NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN, Updated 2022, Complete Questions & Answers with rationale

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3Question 3

A mother brings her the clinic, complaining that the child seems to be The nurse expects

to find which of the following on the initial history and physical assessment?

A) Increased temperature and lethargy

Pretest

Question 1

A c. What document should be in guiding the care of this client?

A) Client Self Determination Act

B) Physician's treatment orders

C) Advance Directives.

D) Clinical Pathway protocols

Review Information: The correct answer is: C) Advance Directives. This document specifies

the client's wishes

Question 2

You are the of a health care team that consists of one licensed practical/vocational nurse,

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 licensed vocational nurse

D) The nursing assistant

Review Information: The correct answer is:A) Yourself.

While the nurse may 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.

B) Rash and restlessness

C) Increased sleeping and listlessness

D) Diarrhea and poor skin turgor

Review Information: The correct answer is:B) Rash and restlessness.

Question 4

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 been listless 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 weakness and some unsteadiness."

Review Information: The correct answer is: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.

Question 5

A 16 year-old presents to the emergency department. The triage nurse finds that this

teenager is legally married and signed the consent form for treatment. What would be the

appropriate INITIAL action by the nurse?

A) Refuse to see the client until a parent or legal guardian can be contacted

B) Withhold treatment until telephone consent can be obtained from the spouse

C) Refer the client to a community pediatric hospital emergency room

D) Assess and treat in the same manner as any adult client

Review Information: The correct answer is:D) Assess and treat in the same manner as

any adult client.

Minors may become known as an "emancipated minor" through marriage, pregnancy,

high school graduation, independent living or service in the military. Therefore, this

client, who is married, has the legal capacity of an adult.

Diagnosis of chickenpox six months ago

A) Exposure to strep throat in daycare last month

Question 6

A newly admitted elderly client is severely dehydrated. When planning 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 output of less than 30 ml/hr

C) Monitor response to IV fluids

D) Check skin turgor every four hours

Review Information: The correct answer is: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 what must be reported. Because the RN is responsible for all care-related

decisions,only implementation tasks should be assigned because they do not require independent

judgment.

Question 7

The nurse is assessing a 4 year-old for possible rheumatic fever. Which of the following would

the nurse suspect is related to this diagnosis?

B) Treatment for ear infection two months ago

C) Episode of fungal skin infection last week

Review Information: The correct answer is:B) Exposure to strep throat in daycare last

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 would indicate that the child diagnosed with

rheumatic fever most likely also had strep throat. Sometimes, such an infection has no

clinical symptoms.

Question 8

When the nurse becomes aware of feeling reluctant to interact with a manipulative client,

the BEST action by the nurse is to

A) Discuss the feeling of reluctance with an objective peer or supervisor

B) Limit contacts with the client to avoid reinforcing the manipulative behavior

C) Confront the client regarding the negative effects of his/her behavior on others

D) Develop a behavior modification plan that will promote more functional behavior

Review Information: The correct answer is:A) Discuss the feeling of reluctance with an

objective peer or supervisor.

The nurse who is experiencing stress in the therapeutic relationship can gain objectivity

through supervision. The nurse must attempt to discover attitudes and feelings in the self

that influence the nurseclient relationship.

Question 9

A client is being treated for paranoid schizophrenia. When the client became loud and

boisterous, the nurse immediately placed him in seclusion as a precautionary measure.

The client willingly complied. The nurse's action

A) May result in charges of unlawful seclusion and restraint

B) Leaves the nurse vulnerable for charges of assault and battery

C) Was appropriate in view of the client's history of violence

D) Was necessary to maintain the therapeutic milieu of the unit

Review Information: The correct answer is:A) May result in charges of unlawful

seclusion and restraint.

Seclusion should only be used when there is an immediate threat of violence or

threatening behavior.

Question 10

A client has been admitted to the Coronary Care Unit with a Myocardial Infarction.

Which of the following nursing diagnosis should have PRIORITY?

A) Pain related to ischemia

B) Risk for altered elimination: constipation

C) Risk for complication: dysrhythmias

D) Anxiety

Review Information: The correct answer is:A) Pain related to ischemia.

Pain is related to ischemia, and relief of pain will decrease myocardial oxygen demands,

reduce blood pressure and heart rate and relieve anxiety. Pain also stimulates the

sympathetic nervous system and increased preload, further increasing myocardial

demands. 

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