NCSBN NCLEX QUESTIONS

• NCSBN) LPN Questions

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NCSBN NCLEX QUESTIONS

408 terms ANNEMARIEBISHOP Preview Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview NCSBN 36 terms Ma A nurse must use an interpreter to collect data from a client. Which action should the nurse take to help communicate with the client?Face the client while asking questions as the interpreter translates the information The client is admitted with a diagnosis of hyperglycemia and poor glycemic control. Which task can the nurse assign to an unlicensed assistive person (UAP)?Measure blood pressure, pulse and respirations The licensed practical nurse (LPN) is reassigned to work on an acute care unit. Which of these clients would be most appropriate for the LPN to accept?An older adult client diagnosed with cystitis who has an indwelling urethral catheter A client who recently experienced a stroke has an order to ambulate with assistance. Which statement by the nurse provides the best instructions to the unlicensed assistive person (UAP) who will assist the client to ambulate?"Have the client lift and move the walker out to arm's length, then walk into the walker." The nurse is reviewing information about the health care organization's efforts to improve quality of care. Which of these statements best describes the goal of continuous quality improvement (CQI) in a health care setting?Improve the quality of care in a proactive manner During a discussion about a living will, the client's son states, "I do not understand the need for a living will." What is the best response by the nurse?"Health care decisions can be made based on the client's wishes."

A client diagnosed with bipolar disorder has been referred to social services for possible placement in a community halfway house after discharge. The social worker telephones the nurse and asks for information about the client's mental status and adjustment. What should the nurse do next to respond to this request?Verify that the client's medical record includes the client's written consent to release information.When walking past a client's room, the nurse hears an unlicensed assistive person (UAP) talking to another UAP. Which of these statements requires further intervention by the nurse?"Since I am late for lunch, would you perform my client's blood glucose test?" The nurse has been assigned to four clients. Which client should the nurse see first?The client with a history of coronary artery disease (CAD) reporting dyspnea, nausea and unusual discomfort in the upper back The client requests not to be interrupted before 10 am because it interferes with the client's time to meditate. What action shall the nurse take first?Meet with the client to formulate a mutually agreeable schedule.A client refuses to take the medication prescribed because the client prefers to take an herbal preparation instead. What is the first action the nurse should take?Discuss with the client to find out about the preferred herbal preparation A client diagnosed with schizophrenia insists that the nurse explain the use and side effects of the medications prescribed for the client. What should the nurse understand before responding to the client?All clients have a right to be informed about their prescribed medications The nurse is caring for a group of clients when a fire alarm sounds in the hospital cafeteria. What should the nurse do next?Close all doors in the area.A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently leaves the work area untidy and does not restock supplies. What is the best initial response by the charge nurse?Explore for further identification about the nature of the problem A home health nurse is providing care for a client. Which client statement should the nurse report immediately to the client's health care provider?"When I emptied my urine catheter drainage bag it looked like rusty-colored water." A client with a musculoskeletal disorder has been newly fitted with a lower limb orthotic. Which activity can the nurse delegate to the certified nursing assistant (CNA)?Assist with transferring the client from the bed to the chair.

A newly licensed nurse is concerned about time management. Which action should be most effective in the initial development of a time management plan?Keep a time log for what was done during the hours worked The nurse is providing care for a client who was recently diagnosed with end-stage heart failure. The client does not have advance directives in place. Which of the following statements by the nurse would be appropriate? (Select all that apply.) "Have you thought about what you want done as your disease progresses?" "Have you discussed your wishes regarding resuscitation with your health care provider?"What does your family know about your condition and prognosis?" During the management of a client's pain, the nurse should adhere to the code of ethics for nurses. Which of these actions should the nurse consider first when treating the client's pain?The client's self-report of pain is the most important consideration The nurse is caring for a client with congestive heart failure. Which task can the nurse delegate to the unlicensed assistive person (UAP)?Record and report the client's intake and output.The home health nurse is visiting a client diagnosed with type 1 diabetes and osteoarthritis. The client has difficulty holding and using the prescribed insulin pen. The nurse should refer the client to which community resource person?Occupational therapist The licensed practical nurse (LPN) is caring for a client with an order that reads, "morphine sulfate 2 mg IV push every 3 to 4 hours as needed for pain." There are no other licensed persons working that shift. Which action should the nurse take?Hold the medication and contact the health care provider.A nurse is named in a lawsuit. Which of these factors will offer the best protection for that nurse in a court of law?Complete and accurate documentation of assessments and interventions The nurse is assigned to care for several clients on the day shift. Which client should the nurse see first after receiving shift report?The client with peptic ulcer disease who has been vomiting most of the night Upon completing a review of a 27-year-old client's admission documents, the nurse identifies that the client does not have an advance directives. What action should the nurse take?Inform the charge nurse to offer information about advance directives

The nurse is preparing to administer regular insulin subcutaneously to a client at 0800. What information from the client's electronic health record should the nurse review in order to safely administer the medication? (Select all that apply.) Name and date of birth.0700 blood glucose.Medication administration record (MAR).The nurse hears a health care provider (HCP) loudly criticizing one of the unlicensed assistive persons (UAP) within the earshot of others. The UAP does not react or respond to the HCP's complaints. What is the best action by the nurse?Encourage the UAP to directly confront the HCP about the unprofessional behavior.The nurse asks another staff nurse to sign for wasting a partial-dose opioid injection, although the wasting was not witnessed by anyone. This type of request seems to be a pattern of behavior for this nurse. What is the most appropriate action for the second staff nurse to take?Report this request immediately to the nurse manager.The LPN/VN assists the RN in evaluating the plan of care for clients. What action does the LPN focus on during the evaluation phase?Achievement or status of progress related to prior goals Information about case management and the role of the case management nurse is presented during an orientation session for new nurses.Which statement correctly describes an important fact about case management?Case management is a collaborative process designed to meet complex client needs.The nurse is reinforcing education to a group of parents on how to treat accidental poisoning of children in the home. What information should the nurse include?Empty the child's mouth of any poisonous substance still present.The nurse is stuck in the hand by an exposed needle that was accidentally left in the client's bed. What action should the nurse take first?Immediately wash hands vigorously with soap and warm water.The client is diagnosed with active tuberculosis (TB) and the case has been reported to the local health department. The nurse understands that

the most important reason for notifying the health department is:

To trace and screen recent contacts the client had A client has been placed in physical restraints due to aggressive behavior. Which of the following demonstrates that the nurse has appropriately implemented the restraints? (Select all that apply.) The client's status is documented every 15 minutes.The appropriate client advocate or relative has been notified.The radial and pedal pulses are palpable and strong.