NCLEX-RN : Ethics, Processing, and Care
Study concepts, example questions & explanations for NCLEX-RN
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Example Questions
Example Question #131 : Ethics, Processing, And Care
Which of the following nursing roles are eligible for prescriptive rights?
Charge nurse
Nurse practitioner
Critical care nurse
Registered nurse
Nurse practitioner
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?
Safety
Quality improvement
Evidence-based practice
Patient-centered care
Patient-centered care
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 #2 : Legal Responsibilities And Patient Rights
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?
Evidence-based practice
Safety
Quality improvement
Patient centered care
Quality improvement
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 #133 : Ethics, Processing, And Care
Asking for help from a co-worker or superior is an example of what Quality and Safety in the Education of Nurses (QSEN) competency?
Teamwork and collaboration
Safety
Informatics
Evidence-based practice
Teamwork and collaboration
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 #2 : Legal Responsibilities And Patient Rights
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?
Informatics
Teamwork and collaboration
Evidence-based practice
Safety
Safety
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 #73 : Care
Example Question #2 : Prevention And Risk Management
The nurse cares for an immobilized patient on the surgical floor. Which of the following nursing considerations is essential for preventing ulcerations?
Providing a well-balanced diet
Use compression stockings or TED hose
Teach client the importance of coughing and deep breathing
Frequently turn and reposition patient while also providing skin care
Orient client frequently
Frequently turn and reposition patient while also providing skin care
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 __________.
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
exchange the mask for a new mask immediately
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 #3 : 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 __________.
wears a single pair of clean gloves
wears a pair of clean gloves under a pair of sterile gloves
wears two pairs of clean gloves
wears two pairs of sterile gloves
wears a single pair of sterile gloves
wears a single pair of clean gloves
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 #4 : Prevention And Risk Management
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?
Diarrhea and loose stools
International normalized ratio (INR) of 1.1
Higher blood pressure
alanine transaminase (ALT):
Ringing in the ears
alanine transaminase (ALT):
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 
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