RNSG 1341 - Exam 3 - NCLEX Questions
And Answers
The student nurse is teaching a family member the importance of foot care for their mother,
who has diabetes. Which safety precautions are important for the family member to know to
prevent infection? (Select all that apply.) - ANSWER>>Assess skin for redness, abrasions, and
open areas daily. Apply lotion to feet daily. & Clean between toes after bathing.
A nurse uses long firm, strokes distal to proximal while bathing a patient's legs because: It
promotes venous circulation. - ANSWER>>.
A nurse is assigned to care for the following patients. Which of the patients is most at risk for
developing skin problems and thus requiring thorough bathing and skin care? - ANSWER>>A 70-
year-old patient who has diabetes and dementia and has been incontinent of stool
While planning morning care, which of the following patients would have the highest priority to
receive their bath first? - ANSWER>>A patient who is experiencing frequent incontinent
diarrheal stools and urine
The nurse delegates needed hygiene care for an elderly stroke patient. Which intervention
would be appropriate for the nursing assistive personnel to accomplish during the bath? -
ANSWER>>Providing range-of-motion (ROM) exercises to extremities
The nurse observes an adult Middle Eastern patient attempting to bathe himself with only his
left hand. The nurse recognizes that this behavior likely relates to: The patient's cultural norm. -
ANSWER>>.
When a nurse delegates hygiene care for a male patient to a P.C.T., the P.C.T. must use an
electric razor to shave the patient with the following diagnosis: Thrombocytopenia -
ANSWER>>.
A patient receiving chemotherapy experiences stomatitis. The nurse advises the patient to use:
Normal saline rinses. - ANSWER>>.
The nurse prepares to conduct a general survey on an adult patient. Which assessment is
performed first while the nurse initiates the nurse-patient relationship? -
ANSWER>>Appearance and behavior
,The nurse is performing an abdominal assessment on a patient. In what order does the nurse
perform the steps? - ANSWER>>Inspection. Auscultation. Palpation. & Percussion
While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds during
inspiration that did not disappear after the patient coughed. Which finding should the nurse
document from the lung assessment? - ANSWER>>Coarse crackles
During assessment of the skin, the nurse assesses a lesion on the arm of the patient. The lesion
is irregularly shaped, elevated with edema, and about 3 cm. What type of lesion does the
patient have? - ANSWER>>Wheal
The nurse is assessing a patient who returned 1 hour ago from surgery for an abdominal
hysterectomy. Which assessment finding would require immediate follow-up? -
ANSWER>>Respiratory rate of 8 breaths per minute
Which statement made by the patient indicates an understanding about teaching related to
early detection of colorectal cancer? - ANSWER>>"I'll make sure to have a fecal occult blood
test annually once I turn 50."
The nurse is teaching a patient to prevent heart disease. Which information should the nurse
include? (Select all that apply.) - ANSWER>>Talk with your healthcare provider about taking a
daily low dose of aspirin. Work with your healthcare provider to develop a regular exercise
program. Limit daily intake of fats to less than 25% to 35% of total calories. & Review strategies
to encourage the patient to quit smoking.
How should the patient be positioned to best palpate for lumps or tumors during an
examination of the right breast? - ANSWER>>Supine with the right arm abducted and hand
under the head and neck
The nurse is teaching a patient how to perform a testicular self-examination. Which statement
made by the patient indicates a need for further teaching? - ANSWER>>"I'll recognize abnormal
lumps because they are very painful."
The nurse is observing the student nurse perform a respiratory assessment on a patient. Which
action by the student nurse requires the nurse to intervene? - ANSWER>>The student places
the bell of the stethoscope on the anterior chest wall to auscultate breath sounds.
,A patient has undergone surgery for a femoral artery bypass. The surgeon's orders include
assessment of dorsalis pedis pulses. The nurse will use which of the following techniques to
assess the pulses? (Select all that apply.) - ANSWER>>Have the patient relax the foot while lying
supine. & Palpate along the top of the foot in a line with the groove between extensor tendons
of great and first toes.
The faith community nurse is teaching the community center women's group about breast
cancer risk factors. Which factors does the nurse include? (Select all that apply.) -
ANSWER>>Family history with BRCA1 inherited gene mutation. Age over 40 years. Onset of
menses before the age of 12. & Recent use of oral contraceptives
You are preparing a presentation for your classmates regarding the clinical care coordination
conference for a patient with terminal cancer. As part of the preparation you have your
classmates read the Nursing Code of Ethics for Professional Registered Nurses. -
ANSWER>>Your instructor asks the class why this document is important. Which of the
following statements best describes this code?
It Defines the principles of right and wrong to provide patient care - ANSWER>>.
An 18-year-old woman is in the emergency department with fever & cough. The nurse obtains
her vital signs, listens to her lung & heart sounds, determines her level of comfort, & collects
blood & sputum samples for analysis. Which standard of practice is performed? -
ANSWER>>Assessment
A patient in the emergency department has developed wheezing & shortness of breath. The
nurse gives the ordered medicated nebulizer treatment now & in 4 hours. Which standard of
practice is performed? - ANSWER>>Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. -
ANSWER>>The nurse explains the risk and benefits of the surgery to the family and discusses
the patient's wishes with them. The nurse is acting as the patient's: Advocate.
The nurse spends time with the patient & family reviewing the dressing change procedure for
the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse
is acting in which professional role? - ANSWER>>Educator
, The examination for registered nurse (RN) licensure is exactly the same in every state in the
United States. This examination: Provides a minimal standard of knowledge for an R.N. in
practice. - ANSWER>>.
Clinical nurse specialist., - Expert clinician in a specialized area of practice such as adult diabetes
care - ANSWER>>Nurse anesthetist., - Provides care and services under the supervision of an
anesthesiologist
Nurse practitioner., - Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic conditions -
ANSWER>>Nurse-midwife., - Provides independent care, including pregnancy and gynecological
services
Health care reform will bring changes in the emphasis of care. Which of the following models is
expected from health care reform? - ANSWER>>Moving from an acute illness to a health
promotion, illness prevention model
A nurse meets with the registered dietitian & physical therapist to develop a plan of care that
focuses on improving nutrition & mobility for a patient. This is an example of which Quality &
Safety in the Education of Nurses (QSEN) competency? - ANSWER>>Teamwork and
collaboration
A critical care nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality & Safety in the Education of Nurses (QSEN) competency? -
ANSWER>>Informatics
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their
patients. A nurse consultant decides to compare 2 types of treatment. - ANSWER>>The first is
the procedure currently used to assess for pressure ulcer risk. The second uses a new
assessment instrument to identify at-risk patients. Given this information, the nurse consultant
exemplifies which career?
Nurse researcher - ANSWER>>.
Nurses in an acute care hospital are attending a unit-based education program to learn how to
use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of
education? - ANSWER>>In-service education
And Answers
The student nurse is teaching a family member the importance of foot care for their mother,
who has diabetes. Which safety precautions are important for the family member to know to
prevent infection? (Select all that apply.) - ANSWER>>Assess skin for redness, abrasions, and
open areas daily. Apply lotion to feet daily. & Clean between toes after bathing.
A nurse uses long firm, strokes distal to proximal while bathing a patient's legs because: It
promotes venous circulation. - ANSWER>>.
A nurse is assigned to care for the following patients. Which of the patients is most at risk for
developing skin problems and thus requiring thorough bathing and skin care? - ANSWER>>A 70-
year-old patient who has diabetes and dementia and has been incontinent of stool
While planning morning care, which of the following patients would have the highest priority to
receive their bath first? - ANSWER>>A patient who is experiencing frequent incontinent
diarrheal stools and urine
The nurse delegates needed hygiene care for an elderly stroke patient. Which intervention
would be appropriate for the nursing assistive personnel to accomplish during the bath? -
ANSWER>>Providing range-of-motion (ROM) exercises to extremities
The nurse observes an adult Middle Eastern patient attempting to bathe himself with only his
left hand. The nurse recognizes that this behavior likely relates to: The patient's cultural norm. -
ANSWER>>.
When a nurse delegates hygiene care for a male patient to a P.C.T., the P.C.T. must use an
electric razor to shave the patient with the following diagnosis: Thrombocytopenia -
ANSWER>>.
A patient receiving chemotherapy experiences stomatitis. The nurse advises the patient to use:
Normal saline rinses. - ANSWER>>.
The nurse prepares to conduct a general survey on an adult patient. Which assessment is
performed first while the nurse initiates the nurse-patient relationship? -
ANSWER>>Appearance and behavior
,The nurse is performing an abdominal assessment on a patient. In what order does the nurse
perform the steps? - ANSWER>>Inspection. Auscultation. Palpation. & Percussion
While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds during
inspiration that did not disappear after the patient coughed. Which finding should the nurse
document from the lung assessment? - ANSWER>>Coarse crackles
During assessment of the skin, the nurse assesses a lesion on the arm of the patient. The lesion
is irregularly shaped, elevated with edema, and about 3 cm. What type of lesion does the
patient have? - ANSWER>>Wheal
The nurse is assessing a patient who returned 1 hour ago from surgery for an abdominal
hysterectomy. Which assessment finding would require immediate follow-up? -
ANSWER>>Respiratory rate of 8 breaths per minute
Which statement made by the patient indicates an understanding about teaching related to
early detection of colorectal cancer? - ANSWER>>"I'll make sure to have a fecal occult blood
test annually once I turn 50."
The nurse is teaching a patient to prevent heart disease. Which information should the nurse
include? (Select all that apply.) - ANSWER>>Talk with your healthcare provider about taking a
daily low dose of aspirin. Work with your healthcare provider to develop a regular exercise
program. Limit daily intake of fats to less than 25% to 35% of total calories. & Review strategies
to encourage the patient to quit smoking.
How should the patient be positioned to best palpate for lumps or tumors during an
examination of the right breast? - ANSWER>>Supine with the right arm abducted and hand
under the head and neck
The nurse is teaching a patient how to perform a testicular self-examination. Which statement
made by the patient indicates a need for further teaching? - ANSWER>>"I'll recognize abnormal
lumps because they are very painful."
The nurse is observing the student nurse perform a respiratory assessment on a patient. Which
action by the student nurse requires the nurse to intervene? - ANSWER>>The student places
the bell of the stethoscope on the anterior chest wall to auscultate breath sounds.
,A patient has undergone surgery for a femoral artery bypass. The surgeon's orders include
assessment of dorsalis pedis pulses. The nurse will use which of the following techniques to
assess the pulses? (Select all that apply.) - ANSWER>>Have the patient relax the foot while lying
supine. & Palpate along the top of the foot in a line with the groove between extensor tendons
of great and first toes.
The faith community nurse is teaching the community center women's group about breast
cancer risk factors. Which factors does the nurse include? (Select all that apply.) -
ANSWER>>Family history with BRCA1 inherited gene mutation. Age over 40 years. Onset of
menses before the age of 12. & Recent use of oral contraceptives
You are preparing a presentation for your classmates regarding the clinical care coordination
conference for a patient with terminal cancer. As part of the preparation you have your
classmates read the Nursing Code of Ethics for Professional Registered Nurses. -
ANSWER>>Your instructor asks the class why this document is important. Which of the
following statements best describes this code?
It Defines the principles of right and wrong to provide patient care - ANSWER>>.
An 18-year-old woman is in the emergency department with fever & cough. The nurse obtains
her vital signs, listens to her lung & heart sounds, determines her level of comfort, & collects
blood & sputum samples for analysis. Which standard of practice is performed? -
ANSWER>>Assessment
A patient in the emergency department has developed wheezing & shortness of breath. The
nurse gives the ordered medicated nebulizer treatment now & in 4 hours. Which standard of
practice is performed? - ANSWER>>Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. -
ANSWER>>The nurse explains the risk and benefits of the surgery to the family and discusses
the patient's wishes with them. The nurse is acting as the patient's: Advocate.
The nurse spends time with the patient & family reviewing the dressing change procedure for
the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse
is acting in which professional role? - ANSWER>>Educator
, The examination for registered nurse (RN) licensure is exactly the same in every state in the
United States. This examination: Provides a minimal standard of knowledge for an R.N. in
practice. - ANSWER>>.
Clinical nurse specialist., - Expert clinician in a specialized area of practice such as adult diabetes
care - ANSWER>>Nurse anesthetist., - Provides care and services under the supervision of an
anesthesiologist
Nurse practitioner., - Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic conditions -
ANSWER>>Nurse-midwife., - Provides independent care, including pregnancy and gynecological
services
Health care reform will bring changes in the emphasis of care. Which of the following models is
expected from health care reform? - ANSWER>>Moving from an acute illness to a health
promotion, illness prevention model
A nurse meets with the registered dietitian & physical therapist to develop a plan of care that
focuses on improving nutrition & mobility for a patient. This is an example of which Quality &
Safety in the Education of Nurses (QSEN) competency? - ANSWER>>Teamwork and
collaboration
A critical care nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality & Safety in the Education of Nurses (QSEN) competency? -
ANSWER>>Informatics
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their
patients. A nurse consultant decides to compare 2 types of treatment. - ANSWER>>The first is
the procedure currently used to assess for pressure ulcer risk. The second uses a new
assessment instrument to identify at-risk patients. Given this information, the nurse consultant
exemplifies which career?
Nurse researcher - ANSWER>>.
Nurses in an acute care hospital are attending a unit-based education program to learn how to
use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of
education? - ANSWER>>In-service education
