NCLEX Style Questions from Lippincott Book

NCLEX Style Questions from Lippincott Book quizlette29150356 Save ATI TEAS 7- English Section 28 terms maribelrivera96 Preview Kaplan Q Bank (Review of all Q Bank...211 terms AndielaPreview Mental Health NCLEX Style Questio...411 terms LovelyAmaryllis Preview Exam 1 82 terms jayc A nursing student is committed to providing thoughtful, person-centered care. Which nursing actions demonstrate this type of care? Select all that apply.

• Assisting patients to select meals based on their cultural observances
• Providing nursing care based on patients' needs and preferences
• Documenting nursing interventions in the electronic health record
• Reviewing fingerstick blood glucose levels with the primary nurse
• Listening to a patient's concern for their ill significant other

a,b,e A patient who is receiving cancer chemotherapy tells the nurse, "The treatment for this cancer is worse than the disease itself. I'm stopping treatment." Which nursing action best promotes a patient-centered, therapeutic relationship?

• Determining if the patient database is adequate to address the problem
• Considering whether to suggest a counseling session for the patient
• Reassessing the patient and determining how to best support them
• Identifying possible interventions and critiquing the merit of each option

c The nursing philosophy in an acute care hospital includes a commitment to deliver thoughtful, person-centered care. Which description of the nursing process best supports this commitment?

• Systematic
• Interpersonal
• Dynamic
• Universally applicable in nursing situations

b

A staff nurse tells a new graduate nurse not to bother studying too hard, since most clinical reasoning becomes second nature and intuitive once they begin practicing. Which response by the student is appropriate?

• Intuitive problem solving comes with years of practice and observation based on nursing knowledge and science.
• For nursing to remain a science, nurses must continue to be vigilant about avoiding intuitive reasoning.
• The emphasis on logical, scientific, evidence-based reasoning has held nursing back; we need intuitive, creative thinkers.
• The nurse's preference dictates whether they are logical, scientific thinkers or intuitive, creative thinkers.

a The nurse uses blended competencies when caring for patients in a rehabilitation facility. Which interventions reflect the use of cognitive skills?Select all that apply.

• Monitoring for side effects of medications
• Safely administering an injectable medication
• Teaching a patient about diabetes and its management
• Acting as witness by signing a surgical consent form
• Helping a patient identify their progress in physical therapy
• Comforting a patient who has received bad news

a,c A nurse uses critical-thinking skills to develop the care plan for an older adult with dementia awaiting placement in a long-term care facility.Which statements describe characteristics of the critical thinking used by nurses engaged in clinical reasoning? Select all that apply.

• Functions independently of nursing standards, ethics, and state practice acts
• Based on the principles of the nursing process, problem solving, and the scientific method
• Driven by patient, family, and community needs as well as nurses' needs to give competent, efficient care
• Avoids designs to compensate for problems created by human nature, such as medication errors
• Constantly reevaluating, self-correcting, and striving for improvement
• Focuses on the big picture rather than identifying the key problems, issues, and risks involved with patient care

b,c,e A nurse is caring for a patient with type 2 diabetes who has an infected foot ulcer requiring dressing changes. Which nursing action best demonstrates the QSEN competency of patient-centered care?

• Asking the patient if they would like their spouse to be present for a teaching session
• Researching new procedures to care for foot ulcers when developing a care plan for this patient
• Leading a grand rounds or unit-based discussion on complications of diabetes
• Using the electronic medical record to review trends of the patient's blood glucose levels

a The nursing assessment of a patient with a diagnosis of anorexia nervosa reveals the patient consumes a vegan diet of 700 calories daily and has lost 30 lb in 4 months. The nurse's recommendation to meet with a nutritionist is the outcome of which process?

• Clinical judgment
• Nursing process
• Clinical reasoning
• Critical thinking

a

A nurse working in a long-term care facility reviews the electronic health records of patients who have fallen in the last month to determine if there is a common risk factor. Which QSEN competency is the nurse demonstrating?

• Patient-centered care
• Evidence-based practice
• Teamwork and collaboration
• Informatics

d A new graduate nurse phones the surgeon to report their patient is having severe incisional pain. The surgeon asks about vital signs and appearance of the wound, causing the nurse to return to the bedside for additional assessments. Upon reflection with the preceptor, which characteristic of the nursing process should the nurse have remembered?

• Centric
• Dynamic
• Interpersonal
• Systematic

d The nurse is formulating a care plan for a patient in a long-term care facility who has lost 12 lb in the last 2 months. To arrive at a patient- centered nursing judgment, what will the nurse do first?

• Ensure the patient is receiving foods they like, including favorites.
• Make sure the patient's dentures are clean and inserted at mealtimes.
• Assess the patient's food intake and hydration over the last 1 to 3 days.
• Request that the nursing assistant feed the client at mealtime.

c When implementing a thoughtful, patient-centered care plan, which action does the nurse prioritize?

• The patient's loved ones are considered part of the team.
• A caring relationship with mutual trust is established.
• Measures for safety are visibly incorporated.
• Transparent communication is observed.

c An oncology nurse is analyzing a patient's strengths and finds the patient is well educated, learns quickly, and is resilient. In which phase of the nursing process will the nurse use this information?

• Diagnosing
• Evaluating
• Planning
• Implementing

a

The nurse manager and nurses in an acute care hospital are participating in a safety huddle to identify patients at risk for falling. Which patients will the nurses determine require follow-up? Select all that apply.

• Age >50 years
• History of falling
• Taking antibiotics
• Presence of postural hypotension
• Nausea from chemotherapy
• Transferred from long-term care

b,d,f A school nurse is teaching parents about home and fire safety. What information will be included in the teaching plan? Select all that apply.

• Sixty percent of U.S. fire deaths occur in the home.
• Most fatal fires occur when people are cooking.
• Most people who die in fires die of smoke inhalation.
• Fire-related injury and death have declined due to the availability and use of smoke alarms.
• Fires are more likely to occur in homes without electricity or gas.
• Fires are less likely to spread if bedroom doors are kept open when sleeping.

c,d,e A community health nurse is providing education on child safety. Who does the nurse identify as at highest risk for choking and suffocation?

• A toddler playing with his older brother's wooden blocks
• A 4-year-old eating yogurt and strawberries for lunch
• An infant sleeping in the prone position
• A 3-year-old drinking a glass of juice

c While discussing home safety with the nurse, a patient admits that they smoke a cigarette in bed before falling asleep at night. Which health problem is the priority for this patient?

a. Impaired gas exchange: etiology, cigarette smoking

b. Acute anxiety: etiology, inability to stop smoking

c. Nonadherence: etiology, nonadherence to recommendation to stop smoking

• Knowledge deficiency: etiology, risk for burn and suffocation in a house fire

c A nurse working in a pediatrician's office receives calls from parents whose children have ingested a toxic substance from under the sink. How will the nurse advise the parents?

• Administer activated charcoal in tablet form and take child to the ED.
• Administer syrup of ipecac and take child to the ED.
• Bring the child in to the primary care provider for gastric lavage.
• Call the PCC immediately before attempting any home remedy.

d