NCSBN TEST BANK - for the NCLEXRN & NCLEX-PN, UPDATED EDITION,
Complete Questions & Answers with
rationale
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.
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
B) Rash and restlessness
C) Increased sleeping and listlessness
NCSBN TEST BANK - for the NCLEXRN & NCLEX-PN, UPDATED EDITION,
Complete Questions & Answers with
rationale
D) Diarrhea and poor skin turgor
Review Information: The correct answer is:B) Rash and restlessness.
NCSBN TEST BANK - for the NCLEXRN & NCLEX-PN, UPDATED EDITION,
Complete Questions & Answers with
rationale
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 amou
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