NCLEX RN Questions - Question 1: Multiple Choice Which action by the...

NCLEX RN Questions

NUR 108: Module 3 Evaluate

Question 1: Multiple Choice

Which action by the student nurse demonstrates critical thinking?a.Memorizing the clinical policy for care of a central line.b.Following the surgeon’s order for post-operative vital sign frequency.c.Assessing a patient’s learning needs by asking the patient what is known about ordered medications.d.Using personal intuition to guide actions during an emergency situation.Response Assessing a patient’s learning needs by asking the patient what is known about ordered medications.Rationale Critical thinking is a reflective thinking process that involves collecting information, analyzing the adequacy and accuracy of the information, and carefully considering options for action. Nurses use critical thinking in every aspect of nursing care.Reference Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing:

Thinking, doing, and caring. Philadelphia, PA: F.A. Davis Company. pp. 11

Question 2: Multiple Choice

What is the rationale for the NCLEX-RN test plan to include questions which test critical thinking?a.To increase the difficulty and rigor of the licensing exam.b.To ensure that the test plan is current with the demands of today’s nursing practice.c.To fulfill the requirements of the state boards of nursing.d.To be sure that the student received a valid nursing education.e.Response To ensure that the test plan is current with the demands of today’s nursing practice.Rationale The NCLEX tests your ability to think through and manipulate facts, not your ability to memorize them. You must embrace the idea of building critical thinking skills to be successful on your next NCLEX attempt.Reference Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing:

Thinking, doing, and caring. Philadelphia, PA: F.A. Davis Company pp. 102

Question 3: Multiple Answer

The new graduate RN is discussing critical thinking with the nurse mentor. Which statements indicate the graduate understands critical thinking and time management? Select all that apply.a.“I start every shift by collecting all vital signs and then administer morning medications.” b.“I do all my documentation at the end of the shift when the patient care is done.” c.“I decide which patients need to be seen first when I listen to morning report.” d.“I am most organized if I start in the first room and work my way down the hall.” 1 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:42:54 GMT -05:00

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NCLEX RN Questions

NUR 108: Module 3 Evaluate

e.“When a patient’s condition changes, I need to re-think my priorities for the day.” Response(s) c. “I decide which patients need to be seen first when I listen to morning report.” f.“When a patient’s condition changes, I need to re-think my priorities for the day.” Rationale In nursing education there is frequent reference to critical thinking and to the significance that it has in daily clinical nursing practice. The main critical thinking skills in which nursing students should be exercised during their studies are critical analysis, introductory and concluding justification, valid conclusion,time management, distinguish of facts and opinions, evaluation the credibility of information sources, clarification of concepts and recognition of conditions.Reference Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing:

Thinking, doing, and caring. Philadelphia, PA: F.A. Davis Company. pp. 225

Question 4: Multiple Answer

Which activities by the RN are completed in the nursing process implementation phase? Select All That Apply.a.Carry out interventions b.Delegate actions c.Determine if outcome is achieved d.Document interventions e.Assess client response to interventions Response(s) e. Assess client response to interventions d. document interventions Rationale The implementing phase is where the nurse follows through on the decided plan of action. This plan is specific to each patient and focuses on achievable outcomes. Actions involved in a nursing care plan include monitoring the patient for signs of change or improvement, directly caring for the patient or performing necessary medical tasks, educating and instructing the patient about further health management, and referring or contacting the patient for follow-up.Reference The 5 Steps of the Nursing Process. (n.d.). Retrieved July 20, 2020, from

https://www.nursingprocess.org/Nursing-Process-Steps.html

Question 5: Multiple Choice

Which patient situation requires the highest priority for RN intervention?a.A 6-year-old male with a sprained ankle 2 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:42:54 GMT -05:00

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NCLEX RN Questions

NUR 108: Module 3 Evaluate

b.A 77-year-old female with a fever and Type II diabetes c.A 15-year-old female with abdominal pain d.A 69-year-old male with incontinence and glaucoma Response b. A 77 year-old female with fever and type II Diabetes.Rationale With the presence of fevers in a type 2 diabetic, the patient can potentially have diabetic hyperglycemic hyperosmolar syndrome Reference Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing:

Thinking, doing, and caring. Philadelphia, PA: F.A. Davis Company. pp. 351

Question 6: Multiple Choice

Which nursing theory is the RN using to direct nursing care when incorporating the patient’s spiritual beliefs into the plan of care to realize a state of full potential?a.Watson Model of Human Caring b.King Model of Goal Attainment c.Orem Self-Care Model d.Roy Adaptation Model Response a.Rationale According to Watson's theory, “Nursing is concerned with promoting health, preventing illness, caring for the sick, and restoring health.” It focuses on health promotion, as well as the treatment of diseases. The nursing model also states that caring can be demonstrated and practiced by nurses.Reference Jean Watson's Theory of Human Caring. (n.d.). Retrieved July 20, 2020, from https://www.redlandshospital.org/nursing-excellence/jean-watsons-theory-of-human-caring/

Question 7: Multiple Choice

What is an expected competency of the RN with an Associate Degree in Nursing regarding nursing research?a.Obtain consent for the research study b.Interpret scientific research studies c.Participate in a research study 3 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:42:54 GMT -05:00

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NCLEX RN Questions

NUR 108: Module 3 Evaluate

d.Assist in a structured method of data collection Response d. Assist in a structured method of data collection Rationale RN’s scope of practice incorporates being able to assist in various methods of data collection.Reference Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing:

Thinking, doing, and caring. Philadelphia, PA: F.A. Davis Company pp. 65

Question 8: Multiple Choice

Which RN action exemplifies the use of evidence-based practice to achieve health benefits for patients?a.Providing dietary preferences for nutrition b.Researching professional boundary violations c.Practicing within the RN scope of practice d.Using a clinical pathway for standardizing care Response d.Rationale A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the interventions by the professionals involved in the patient care are defined, optimized and sequenced.Reference R;, H. (n.d.). [Clinical pathways: A way to integrate a standardized treatment and patient-orientation?]. Retrieved July 20, 2020, from

https://pubmed.ncbi.nlm.nih.gov/15997715/

Question 9: Multiple Choice

A team of RNs have patient survey data to support there is noise pollution occurring on the hospital unit. After analyzing the data, what is the next appropriate action by the team?a.Retrieve data from other reports about the noise b.Seek strategies to decrease the noise on the unit c.Measure the level of noise using a sound level meter d.Provide ear plugs for the patients on the units Response c.Rationale nurses collected baseline data for eight days by measuring noise levels at four locations in the unit every 30 minutes during the chosen times. This was followed by education sessions for all healthcare and support staff on the NSCU team. The measured data was shared to increase awareness of noise and discussions were held on the benefits of quiet times.4 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:42:54 GMT -05:00

https://www.coursehero.com/file/71476448/M38-NCLEX-RN-questions-1-1docx/