NCLEX PN TEST PLAN

NCLEX PN TEST PLAN

Leave the first rating Students also studied Terms in this set (41) Science MedicineNursing Save NCLEX-PN Exam Preview 116 terms Sun_Stars_1Preview NCSBN NCLEX Exam Preview Quest...36 terms Manny20444Preview NCLEX-PN Review Questions 75 terms awithem240Preview Exam C 103 term sum The Four Major Client Needs CategoriesSafe and effective care environment Health promotion and maintenance Psychosocial integrity Physiological integrity Safe and Effective Care Environment-coordinated of care -safety and infection control Physiological IntegrityBasic Care and Comfort Pharmacological Therapies Reduction of Risk Potential Physiological Adaptation Clinical problem solving process (nursing process) scientific approach to client care that includes data collection, planning, implementation and evaluation.Caringinteraction of the LPN/VN and client in an atmosphere of mutual respect and trust. In this collaborative environment, the LPN/VN provides support and compassion to help achieve desired therapeutic outcomes Communication and documentationverbal and nonverbal interactions between the LPN/VN and the client, as well as other members of the health care team. Events and activities associated with client care are validated in written and/or electronic records that reflect standards of practice and accountability in the provision of care.Teaching and Learningfacilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior

Culture and Spiritualityinteraction of the nurse and the client (individual, family or group, including significant others and population) which recognizes and considers the client- reported, self-identified, unique and individual preferences to client care, the applicable standard of care and legal instructions.Coordinated care18-24% safety and infection control10-16% Health promotion and maintenance6-12% Psychosocial Integrity9-15?sic care and comfort7-13% Pharmacological therapies10-16% Reduction of risk potential9-15% physiological adaptation7-13% coordinated careThe LPN/VN collaborates with health care team members to facilitate effective client care.Coordinated care The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the nurse would provide the UAP with the best directions about the assignment?

• "Encourage the client to increase daily fluid intake."
• "Ambulate the client 20 ft (6.7 m) every 4 hours

beginning at 0900."

• "Assist the client to perform passive range-of-motion

(ROM) exercises."

• "Reinforce physical therapy instructions about the

proper use of a walker." 2 safety and infection controlThe LPN/VN contributes to the protection of clients and health care personnel from health and environmental hazards.Safety and infection The nurse is reinforcing teaching with a client who is using a mechanical lift. Which of the following information should the nurse reinforce?

• "Place your hands on the sling."
• "You should lie prone on the sling."
• "Place your arms across your chest."
• "You will need to rock to a standing position."

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Health promotion and maintenancethe LPN/VN provides nursing care for clients that incor- porate knowledge of expected stages of growth and development, and prevention and/or early detection of health problems.Health promotion and maintenance The nurse is reinforcing teaching with a client about the signs of hunger in a newborn. Which of the following signs should the nurse reinforce? Select all that apply.

• open hands
• quivering bottom lip
• rooting movements
• sucking on the hands
• hand to mouth movements

345 Psychosocial integrity- the LPN/VN provides care that assists with promotion and support of the emotional, mental and social well-being of clients Psychosocial The nurse is assisting to evaluate the coping strategies of the spouse of a client who had a stroke 5 days ago.Which of the following statements by the spouse would indicate ineffective coping?

• "I sleep only for short periods of time since my spouse

became ill."

• "I feel frustrated when my spouse turns away and will

not talk with me."

• "I eat meals in my spouse's room so my spouse will not

have to eat meals alone."

• "I have been performing a few household chores each

day before visiting my spouse." 1 Basic care and comfortthe LPN/VN provides comfort to clients and assistance in the performance of activities of daily living.Basic care and comfort The nurse is reinforcing teaching with a client about using crutches. Which of the following information should the nurse reinforce?

• "The stairs should be avoided while using crutches."
• "The elbows must stay straight while ambulating with

crutches."

• "Three finger widths should separate the axillae and

the crutches."

• "Bearing weight on the affected leg should be avoided

when using the four-point crutch gait." 3 Pharmacological therapiesthe LPN/VN provides care related to the administration of medications and monitors clients who are receiving parenteral therapies

Pharm The nurse is caring for a client who has a prescription for ampicillin 375 mg, p.o., every 6 hours. The nurse has ampicillin 250 mg per 5 mL of solution available. How many mL should the nurse administer to the client with each dose?

7.5 ml Reduction of risk potentialthe LPN/VN reduces the potential for clients to develop complications or health problems related to treatments, procedures or existing conditions.Reduction of risk The nurse is caring for a client with peptic ulcer disease (PUD) who vomited 150 mL of blood-tinged green liquid. Which of the client's laboratory test results would be a priority to check?

• serum pH
• hematocrit (HCT)
• serum sodium level
• blood urea nitrogen (BUN)

2 Physiological adaptationsLPN/VN participates in providing care for clients with acute, chronic or life-threatening physical health conditions.Physiological The nurse is talking with a client who had a subtotal gastrectomy 1 month ago. Which of the following statements by the client would be a priority to follow up?

• "I occasionally take an over-the-counter (OTC) laxative."
• "I eat several small meals each day."
• "I avoid drinking liquids with meals."
• "I feel tired all the time."

4 Coordinating care The nurse is contributing to a staff education program about advance directives. Which of the following information should the nurse suggest including in the program? Select all that apply.

• "A living will provides information about the client's

wishes regarding medical treatment."

• "Health care facilities are required to provide clients

with information about advance directives."

• "Advance directives are legally binding and cannot be

changed by the client once they are written."

• "It is unnecessary to have a power of attorney for

health care if the client already has a living will."

• "A power of attorney for health care allows a

designated person to make health care decisions for the client when the client is unable to do so." 125