NCSBN NCLEX RN Review 22 Questions with Verified Answers,100% CORRECT

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NCSBN NCLEX RN Review 22 Questions with Verified Answers A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is the... re any other way to take care of this without have surgery?" The nurse has a duty to first: A. Reassure the client that the surgery is the best treatment option B. Tell the client if they don't want they surgery, they don't have to have it C. Notify the surgeon that the client has additional question about alternatives to surgery D. Call the surgeon and cancel the surgery until the consent form is signed - CORRECT ANSWER C A nurse has unintentionally given an incorrect dose of medication to their client. No harm was done to the client. What is the next action, if any, required by the nurse? A. The nurse is not required to report the mistake because the client was not harmed B. The nurse is not responsible for the mistake because they have not been provided current education by their employer C. The nurse will immediately be suspended and their license will be revoked D. The nurse will report the incident to their nurse manager and follow their organizational procedures for reporting - CORRECT ANSWER D The 83 year old client, who lives in a retirement community, is admitted to the hospital. The daughter reports the client no longer calls her every day, has not been participating in previously enjoyed activities, such as weekly card games, and has allowed the garden to become overgrown with weeds. The nurse should assign this client to a room with which of the following clients? A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia B. A young adult who was admitted 24 hours ago for treatment following detoxification C. An adolescent who was admitted the day before with a diagnosis of disruptive mood dysregulation D. A middle aged person who has been on the unit for 72 hours with a diagnosis of persistent depressive disorder - CORRECT ANSWER D A Bosnian Muslim woman who doesn't speak English seeks care at a community care clinic. Through physical gestures, the woman indicates that she has pain originating in either the pelvic or genital region. Assuming several people are available to interpret, who would be the most appropriate choice? A. A female interpreter who doesn't know the client B. A female neighbor of the client who is also from Bosnia C. The client's adult daughter D. A Bosnian male, who is a certified medical interpreter - CORRECT ANSWER A The charge nurse in the ED receives a call from the ambulance crew stating that there has been a two car accident with multiple casualties. What action would the nurse take first, before the victims arrive in the ED? A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank B. Notify the nursing supervisor and request additional staff C. Activate the disaster plan D. Prepare the trauma room and select supplies - CORRECT ANSWER B The nurse manager is discussing the goals of total quality management (TQM) with the health care team. Which statement correctly identifies a key element of TQM? A. Top administrators are responsible for establishing plans for problem management B. All employees participate in systematically working toward common goals C. It's a reactionary approach used to investigate the root cause of a problem D. It is an incident management technique that focuses on employee retention - CORRECT ANSWER B The charge nurse is making assignment for the health care team. Which of these tasks can be safely delegated to the LPN? A. Assess the function of a newly created ileostomy B. Provide stoma care for a client with a well-functioning ostomy C. Care for a recent complicated double barrel colostomy D. Teach the initial ostomy care to a client and family members - CORRECT ANSWER B The nurse observes a student nurse inserting an indwelling urinary catheter for a female client. After the student inserts the catheter, no urine appears and the student begins to remove the catheter. What should the nurse do at this time? A. State strongly, "Stop, Tell me why there's no urine in the tubing." B. Ask the student in a calm voice: "Did you do something wrong?" C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a new sterile catheter." D. In a speaking tone of voice, explain: "The tubing is probably in the vagina." - CORRECT ANSWER C This catheter can be left in place and used as a landmark indicating where not to insert the new, sterile catheter. The nurse is caring for a client whose pain is not well controlled. Which statement about pain management is a priority ethical consideration that can help guide the nurse? A. Clients have the right to have their pain relieved B. The client's self report of pain is the most important consideration C. Cultural sensitivity is fundamental to pain management D. Nurses should not prejudge a client's pain using their own values - CORRECT ANSWER B A RN from the float pool is assigned to the critical care unit on the evening shift. Which of these clients should be assigned to this nurse? A. Tracheostomy of 24 hours with the client showing some respiratory distress B. Report of unstable angina with continuous telemetry monitoring C. Dopamine IV drip with vital signs monitored every 5 minutes D. Pacemaker insertion on the day shift - CORRECT ANSWER D A nurse receives an illegible hand-written medication order. Which statement to the HCP reflects appropriate assertive communication? A. "Would you please clarify what you have written so I am sure I am reading it correctly?" B. "I am have difficulty reading your handwriting. It would save me time if you would be more careful." C. "Please print in the future so I do not have to spend extra time attempting to read your writing." D. "I cannot give this medication as it is written. I have no idea of what you mean." - CORRECT ANSWER A The RN has just accepted a position as a public health nurse. Which question might be there most relevant as the nurse begins employment? A. "Which nursing assistants can I refer clients to?" B. "Which clients should I see as I begin my day?" C. "Which physicians will I be more closely collaborating with?" D. "Which groups are at the greatest risk for problems?" - CORRECT ANSWER D A newly graduated new, who has recently completed orientation, voices concern about her assignment: "I have never taken care of anyone with a lumbar drain before." Which action would be most appropriate for the charge nurse? A. Provide an immediate one on one, personal in service about the drain B. Change the assignment; reassign the client with the lumbar drain to a different nurse C. Assign the graduated staff nurse to be transferred to another floor for the shift D. Check with the nurse and the client often during the shift - CORRECT ANSWER B The client is two days postop following a hip replacement and is not transferring well from bed to chair. The nurse checks and then confirms that the client isn't progressing on any part of the mobility training program. What action is the nurse's priority? A. Discuss the problem with the client's surgeon B. Instruct physical therapy to increase treatment to 4 times a day C. Contact the family to discuss preoperative mobility problems D. Inform the case manager of the variance in the critical pathway - CORRECT ANSWER D A client is admitted with a diagnosis of schizophrenia. The client refuses to take any medication and states, "I don't think I need those medications. They make me too sleepy and drowsy. I want you to explain their use and side effects of these medications." The nurse should respond with an understanding of which statement? A. Clients with schizophrenia are at a higher risk of psychosocial complications when they know about their medication's uses and side effects B. The client has a right to know about the use and side effects of the prescribed medications C. Such education is an independent decision of the individual nurse whether or not to teach clients about their medications D. A referral is needed to the psychiatrist who should provide the client with answers to the request - CORRECT ANSWER B The nurse manager overhears a HCP loudly criticize one of the staff nurses within hearing range of other staff and visitors. Which approach by the nurse manager is indicated in this situation? A. Walk up to the HCP and quietly state: "Stop this unacceptable behavior." B. "Stay neutral and allow the staff nurse to hand this situation independently." C. Request an immediate private meeting with the HCP and staff nurse. D. Notify the CHO about the breach of professional conduct - CORRECT ANSWER C A woman dressed in a business suit with no visible identification is at the nurses station looking at client charts. What nursing action is most appropriate? A. Report to the nurse manager about the witnessed suspicious activity B. Immediately call security for this breach in client confidentiality C. Ignore the person; many outside vendors check charts to set up a transfer or to coordinate care D. Request to see identification and an explanation as to why the woman is viewing client charts - CORRECT ANSWER D A 90 year old is readmitted to the hospital, less than 2 weeks after being discharged, for the same health concern. What factors contribute to hospital readmissions among older adults? (SATA) A. Client health status B. Family preferences C. Excellent primary care D. Reconcilliation of medications E. Poor communication among providers - CORRECT ANSWER A, B, E All of the following clients are using morphine patient controlled analgesia (PCA) pumps and are two days post-op. Which client should the nurse check first? A. 70 year old following surgical repair of a femur fracture, no bowel movement since before surgery B. 79 year old following tumor resection of shoulder head, whose reported pain level is 8 out of 10 C. 62 year old following knee replacement surgery, BP 120/68, pulse 68, respirations 8 D. 67 year old following hip surgery, who just had a wound drain removed, with some bloody drainage on the dressing - CORRECT ANSWER C The nurse receives an order for a med from the hospitalist. Knowing the drug is contraindicated for the pt, the nurse twice verbalizes concerns about the contraindication to the hospitalist, who doesn't change the order. What action should the nurse take next? A. Request a consult with the in house pharmacist B. Page the attending physician to express the same concerns C. Ask another staff nurse to discuss the same concerns with the hospitalist D. Administer the medication as ordered - CORRECT ANSWER B The pt, who is diagnosed with dementia, wanders throughout the long term care facility. How can the nurse best ensure the safety of a pt who wanders? A. Attach a monitoring band to the pt's wrist B. Explain the risk of walking with no purpose C. Frequently reorient the pt to time, person, and place D. Apply a restraint to keep the pt in a chair when awake - CORRECT ANSWER A A wander management system is used to give people with dementia and other "at risk" pts the ability to move freely where they live. Mass casualty survivors are brought to the ED after a disaster. The nurse is assigned to 4 pts who were triaged in the field and have just arrived in the ED. Which pt will the nurse care for first? A. The person with multiple wounds and an open fracture B. The person with hypotension and a sucking chest wound C. The person with head trauma requiring mechanical ventilation D. The person with an undisplaced fracture of the radius - CORRECT ANSWER B [Show More]

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