the need for frequent respiratory
assessments to the parents. Which of the following statements by the nurse is most
appropriate regarding the risk of airway obstruction? - Correct answer "The infant's
larger tongue and smaller oral cavity increase the risk of airway obstruction."
Explanation:
The relatively larger tongue and smaller oral cavity of a child means that the tongue is
more likely to obstruct the airway and increase resistance to airflow than in an adult. A
flattened rib wall, thin chest wall, and rapid respiratory rate are all accurate
descriptions of a pediatric population but they do not potentially put the child at the
greatest risk for airway obstruction.
, A client arrives to the emergency department with suspected appendicitis. The
admitting nurse performs an assessment. Order the following steps according to the
sequence in which they are performed. All options must be used. - Correct answer -
Obtain a health history.
- Inspect the abdomen, noting the shape, contours, and any visible peristalsis or
pulsations.
-Auscultate bowel sounds in all four quadrants.
-Percuss all four abdominal quadrants.
-Gently palpate all four quadrants, saving the painful area for last.
Explanation:
The first step in the data collection process is to obtain a health history. Then, the
nurse would visually inspect the abdomen. Of the three remaining steps, it is important
to auscultate before percussing or palpating the client's abdomen. Touching or
palpating the abdomen before listening may actually change the bowel sounds, leading
to faulty data.
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
What is a crucial goal of therapeutic communication when helping the client deal with
personal issues and painful feelings? - Correct answer conveying client respect and
acceptance even if not all of the client's behaviors are tolerated
Explanation:
The nurse is required to set limits on inappropriate behavior while conveying respect
and acceptance of that person. Doing so conveys to the client that he is worthy without
posing any harm or embarrassment to the client. Touch is a complex issue that must
be used cautiously. Touch may be misinterpreted or misperceived by a client who has
been abused or who has perceptual or thought disturbances. Mutual sharing reflects a
social friendship, not a therapeutic one. Total confidentiality is not desirable. For
example, treatment team members and insurance companies need selected
information to ensure quality services.
,A 4-year-old has just returned from surgery. He has a nasogastric (NG) tube in place
and is attached to intermittent suction. The child says to the nurse, "I'm going to throw
up." What should the nurse do first? - Correct answer Irrigate the NG tube to ensure
patency.
Explanation:
The nurse should first irrigate the NG tube because if the tube isn't draining properly or
is kinked, the child will experience nausea. There's no reason to notify the physician
immediately because a nurse should be able to handle the situation. Giving the child an
antiemetic doesn't really address the problem. Encouraging the mother to calm the
child is always a good intervention but isn't the first thing to do in this case.
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis
of the left tibia, when assessing the area over the tibia, which is an expected finding? -
Correct answer increased warmth
Explanation:
,Findings associated with osteomyelitis commonly include pain over the area, increased
warmth, localized tenderness, and diffuse swelling over the involved bone. The area
over the affected bone is red.
The nurse is caring for an infant admitted with a severe respiratory infection. The
nurse is explaining the risk of airway obstruction and the need for frequent respiratory
assessments to the parents. Which of the following statements by the nurse is most
appropriate regarding the risk of airway obstruction? - Correct answer "The infant's
larger tongue and smaller oral cavity increase the risk of airway obstruction."
Explanation:
The relatively larger tongue and smaller oral cavity of a child means that the tongue is
more likely to obstruct the airway and increase resistance to airflow than in an adult. A
flattened rib wall, thin chest wall, and rapid respiratory rate are all accurate
descriptions of a pediatric population but they do not potentially put the child at the
greatest risk for airway obstruction.
, A client arrives to the emergency department with suspected appendicitis. The
admitting nurse performs an assessment. Order the following steps according to the
sequence in which they are performed. All options must be used. - Correct answer -
Obtain a health history.
- Inspect the abdomen, noting the shape, contours, and any visible peristalsis or
pulsations.
-Auscultate bowel sounds in all four quadrants.
-Percuss all four abdominal quadrants.
-Gently palpate all four quadrants, saving the painful area for last.
Explanation:
The first step in the data collection process is to obtain a health history. Then, the
nurse would visually inspect the abdomen. Of the three remaining steps, it is important
to auscultate before percussing or palpating the client's abdomen. Touching or
palpating the abdomen before listening may actually change the bowel sounds, leading
to faulty data.
