NCLEX style questions PN Fundamentals

NCLEX style questions PN Fundamentals Final Review When managing the care of a client, which of the following nursing actions is most appropriate to preform first? - ANSWER Assess the client physically According to most nurse practice acts, if a charge nurse assigns a LPN to admit a new client, what is the practical nurses primary role? - ANSWER gather basic information from the client At a team conference, staff members discuss a clients nursing diagnoses. Which one of the following nurse diagnoses is of highest priority? - ANSWER ineffective airway clearance The LPN notes that an expected outcome of bathing independently has not been reached by the target date. What action is most appropriate to take at this time? - ANSWER revise the interventions or target date for achieving the goal When gathering nursing date on a newly admitted client, which of the following is an appropriate source to consult for additional information? - ANSWER the clients family 1 / 2

Which practice could jeopardize the health agency's accreditation? - ANSWER nurse writes names of clients on dry erase board in public area Which example of poor documentation places the writer in the most legal jeopardy? - ANSWER writer squeezes information into a line written hours earlier Which method of documentation is used when the nurse charts only abnormal assessment findings or care that deviates from the agency's standard? - ANSWER charting by exception For which of the following situations is breaching confidentiality appropriate ? - ANSWER client has a highly contagious disease When using the SOAP method of documentation, what does the "A" represent? - ANSWER analysis What is the minimum amount of time required for performing an alcohol-based hand rub? - ANSWER 15 seconds Which of the following are appropriate aseptic practices in relation to hand hygiene? - ANSWER the fingernails are less than 1/4 inch, the nurse removed all remnants of fingernail polish, rubs tips pf the fingers against the opposite palm containing an alcohol-based product

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