NCLEX RN CORRECT STUDYS ANSWERS AND
QUESTIONS SET A+
✔✔The nurse is contributing to a staff education conference about the stages of grief in
clients with terminal illness. Which of the following information should the nurse suggest
including?
1."The nurse should confront the client in the denial phase and emphasize that the
client's diagnosis will indeed result in death."
2."The nurse should leave the client alone as much as possible if feelings are
misdirected toward the nurse during the anger phase."
3."The client may openly express feelings of sadness during the depression phase or
withdraw from friends and family members."
4."The client avoids making plans during the acceptance phase." - ✔✔3."The client may
openly express feelings of sadness during the depression phase or withdraw from
friends and family members."
✔✔The nurse is contributing to a staff development conference about confidentiality.
Which of the following information should the nurse suggest including?
1."Clients must wait until after discharge to view their medical records."
2."Nurses on a hospital unit may review the medical records for all clients on that unit."
3."Certain information in the client's medical record may not be considered confidential."
4."Clients must disclose all personal information in order to receive care." -
✔✔2."Nurses on a hospital unit may review the medical records for all clients on that
unit."
✔✔A nurse who is pregnant is assigned to care for a 3-month-old client with respiratory
syncytial virus (RSV) pneumonia. The client is receiving ribavirin therapy. Which of the
following actions would be most appropriate for the nurse to take?
1.Maintain strict isolation precautions while caring for the client.
2.Discuss the assignment with the client's physician.
3.Request a change of assignment from the charge nurse.
4.Switch the client assignment with a coworker. - ✔✔3.Request a change of assignment
from the charge nurse.
, ✔✔The nurse is caring for an adolescent recently diagnosed with diabetes mellitus
(type 1). The client states, "You don't understand what it is like to have to give yourself
injections every day!" Which of the following responses would be appropriate for the
nurse to make?
1."I have cared for many clients who are the same age as you and they have adjusted."
2."There are many athletes who have the same diagnosis and are very healthy."
3."I can teach one of your parents how to give the injections."
4."It must be difficult to self-administer an injection every day." - ✔✔4."It must be difficult
to self-administer an injection every day."
✔✔The nurse is talking with a client who has borderline personality disorder. Which of
the following statements would the nurse expect the client to make?
1."I often feel bored and empty."
2."I hear voices others are unable to hear."
3."I need to go to my room to wash my hands again."
4."I am worried the food on this meal tray has been poisoned." - ✔✔1."I often feel bored
and empty."
✔✔The nurse is caring for a client who is experiencing new onset profuse epistaxis.
Which of the following actions should the nurse take? Select all that apply.
1.Check the client's vital signs.
2.Apply a warm compress to the client's nose.
3.Assist the client to apply pressure to the nares.
4.Encourage the client to spit out blood instead of swallowing it.
5.Place the client in an upright position with the head tilted forward.
6.Encourage the client to blow the nose periodically until the epistaxis resolves. -
✔✔3,4,5
✔✔The nurse is contributing to a staff development conference about clients who are
pregnant and rubella non-immune. Which of the following information should the nurse
suggest including? Select all that apply.
1."Fetal effects from the mother's exposure to rubella tend to be mild."
2."Exposure to rubella during pregnancy is only harmful in the first trimester."
3."Clients that are not immune to rubella should be vaccinated postpartum.
4."Antibiotics administered after exposure eliminate the risks of rubella for the fetus."
5."Pregnancy should be prevented for 4 weeks after receiving the rubella vaccine." -
✔✔3,5
✔✔The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse
should immediately intervene if a staff member is observed
1.providing the client with a sandwich to eat while wandering in the hallway
2.offering the client several ounces of fluid at regular intervals
3.securing the client to a shower chair before the shower begins
4.letting the client choose what sweater to wear - ✔✔1.providing the client with a
sandwich to eat while wandering in the hallway
QUESTIONS SET A+
✔✔The nurse is contributing to a staff education conference about the stages of grief in
clients with terminal illness. Which of the following information should the nurse suggest
including?
1."The nurse should confront the client in the denial phase and emphasize that the
client's diagnosis will indeed result in death."
2."The nurse should leave the client alone as much as possible if feelings are
misdirected toward the nurse during the anger phase."
3."The client may openly express feelings of sadness during the depression phase or
withdraw from friends and family members."
4."The client avoids making plans during the acceptance phase." - ✔✔3."The client may
openly express feelings of sadness during the depression phase or withdraw from
friends and family members."
✔✔The nurse is contributing to a staff development conference about confidentiality.
Which of the following information should the nurse suggest including?
1."Clients must wait until after discharge to view their medical records."
2."Nurses on a hospital unit may review the medical records for all clients on that unit."
3."Certain information in the client's medical record may not be considered confidential."
4."Clients must disclose all personal information in order to receive care." -
✔✔2."Nurses on a hospital unit may review the medical records for all clients on that
unit."
✔✔A nurse who is pregnant is assigned to care for a 3-month-old client with respiratory
syncytial virus (RSV) pneumonia. The client is receiving ribavirin therapy. Which of the
following actions would be most appropriate for the nurse to take?
1.Maintain strict isolation precautions while caring for the client.
2.Discuss the assignment with the client's physician.
3.Request a change of assignment from the charge nurse.
4.Switch the client assignment with a coworker. - ✔✔3.Request a change of assignment
from the charge nurse.
, ✔✔The nurse is caring for an adolescent recently diagnosed with diabetes mellitus
(type 1). The client states, "You don't understand what it is like to have to give yourself
injections every day!" Which of the following responses would be appropriate for the
nurse to make?
1."I have cared for many clients who are the same age as you and they have adjusted."
2."There are many athletes who have the same diagnosis and are very healthy."
3."I can teach one of your parents how to give the injections."
4."It must be difficult to self-administer an injection every day." - ✔✔4."It must be difficult
to self-administer an injection every day."
✔✔The nurse is talking with a client who has borderline personality disorder. Which of
the following statements would the nurse expect the client to make?
1."I often feel bored and empty."
2."I hear voices others are unable to hear."
3."I need to go to my room to wash my hands again."
4."I am worried the food on this meal tray has been poisoned." - ✔✔1."I often feel bored
and empty."
✔✔The nurse is caring for a client who is experiencing new onset profuse epistaxis.
Which of the following actions should the nurse take? Select all that apply.
1.Check the client's vital signs.
2.Apply a warm compress to the client's nose.
3.Assist the client to apply pressure to the nares.
4.Encourage the client to spit out blood instead of swallowing it.
5.Place the client in an upright position with the head tilted forward.
6.Encourage the client to blow the nose periodically until the epistaxis resolves. -
✔✔3,4,5
✔✔The nurse is contributing to a staff development conference about clients who are
pregnant and rubella non-immune. Which of the following information should the nurse
suggest including? Select all that apply.
1."Fetal effects from the mother's exposure to rubella tend to be mild."
2."Exposure to rubella during pregnancy is only harmful in the first trimester."
3."Clients that are not immune to rubella should be vaccinated postpartum.
4."Antibiotics administered after exposure eliminate the risks of rubella for the fetus."
5."Pregnancy should be prevented for 4 weeks after receiving the rubella vaccine." -
✔✔3,5
✔✔The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse
should immediately intervene if a staff member is observed
1.providing the client with a sandwich to eat while wandering in the hallway
2.offering the client several ounces of fluid at regular intervals
3.securing the client to a shower chair before the shower begins
4.letting the client choose what sweater to wear - ✔✔1.providing the client with a
sandwich to eat while wandering in the hallway
