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Exam (elaborations)

RN TEST 3 NCLEX QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • Course
  • NCLEX-RN
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  • NCLEX-RN

RN TEST 3 NCLEX QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 22, 2024
  • 48
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX-RN
  • NCLEX-RN
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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

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