NCLEX- RN Review Questions

NCLEX- RN Review Questions 1.The nurse is caring for a client who is 12 weeks pregnant and speaks Spanish only.Which interventions should the nurse include in the plan of care at the client’s initial

visit? Select all that apply:

a.Provide brochures in the client’s native language b.Refer the client to a high-risk clinic.c.Discuss cultural differences, and emphasize the differences between cultures.d.Arrange for an interpreter for her appointments.e.Discuss contraception and options.f.Review dietary intake and discuss nutrition.Rationale: (a, d, e, f) The client is not required to learn English so it would be appropriate and beneficial for the client to get a brochure in a language she can understand. The nurse has to understand what is, and what is not appropriate to include in the plan being created, and rule out inappropriate aspects of care for the client or situation presented in the scenario. (Billings & Hensel, 2017, p. 21) 2.The nurse is caring for a group of clients on a pulmonary unit. The nurse can delegate which task to unlicensed assistive personnel (UAP)?a.Assisting a client with adjusting his or her nasal cannula b.Making adjustments to flow rates based on client responses c.Monitoring a client for adverse effects of oxygen therapy d.Assessing a client for the best method of oxygen delivery Rationale: (A) UAP can assist a client with adjustment of his or her oxygen delivery device.Making adjustments based on client responses, monitoring for adverse effects, and assessing for the best methods of oxygen delivery are skills that require nursing judgements and can only be performed by a nurse. (Billings & Hensel, 2017, p. 440) 3.HIPAA (The Health Insurance Portability and Accountability Act) protects what?a.The patient from insurance company rip offs b.The patient’s right to refuse to be treated c.The patient’s medical information d.The patient’s need to be provided with liability insurance Rationale (C) HIPPA is designated to protect the patients health and medical information. It is unrelated to liability insurance, refusal of treatment, or the protection of the patient from insurance company rip offs. (Hassen, 2015, question 9) 4.What is true about hand washing?a.It sterilizes the hands b.It reduces the number of microorganisms on the hands c.It must be done at least twice daily This study source was downloaded by 100000810808742 from CourseHero.com on 05-27-2021 09:33:08 GMT -05:00

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d.All soaps are equally effective when hand washing Rationale (B) Hand washing reduces and controls the number of microorganisms on the hands.It cannot sterilize the hands and should be done using antibacterial soap before and after handling a client or any bodily fluid from a client. (Hassen, 2015, question 26) 5.Nurses may have to deal with hazardous materials. What is true of hazardous materials?a.It involves any material that can cause a harmful health effect.b.It involves only blood and bodily fluids.c.The hazardous materials should be placed in agency-specific containers for storage.d.Category A hazardous material are considered the most dangerous.e.Hazardous materials can be kept near non-hazardous materials.Rationale (a, d) Hazardous materials may be biological or chemical. It involves any material that can cause a harmful effect. Category A materials are the most dangerous. They should be kept in their original containers for storage and should be kept away from non-hazardous materials.(Hassen, 2015, question 32) References This study source was downloaded by 100000810808742 from CourseHero.com on 05-27-2021 09:33:08 GMT -05:00

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Billings, D. & Hensel, D., (2017). Lippincott Q&A Review for NCLEX-RN (12 th ed.).

Philadelphia, PA: LWW.

Hassen, C. (2015). NCLEX: fundamentals of Nursing, 105 Nursing Practice Questions and Rationales to Absolutely Crash the NCLEX. Lexington, KY: Nurse Superhero. This study source was downloaded by 100000810808742 from CourseHero.com on 05-27-2021 09:33:08 GMT -05:00

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