Njengamartin399

all units covered

1. A nurse is assessing a patient’s respiratory system. Which finding would be considered abnormal? A) Bilateral lung sounds clear on auscultation B) Respiratory rate of 20 breaths per minute C) Use of accessory muscles for breathing D) Symmetrical chest expansion Answer: C Rationale: The use of accessory muscles indicates respiratory distress, which is abnormal. Clear lung sounds, a normal respiratory rate, and symmetrical chest expansion are expected findings. ________________________...

1. Which of the following best describes the term "psychosocial"? o A) Biological processes that affect health o B) Psychological factors and social influences on behavior o C) Genetic predispositions to mental illness o D) Environmental stressors impacting physical health o Answer: B Rationale: Psychosocial refers to the interplay between psychological processes and social influences on behavior and mental health. 2. Which theory focuses on the impact of social relationships on hea...

1. Question 1 A nurse is applying the nursing process in the care of a patient. Which step involves gathering information about the patient's health status? A. Diagnosis B. Assessment C. Planning D. Implementation Answer: B. Assessment Rationale: The assessment phase involves collecting data to understand the patient’s condition. ________________________________________ 2. Question 2 Which nursing theory emphasizes the importance of the environment in patient healing? A. Orem’s...

1. Which of the following is the primary ethical principle guiding nursing practice? A. Justice B. Nonmaleficence C. Autonomy D. Beneficence Answer: C. Autonomy Rationale: Autonomy emphasizes the patient's right to make decisions about their own health care. 2. A nurse is caring for a patient who refuses a treatment. What is the nurse’s best action? A. Administer the treatment anyway. B. Document the refusal and inform the physician. C. Try to persuade the patient to accept treatm...

A nurse is assessing a patient with chest pain. What is the priority action by the nurse? A) Obtain a 12-lead ECG. B) Administer nitroglycerin. C) Obtain vital signs. D) Call the physician. Answer: A) Obtain a 12-lead ECG. Rationale: The priority action is to obtain a 12-lead ECG to assess for any cardiac abnormalities. Early identification of cardiac issues is crucial in managing chest pain. ________________________________________ Question 2 Which of the following is an example of cri...

1. The nurse is caring for a 2-month-old infant. Which of the following developmental milestones should the nurse expect at this age? a. Sits without support b. Follows objects with eyes c. Pulls up to stand d. Says "mama" and "dada" Answer: b. Follows objects with eyes Rationale: At 2 months, infants are expected to begin tracking objects with their eyes. Sitting without support occurs closer to 6 months, pulling to stand closer to 9 months, and saying "mama" or "dada...

1. The role of a nurse in the healthcare environment is primarily: A) Performing surgical procedures B) Diagnosing medical conditions C) Providing holistic patient-centered care D) Dispensing medications without orders Correct Answer: C Rationale: Nurses provide patient-centered care by addressing the physical, emotional, and spiritual needs of patients. They do not diagnose conditions or perform surgeries. ________________________________________ 2. Which of the following nursing roles ...

NCLEX-Style Questions 1. A nurse is caring for a patient in labor who is experiencing hypertonic uterine contractions. What is the most appropriate nursing intervention? A. Administer oxytocin as ordered. B. Encourage the patient to ambulate. C. Provide hydration and analgesics. D. Monitor fetal heart rate continuously. Correct Answer: C. Provide hydration and analgesics. Rationale: Hypertonic contractions can lead to uterine fatigue. Providing hydration and pain management helps reduce d...

Labor and BirthLabor and Birth