RN TEST 3 NCLEX QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
TheSchargeSnurseSoverhearsSanSAPSyellingSloudlyStoSaSpatientSwhoSisShardSofShearing,SwhileStransferringSthe
mSfromStheSbedStoSaSchair.SUponSenteringStheSroom,SwhichSresponseSbyStheSchargeSnurseSisSmostSappropri
ate?
a.S"PleaseSspeakSmoreSquietlySsoSyouSdon'tSdisturbStheSotherSpatients."
b.S"LetSmeShelpSyouSwithSyourStransferStechnique."
c.S"WhenSyouSareSfinished,SbeSsureStoSapologizeSforSshouting."
d.S"WhenSyourSpatientSisSsafeSandScomfortable,SmeetSmeSatStheSdesk."S-
SANSWERSd.STheSchargeSnurseSshouldSdirectStheSAPStoSseeStoStheSpatient'sSsafety,SthenSaddressSanySconcer
nsSprivately.STheSnurseSthenScanSdiscussSappropriateSuseSofStherapeuticScommunication.
ASpublicShealthSnurseSisSleavingStheShomeSofSaSyoungSmotherSwhoShasSanSinfantSwithSspecialSneeds.STheSne
ighborSstates,S"HowSisSsheSdoing,SsinceStheSbaby'sSfatherSisSnoShelp?"SWhatSisStheSnurse'sSbestSresponse?
a.S"NewSmothersSneedSsupport."
b.S"TheSlackSofSaSfatherSisSdifficult."
c.S"HowSareSyouStoday?"
d.S"ItSisSaSverySsadSsituation."S-
SANSWERSa.STheSnurseSmustSmaintainSconfidentialitySwhenSprovidingScare.STheSstatementS"NewSmothersS
needSsupport"SisSaSgeneralSstatementSthatSallSnewSparentsSneedShelp.STheSstatementSisSnotSjudgmentalSofS
theSfamily'sSroles.S"HowSareSyouStoday?"SisSdismissiveSofStheSneighbor'sSquestion.
AStoddlerSwithSvomiting,Sdiarrhea,SandSdehydrationSisSbeingSseenSatSanSacuteScareScenter.SDuringStheSadmi
ssionSinterview,SwhatSquestionSwillStheSnurseSaskStheSparentsStoSelicitStheSmostSusefulSinformation?
a.S"WatchingSyourSchildSvomitingSandSinSdiscomfortSmustShaveSbeenSscary."
b.S"ThisSstartedSyesterday,Scorrect?"
c.S"HasSthisSchildShasShadSanythingStoSdrink?"
d.SCouldSyouStellSmeStheScolorSandSapproximateSamountSofStheSvomiting?S-
SANSWERSd.SUsingSaSclarifyingSquestionSorScommentSallowsStheSnurseStoSgainSanSunderstandingSofStheSpare
nts'Sobservations,SavoidingSmisunderstandingsSthatScouldSleadStoSanSinappropriateSnursingSdiagnosis.SASref
lectiveSquestionStechniqueSinvolvesSrepeatingSwhatStheSpersonShasSsaidSorSdescribesStheSperson'sSfeelings.
SAssertiveSquestionsSareSdirect,SdemonstratingStheSabilityStoSstandSupSforSselfSorSothers,SusingSopenSandSho
nestScommunication.SOpen-
endedSquestionsSencourageSfreeSverbalizationSandSexpressionSofSwhatStheSparentsSbelieveStoSbeStrue.
,ASnurseSentersSaSpatient'sSroomSandSexaminesStheSpatient'sSintravenousS(IV)SfluidsSandScardiacSmonitor.SW
henSasked,S"whoSareSyou?",SwhichSresponseSbyStheSnurseSisSmostSappropriate?
a.S"I'mSjustStheSIVStherapistScheckingSyourSIV."
b.S"I'veSbeenStransferredStoSthisSdivisionSandSwillSbeScaringSforSyou."
c.S"I'mSsorry,SmySnameSisSJohnSSmithSandSISamSyourSnurse."
d.S"ISamSJohnSSmith,SyourSnurse,SandSI'llSbeScaringSforSyouSuntilS11SPM."S-
SANSWERSd.STheSnurseSshouldSidentifySthemselves,SensureStheSpatientSknowsSwhatSwillSbeShappening,Sand
StheSdurationSofStheirSrelationship.
ASnurseSentersStheSroomSofSaSpatientSwithScancer.STheSpatientSisScryingSandSstates,S"ISfeelSsoSalone."SHowSw
illStheSnurseSbestScommunicateSaStherapeuticSresponse?
a.STheSnurseSstandsSatStheSpatient'sSbedsideSandSstates,S"ISunderstandShowSyouSfeel.SMySmotherSsaidStheSs
ameSthingSwhenSsheSwasSill."
b.STheSnurseSplacesSaShandSonStheSpatient'sSarmSandSstates,S"YouSfeelSsoSalone."
c.STheSnurseSstandsSinStheSpatient'sSroomSandSasks,S"WhySdoSyouSfeelSsoSalone?SYourSwifeShasSbeenShereSev
erySday."
d.STheSnurseSholdsStheSpatient'sShandSandSasks,S"TellSmeSwhatSfeelingSsoSaloneSisSlikeSforSyou?"S-
SANSWERSd.STheSuseSofStouchSconveysSacceptance,SandStheSimplementationSofSanSopen-
endedSquestionSallowsStheSpatientStimeStoSverbalizeSfreely.
ASprimarySnurseSisSpreparingSaSdischargeSplanSforSaSpatientSwhoShasSbeenShospitalizedSfollowingSaSdoubleS
mastectomy.SWhichSstatementSisSmostSappropriateSforStheSnurseStoSuseSinStheSterminationSphaseSofStheSth
erapeuticSrelationship?
a.S"Let'sSreviewStheSprogressSyou'veSmadeSinSmeetingSyourSgoals."
b.S"I'dSlikeStoSreviewSyourSmedicationSscheduleSwithSyou."
c.S"ISneedStoSdocumentStoday'sSteachingSsessionSinStheSelectronicShealthSrecord."
d.S"ShouldSweSincludeSyourSfamilySinStoday'sSsession?"S-
SANSWERSa.STheSterminationSphaseSoccursSwhenStheSconclusionSofStheSinitialSagreementSisSacknowledged.
SDischargeSplanningScorrelatesSwithStheSterminationSphaseSofSaStherapeuticSrelationshipSandStheSprogressSt
owardStheSpatient'sSgoalsSareSreviewed.
ASnursingSstudentSisSnervousSandSconcernedSaboutSworkingSatSaSclinicalSfacility.SWhichSactionSwouldSbestSd
ecreaseSanxietySandShelpSensureSsuccessfulSdeliverySofSpatientScare?
,a.SDeterminingStheSestablishedSgoalsSofStheSinstitution
b.SEnsuringSthatSverbalSandSnonverbalScommunicationSisScongruent
c.SEngagingSinSself-talkStoSplanStheSdaySandSdecreaseSfear
d.SSpeakingSwithSfellowScolleaguesSaboutShowStheySfeelS-SANSWERSc.SBySengagingSinSpositiveSself-
talk,SorSintrapersonalScommunication,StheSnursingSstudentScanSplanStheSday,SdecreaseSfearSandSanxiety,San
dSenhanceSclinicalSperformance.
ASnurseSsaysStoStheirSnurseSmanager,S"ISneedStheSdaySoff,SandSyouSdidn'tSgiveSitStoSme!"STheSmanagerSreplie
s,S"ISwasn'tSawareSyouSneededStheSdaySoff,SandSitSisn'tSpossibleSsinceSstaffingSisSinadequate."SHowScouldSthe
SnurseSbestSmodifyStheScommunicationSforSaSmoreSpositiveSinteraction?
a.S"ISplacedSaSrequestStoShaveS8thSofSAugustSoffSforSaSdoctor'sSappointment,SbutSI'mSscheduledStoSwork."
b.S"CouldSISmakeSanSappointmentStoSdiscussSmySscheduleSwithSyou?SISrequestedStheS8thSofSAugustSoffSforSaS
doctor'sSappointment."
c.S"ISwillSneedStoScallSinSonStheS8thSofSAugustSbecauseSIShaveSaSdoctor'sSappointment."
d.S"SinceSyouSdidn'tSgiveSmeStheS8thSofSAugustSoff,SwillSISneedStoSfindSsomeoneStoSworkSforSme?"S-
SANSWERSb.SEffectiveScommunicationSinvolvesSsendingSclear,Snonthreatening,SandSrespectfulSinformationSt
oStheSreceiver.STheSnurseSidentifiesStheSsubjectSofStheSmeetingSandSdeterminesSaSmutuallySagreedSuponSti
me.
DuringSaSnursingSstaffSmeetingStoSdiscussSdelayedSdocumentation,StheSnursesSunanimouslySagreeSthatSthe
ySwillSensureSallSvitalSsignsSareSreportedSandSchartedSwithinS15SminutesSfollowingSassessments.SThisSdecisi
onSisSconsistentSwithSwhichScharacteristicsSofSeffectiveScommunication?SSelectSallSthatSapply.
a.SGroupSdecisionSmaking
b.SGroupSleadership
c.SGroupSpower
d.SGroupSidentity
e.SGroupSpatternsSofSinteraction
f.SGroupScohesivenessS-
SANSWERSa,Sd,Se,Sf.SSolvingSproblemsSinvolvesSgroupSdecisionSmaking;SascertainingStheStaskSisSimportantSan
dSagreeingStoScompleteStheStaskSonStimeSisScharacteristicSofSgroupSidentity.SGroupSpatternsSofSinteractionSi
nvolveShonestScommunicationSandSmemberSsupport;ScohesivenessSoccursSwhenSmembersSgenerallyStrustS
eachSother,ShaveSaShighScommitmentStoStheSgroup,SandSaShighSdegreeSofScooperation.SGroupSleadershipSoc
cursSwhenSgroupsSuseSeffectiveSstylesSofSleadershipStoSmeetSgoals;SwithSgroupSpower,SsourcesSofSpowerSar
eSrecognizedSandSappropriatelySusedStoSaccomplishSgroupSoutcomes.
, ASnurseSnoticesSaSpatientSisSwalkingStoStheSbathroomSwithSaSstoopedSgait,SfacialSgrimacing,SandSgruntingSso
unds.SBasedSonStheseSnonverbalScues,SwhatSactionSwillStheSnurseStakeSnext?
a.SAssessSforSpainSandStheSneedSforSanalgesia.
b.SAskStheSpatientSifStheySfeelSanxious.
c.SOfferStoSsitSwithStheSpatientSandSlistenStoStheirSfeelings.
d.SSuggestStheSpatientSincreaseStheirSfluidSintakeStoSpreventSconstipation.S-
SANSWERSa.SASpatientSwhoSpresentsSwithSnonverbalScommunicationSofSaSstoopedSgait,SfacialSgrimacing,San
dSgruntingSsoundsSisSmostSlikelyScommunicatingSpain.STheSnurseSshouldSclarifySthisSnonverbalSbehavior.
ASnursingSstudentSisSpreparingStoSadministerSmorningScareStoSaSpatient.SWhatSquestionSbyStheSstudentSisSm
ostSimportantStoSask?
a.S"WouldSyouSpreferSaSbathSorSaSshower?"
b.S"MaySIShelpSyouSwithSaSbedSbathSnowSorSlaterSthisSmorning?"
c.S"ISwillSbeSgivingSyouSyourSbath.SDoSyouSuseSsoapSorSshowerSgel?"
d.S"ISpreferSaSshowerSinStheSevening.SWhenSwouldSyouSlikeSyourSbath?"S-
SANSWERSb.STheSnurseSshouldSaskSpermissionStoSassistStheSpatientSwithSaSbath.SThisSallowsSforSpatientSpref
erencesSandSconsentSforScareSthatSinvolvesSenteringStheSpatient'sSpersonalSspace.
ASnurseSentersSaSpatient'sSroomSandSfindsSthemSvomitingSbrightSredSblood.SAfterStakingSvitalSsigns,StheSnurs
eScommunicatesStheSeventStoStheShealthScareSproviderSusingStheSSBARSformat.SWhichSinformationSwillStheS
nurseSincludeSinStheS"A"SportionSofStheSSBARScommunication?
Exhibit:SElectronicShealthSrecordS(EHR)
PastSmedicalShistory
VitalSSigns
PepticSulcer
TS98.8°F,SPS111,SRRS20,SBPS98/50
BleedingSdisorder
PulseSoximetryS96%
a.SAdmittedSwithSpepticSulcerSandSbleedingSdisorder
b.SFoundSvomitingSinSbathroom
c.SAnti-ulcerSmedicationSrecommendation