NCLEX RN NUR 212 EXAM 3 QUESTIONS

NCLEX RN NUR 212 EXAM 3 QUESTIONS

AND ANSWERS LATEST VERSION 2023

A client has been diagnosed with disseminated herpes zoster. According to OSHA and CDC guidelines, which PPE will you need t put on when preparing to assess the client? SATA Gown and Gloves

A special protective air filter mask (N95 respirator)

During preceptorship, a senior student administers 1 ml of Regular insulin instead of 1 unit. The error was discovered when the patient experienced severe hypoglycemia.When questioned, the student admitted using a 3mL syringe, which was "the only one", she could find to give the med on time. According to Just Culture what type of behavior did the student exhibit?Reckless behavior, because a conscious decision was made

A 32-year-old patient with sickle cell anemia is admitted to the hospital during an acute sickle cell crisis.Which order prescribed by the health care provider should the prudent/competent nurse implement first?Administer 100% O2 using a nonrebreather mask

A client S/P CVA has an order for deep endotracheal suctioning prn to maintain a patent airway. The new nurse's assigned preceptor is not available, what should she do?Ask a seasoned nurse to assist with suctioning

The nurse has a pre-op order to administer Diazepam 10 mg and Promethazine 25 mg. The best method of

administering these medications is to:

Administer the medication separately

According to the NC NPA the "practice of nursing by a RN" consists of 10 components. In particular the nurse must assume the role of Collaborating

A 48-year-old married client and father of 3 sons has chosen to discontinue radiation treatments. The client's wife is not supportive of the decision and asks you to speak with her husband. How should you respond?This client is of sound mind and capable of making an informed decision

The nurse in a maternity unit is caring for a client who has just delivered twins. The client voices concern about her ability to manage when she gets home. Which of the following statements BEST illustrates quality care delivery by the nurse? SATA

Here is some info on support groups for patients of multiples

We can arrange for follow-up visits with a home health nurse

In addition to working with interprofessional teams, the nurse should consider which other QSEN/IOM Competency to ensure information is managed and/or charged in a manner to reduce errors and support clinical-decisions The Use of Informatics

A nurse has been instructed to place an IV line in a patient that has active TB and suspected HIV.According to OSHA guidelines, the nurse should wear which of the following PPE?Goggles, mask, gloves, and gown

The department of Health and Human Services along with CMS regulates patient safety by monitoring health outcome measures. Which of the following is an inpatient measure a new nurse should follow to ensure quality pt. outcomes?Heart attack and HF guidelines and core measures

A client asks the nurse not to tell his wife that his cancer has metastasized. He states he does not want to burden her. What are the primary Code of Ethics Provision statements the nurse should use to make a decision about a response to the request?Primary commitment to the patient (Provision 2)

Inherent human dignity and worth (Provision 1)

A 36-year-old client with terminal cancer has signed an advance directive for no nutrition or hydration.The client becomes less responsive and the family member with the legal healthcare POA signs an informed consent for placement of a gastrostomy tube. What is the best action for the nurse to take?Respect and honor the healthcare POA decision

The parents of a terminally ill 6-year-old child with cancer collaborate with the physician and decided to withhold further treatment. This decision has been met with opposition from the paternal grandparent. The primary nurse best advocated for the client by Showing respect for the parents' decision

A 64-year-old Alzheimer's patient has exhibited excessive cognitive decline resulting in harmful behaviors to self and others. The Dr. orders restraints to be placed on the patient. Which patient care action should the nurse perform first?Explain to the patient and family the need for restraints

The nurse is caring for a client in a long-term care facility. The client's spouse asks the nurse for information regarding the client's treatment plan. Which of the following responses would be most appropriate for the nurse to take?I cannot give you info on any client

A 56 yr. old patient is experiencing dyspnea and chest pain. Recalling the core measure guidelines, the new nurse notifies the MD, who orders a stat ECG and stat lab work.The client has a port-a-cath. The new nurse has performed a series of ECG according to policy during orientation but not central line blood collections. Which action should be taken by the new nurse first as not to delay patient care?Obtain the ECG machine and inform the senior nurse you will proceed with the ECG.

The nurse manager is supervising staff providing care to an 18 month old hospitalized with Hep A. The manager determines the staff's care is appropriate when which of the following is observed?The child is placed in a private room

You are working as the triage nurse in the ED when the following clients arrive. As a prudent/competent nurse you understand which client requires isolation to protect other clients in the ED from infection?

• year old who has a new pruritic rash and diagnosis of chickenpox infection

Administering HCTZ 25 mg po as per order ...The nurse aspirated a central venous catheter prior to drug administration but is not able to verify blood return. The nurse does not feel resistance when flushing or see any fluid leakage, swelling, or redness around the catheter site. Which of the following does the nurse know are appropriate steps? SATA Flush the catheter with saline, using a 10-mL syringe and a push-pull technique; Follow institutional protocol to initiate a de-clotting protocol; Request that the client cough and reattempt aspiration

A 56 yr. old client presents to the Emergency Department with clinical signs and symptoms of an acute MI. A code STEMI is called the client is rapidly triage. Which intervention should the nurse anticipate next in accordance with AMI core measures? Administer 81-325 mg Aspirin to prevent platelet aggregation.

According to the IOM report, 44,000-98,000 deaths occur as a result of hospital errors and more than 50% are preventable. Which of the following are client safety issues that could be prevented?

CAUTI

Hospital acquired pneumonia

Med errors

The health care provider prescribes these actions for a client who was admitted with acute substernal chest pain. Which actions are appropriate to delegate to an experienced LPN/LVN who is working with you in the ED? SATA Attaching cardiac monitor leads

Having the client chew and swallow aspirin 162 mg; Obtaining a 12-lead ECG

The home health nurse is making a safety visit to a client with autoimmune thrombocytopenic purpura (ATP). The client's platelet count currently is 80,000. Because the nurse is focused on quality care, it

will be most important to teach the client and family about:

Bleeding precautions

The physician orders a med that may terminate a client's pregnancy of 26 weeks. The nurse questions this method as an actual abortion. What should the nurse do first?Become self-aware by clarifying personal values and beliefs

The parents of a 19-year-old MVA victim have signed for withdrawal of life support and organ donation after cardiac death. The new nurse discusses her uneasiness with caring for the client with a senior nurse.What is the primary Code of Ethics provision the senior nurse should use to explain the ongoing and even post mortem care of this client?The inherent respect nurses have for human dignity