NCLEX : Ethics, Processing, and Care

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Legal Responsibilities And Patient Rights

Which of the following nursing roles are eligible for prescriptive rights?

Possible Answers:

Registered nurse

Charge nurse

Critical care nurse

Nurse practitioner

Correct answer:

Nurse practitioner

Explanation:

Of the nursing types listed, only nurse practitioners are can be authorized to write prescriptions for pharmaceutical drugs.

Example Question #1 : Legal Responsibilities And Patient Rights

Communicating patient values, preferences and expressed needs to other members of health care team is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

Possible Answers:

Evidence-based practice

Safety

Patient-centered care

Quality improvement

Correct answer:

Patient-centered care

Explanation:

Communicating patient values, preferences and expressed needs to other members of health care team is an example of patient-centered care, which is defined as the act of recognizing the full agency of the patient by providing compassionate and coordinated care based on respect for patient preferences, values, and needs.

Example Question #793 : Nclex

Using tools such as algorithm flow charts and cause-effect analyses to make processes of care more explicit is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

Possible Answers:

Patient centered care

Quality improvement

Evidence-based practice

Safety

Correct answer:

Quality improvement

Explanation:

Using tools such as algorithm flow charts and cause-effect analyses to make processes of care more explicit is an example of quality improvement, which is defined as the use of data to monitor the outcomes of treatment practices and other efforts to continuously improve the quality and safety of health care systems.

Example Question #1 : Legal Responsibilities And Patient Rights

Asking for help from a co-worker or superior is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

Possible Answers:

Informatics

Safety

Teamwork and collaboration

Evidence-based practice

Correct answer:

Teamwork and collaboration

Explanation:

Asking for help from a co-worker or superior is an example of teamwork and collaboration, which is defined as the ability to function effectively within nursing or integrated teams. Skills should include the ability to have open, mutually respectful communication, shared decision making, and a focus on patient care. 

Example Question #131 : Ethics, Processing, And Care

Using a checklist for tasks when doing an in-home visit is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?

Possible Answers:

Safety

Teamwork and collaboration

Evidence-based practice 

Informatics

Correct answer:

Safety

Explanation:

Using a checklist for tasks when doing an in-home visit is an example of saftey, which is defined as employment of practices that minimize the risk of harm to patients and providers both by individual performance and the use of systems (such as checklists) to avoid errors.

Example Question #132 : Ethics, Processing, And Care

A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
Possible Answers:
Ask the client if her daughter has ever been stung by a bee in the past
Advise the client to bring her daughter to the emergency room
Instruct the client to keep the arm elevated until swelling goes away
Tell the client to call back if the condition worsens
Correct answer: Tell the client to call back if the condition worsens
Explanation: The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.

Example Question #31 : General Care

The nurse cares for an immobilized patient on the surgical floor. Which of the following nursing considerations is essential for preventing ulcerations?

Possible Answers:

Teach client the importance of coughing and deep breathing

Providing a well-balanced diet

Frequently turn and reposition patient while also providing skin care

Use compression stockings or TED hose

Orient client frequently

Correct answer:

Frequently turn and reposition patient while also providing skin care

Explanation:

There are many possible complications from immobilization. Decubitus ulcers are one of these complications. It is essential to turn and reposition the patient at least every 2 hours while also maintaining skin integrity with skin care. Many other complications may result from immobilization and each have specific, related nursing considerations. Immobilization can result in desensitization and disorientation, so it is important to orient the client frequently. A well-balanced diet can promote better nutrition to prevent osteoporosis, negative nitrogen balances, and hypercalcemia from being bed-bound. Compression stockings and TED hose are essential to prevent thrombus formation from stagnant blood flow in the lower extremities, which may lead to pulmonary emboli. Coughing and deep breathing is important to prevent the stasis of respiratory secretions, which could lead to hypostatic pneumonia.

Example Question #131 : Procedures And Care

The nurse is caring for a two year old child with chicken-pox. While bathing the patient, the nurse's N-95 (surgical respirator) mask becomes saturated. The nurse should __________.

Possible Answers:

wait until the patient care is complete and replace the mask

exchange the mask for a new mask immediately

dry the mask with the in-room hairdryer

place a new mask over the old mask

wipe with mask with a clean towel

Correct answer:

exchange the mask for a new mask immediately

Explanation:

Varicella (chicken-pox) is a condition requiring airborne precautions. An N-95 mask is considered ineffective when wet and needs to be replaced immediately. 

Example Question #1 : Prevention And Risk Management

The nurse is preparing to enter a contact-isolation room where she will preform a bed bath. It is reasonable to expect her gloves to become soiled at some point during the administration of care. While preparing to enter, the nurse __________.

Possible Answers:

wears a single pair of sterile gloves

wears two pairs of sterile gloves

wears a pair of clean gloves under a pair of sterile gloves

wears two pairs of clean gloves

wears a single pair of clean gloves

Correct answer:

wears a single pair of clean gloves

Explanation:

In the interest of infection control, it is best to only wear one pair of gloves at a time. While giving a bed bath, it is not necessary to wear sterile gloves. If the gloves become saturated, remove the gloves, perform hand hygiene, and wear a new pair. 

Example Question #31 : General Care

The emergency room nurse cares for a patient reporting pain in the lower back. The client tells the nurse, “I have taken three 500-milligram tablets of acetaminophen every three hours since last night, but the pain hasn’t gone away.” Which of the following clinical manifestations in the patient most concerns the nurse?

Possible Answers:

alanine transaminase (ALT): 

Higher blood pressure

Diarrhea and loose stools

Ringing in the ears

International normalized ratio (INR) of 1.1

Correct answer:

alanine transaminase (ALT): 

Explanation:

The nurse should be concerned about acetaminophen toxicity, as the recommended daily dose of acetaminophen is 4 grams for adults, and this patient has exceeded this amount. (Three 500-milligram tablets every three hours is equal to 12 grams in a 24-hour period.) Acetaminophen toxicity may manifest with nausea and vomiting in the first 24 hours and right upper quadrant abdominal pain afterwards due to liver damage. Tinnitus, high blood pressure, and diarrhea are not symptoms of acetaminophen poisoning. An international normalized ratio (INR) of 1.1 is within normal limits, but may be trending upwards, as the liver is responsible for producing clotting factors. Liver function tests should always be done when acetaminophen poisoning is suspected; aspartate transaminase (AST) and alanine transaminase (ALT) values above  suggest hepatic damage.

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