NCLEX Questions with Complete

NCLEX Questions (2019) with Complete Solutions

An example of a nurse activity that best reflects the American Nurses Association's definition of nursing is

• treating dysrhythmias that occur in a patient in the coronary care unit
• diagnosing a patient w/ a feeding tube as being @ risk for aspiration
• Establishing protocols for treating patients in the emergency department
• Providing antianxiety drugs for a patient who has disturbed sleep patterns. ✔✔B. Diagnosing

a patient w/ a feeding tube as being @ risk for aspiration.Rationale: The American Nurses Association (ANA) defines nursing as "the protection, promotion, & optimization of health & abilities, prevention of illness & injury, alleviation of suffering through the diagnosis & treatment of human response, & advocacy in the care of individuals, families, communities, & populations." The nursing activity described in option A.is r/t the prevention of injury

A nurse working on the medical-surgical unit @ an urban hospital would like to become certified in medical-surgical nursing. The nurse knows that this process would most likely require

• A bachelor's degree in nursing
• Formal education in advanced nursing practice
• Experience for a specific period in medical-surgical nursing
• Membership in a medical-surgical nursing specialty organization ✔✔C. Experience for a

specific period in medical-surgical nursing

Rationale: Certification in nursing specialties usually requires a certain amount of clinical experience

A nurse is providing care for a patient after right hip surgery. Within a pay-for-performance system, a critical role of the nurse is to

• ensure that care is provided using minimal amount of supplies
• Discharge the patient @ completion of the # of approved days of care
• Implement measure to decrease the risk of the patient acquiring an infection
• Asses the patient's ability to pay for health care services @ the time of admission ✔✔C.

Implement measures to decrease the risk of the patient acquiring an infection Rationale: Pay-for-performance programs reimburse hospitals for performance on quality-of-care measures. Payment for care can be withheld if a patient develop certain health conditions during the hospital stay or if something happens to the patient that is considered preventable.

The nurse is assigned to care for a newly admitted patient. Number in order the steps for using the nursing process to prioritize care ______Evaluate whether the plan was effective ______Identify any health problems ______Collect patient information ______Carry out the plan ______Determine a plan of care ✔✔5, 2, 1, 4, 3 Rationale: The basic order of the nursing process is assessment, problem identification, planning implementation, & evaluation

The linkages among the NANDA-I nursing diagnoses, NOC patient outcomes, & NIC nursing interventions can be used to

• Evaluate patient outcomes
• Provide guides for planning care
• Predict the results of nursing care
• Shorten written care plans for individual patients ✔✔B. Providing guides for planning care

Rationale: Standardized care plans offered by the North American Nursing Diagnosis Association (NANDA), Nursing outcomes Classification (NOC), & Nursing Interventions Classification(NIC) groups may be used as guides for routine nursing care.

The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone debridement of an infected toe. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel (CNA)?

• Check the patient's vital signs
• Monitor the patient's pain level
• Assess the patient's pain level
• Evaluate the patient's tibial & perdal pulses ✔✔A. Check the patient's vital signs

Rationale: You may delegate routine measurement of vital signs on a stable postoperative patient to unlicensed assistive personnel. Nursing interventions that require independent nursing knowledge, skill, or judgment, such as assessment & evaluation of care, are your responsibility & cannot be delegated

The nurse's role in addressing the National Patient Safety Goals established by The Joint Commission includes (select all that apply)

• Answering monitoring alarms in a timely manner
• Using side rails & alarm systems as necessary to prevent patient falls
• Obtaining complete, accurate list of the pateint's medications on admission
• Memorizing & implementing all the rules published by The Joint Commission
• Encouraging patients to be actively involved in & question their own health care ✔✔A.

Answering monitoring alarms in a timely manner

• Using side rails & alarm systems as necessary to prevent patient falls
• Obtain a complete, accurate list of the patient's medication on admission

Rationale: Review the National Patient Safety Goals in Table 1-5. The goals r/t the correct options are to reduce the risk of patient harm resulting from falls, reduce the occurrence of alarm fatigue, & to accurately & completely reconcile medications across the continuum of care

Advantages of using informatics in health care delivery are (select all that apply)

• Reduced need for nurses in acute care
• Increased patient anonymity & confidentiality
• The ability to achieve & maintain high standards of care
• Access to standard plans of care for many health problems
• Improved communication of the patient's health status to the health care team ✔✔C. The

ability to achieve & maintain high standards of care

• Access to standard plans of care for many health problems