NCLEX RN EXAM

A. Client Self-Determination Act 1. The Client Self-Determination Act is a law that indicates clients must be provided with information about their rights to identify written directions about the care that they wish to receive in the event that they become incapacitated and are unable to make health care decisions. 2. On admission to a health care facility, the client is asked about the existence of an advance directive, and if one exists, it must be documented and included as part of the medi...

BOX 1-2 Safe and Effective Care Environment Management of Care The nurse has received the client assignment for the day. Which client should the nurse assess first? 1. The client who needs to receive subcutaneous insulin before breakfast 2. The client who has a nasogastric tube attached to intermit- tent suction 3. The client who is 2 days postoperative and is complaining of incisional pain 4. The client who has a blood glucose level of 50 mg/dL (2.8 mmol/ L) and complaints of blurred v...

Chapter 2: Management Principles and Legal Issues 5. Monitor progress in client care through feed- back, evaluate outcomes, and follow-up on identified problems. B. Determining appropriate delegation to an unlicensed healthcare worker—ask these questions: 1. CantheUAPlegallydothisprocedureaccord- ing to the Nurse Practice Act in that state? 2. Has the UAP been trained to perform this procedure? 3. Can the UAP demonstrate this procedure safely and consistently? 4. Is the client status ...

Questions You Might Have About the Examination The practice of nursing is regulated by the states to assure the public that only those nurses who have the necessary knowledge and skills are licensed to practice. One requirement for becoming a licensed practical/vocational nurse (LPN/LVN) is graduation from an approved school of practical/vocational nursing. Another requirement is passing an examination. All of the states have agreed to use the same ®® examination, NCLEX-PN . The NCLEX-PN is...

Questions 1. Which postoperative client is manifesting the most serious negative effect of inadequate pain management? 1. Demonstrates continuous use of call bell related to unsatisfied needs and discomfort 2. Develops venous thromboembolism related to immobility caused by pain and discomfort 3. Refuses to participate in physical therapy because of fear of pain caused by exercises 4. Feels depressed about loss of function and hopeless about getting relief from pain 2. A client with chronic...

Questions 1. Which postoperative client is manifesting the most serious negative effect of inadequate pain management? 1. Demonstrates continuous use of call bell related to unsatisfied needs and discomfort 2. Develops venous thromboembolism related to immobility caused by pain and discomfort 3. Refuses to participate in physical therapy because of fear of pain caused by exercises 4. Feels depressed about loss of function and hopeless about getting relief from pain 2. A client with chronic...

NCLEX-RN QUESTION 1 A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule is: A. March27 B. February1 C. February27 D. January3 Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A)March 27 is a miscalculation. (B) Februa...

NCLEX-PN QUESTION 1 A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of: A. climacteric. B. menopause. C. perimenopause. D. postmenopause. Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Perimenopause l...

Strategy 6: Avoiding Definites Answer choices that make definite statements with no “wiggle room” are often wrong. Try to choose answer choices that make less definite and more general statements that would likely be correct in a wider range of situations and aren’t exclusive. Example: A. The nurse should follow universal contact precautions at all times in every case. B. The nursing assistant completely demonstrated poor awareness of transfer safety. C. Never allow new medications ...

BASICS BASICS ■ Challenging, defensive, or disapproving responses ■ Direct probing and “how” and “why” questions ■ Interruptions, environmental noise, or extremes in temperature ■ Trite, common expressions (clichés) Leadership Leadership and Management Terms ■ Accountability: Answerable for actions/judgments regarding care ■ Autonomy: Nurse can make independent decision to decide/act ■ Case management: Coordination of int...