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NCSBN NCLEX RN REVIEW QUESTIONS & ANSWERS
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NCSBN NCLEX RN REVIEW QUESTIONS & ANSWERS
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NCSBN NCLEX RN REVIEW QUESTIONS & ANSWERSA client is being prepped for a surgical procedure and the nurse is reviewing the
informed consent with the client. The client asks, "Is there any other way to take care of
this without have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
B. Tell the client if they don't want they surgery, they don't have to have it
C. Notify the surgeon that the client has additional question about alternatives to
surgery
D. Call the surgeon and cancel the surgery until the consent form is signed - Answers -
C
A nurse has unintentionally given an incorrect dose of medication to their client. No
harm was done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
B. The nurse is not responsible for the mistake because they have not been provided
current education by their employer
C. The nurse will immediately be suspended and their license will be revoked
D. The nurse will report the incident to their nurse manager and follow their
organizational procedures for reporting - Answers -D
The 83 year old client, who lives in a retirement community, is admitted to the hospital.
The daughter reports the client no longer calls her every day, has not been participating
in previously enjoyed activities, such as weekly card games, and has allowed the
garden to become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of
persistent depressive disorder - Answers -D
The RN has just accepted a position as a public health nurse. Which question might be
there most relevant as the nurse begins employment?
A. "Which nursing assistants can I refer clients to?"
B. "Which clients should I see as I begin my day?"
C. "Which physicians will I be more closely collaborating with?"
D. "Which groups are at the greatest risk for problems?" - Answers -D
, A newly graduated new, who has recently completed orientation, voices concern about
her assignment: "I have never taken care of anyone with a lumbar drain before."
Which action would be most appropriate for the charge nurse?
A. Provide an immediate one on one, personal in service about the drain
B. Change the assignment; reassign the client with the lumbar drain to a different nurse
C. Assign the graduated staff nurse to be transferred to another floor for the shift
D. Check with the nurse and the client often during the shift - Answers -B
The client is two days postop following a hip replacement and is not transferring well
from bed to chair. The nurse checks and then confirms that the client isn't progressing
on any part of the mobility training program.
What action is the nurse's priority?
A. Discuss the problem with the client's surgeon
B. Instruct physical therapy to increase treatment to 4 times a day
C. Contact the family to discuss preoperative mobility problems
D. Inform the case manager of the variance in the critical pathway - Answers -D
A client is admitted with a diagnosis of schizophrenia. The client refuses to take any
medication and states, "I don't think I need those medications. They make me too
sleepy and drowsy. I want you to explain their use and side effects of these
medications."
The nurse should respond with an understanding of which statement?
A. Clients with schizophrenia are at a higher risk of psychosocial complications when
they know about their medication's uses and side effects
B. The client has a right to know about the use and side effects of the prescribed
medications
C. Such education is an independent decision of the individual nurse whether or not to
teach clients about their medications
D. A referral is needed to the psychiatrist who should provide the client with answers to
the request - Answers -B
The nurse manager overhears a HCP loudly criticize one of the staff nurses within
hearing range of other staff and visitors.
Which approach by the nurse manager is indicated in this situation?
A. Walk up to the HCP and quietly state: "Stop this unacceptable behavior."
B. "Stay neutral and allow the staff nurse to hand this situation independently."
C. Request an immediate private meeting with the HCP and staff nurse.
D. Notify the CHO about the breach of professional conduct - Answers -C
A woman dressed in a business suit with no visible identification is at the nurses station
looking at client charts.
What nursing action is most appropriate?
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