As goals, outcomes, and interventions are developed, the nurse must: A. This does not require a physician’s order. A 31-year-old woman refusing sucralfate before breakfast 1. B. Answer: B. Canceling physical therapy sessions on the weekend. 4. nurse researcher. Select all that apply. D. Must have the client’s cooperation. Professional and competent nurses recognize limitations and seek appropriate consultation. Answer: B. Physician When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following: Length of time the current treatment has been in place, The spouse’s reaction to the client’s dressing change, Client’s concern about the current treatment, Physician’s reluctance to change the current treatment plan. D. Be in control of all interventions for the client. Which of the following nursing interventions are written correctly? His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Ambulatory and mobile. The primary nurse can then accept or reject the CNS recommendations. Visit learningext.com for more information and to register. A 52-year-old woman complaining of chills who is s… She updates her knowledge on the theories in management and leadership in order to become effective in her new role. The nurse is reviewing the critical paths of the clients on the nursing unit. Preparing for your NCLEX can feel overwhelming. 22. Description of the efforts to restore the child's blood pressure, what was used, ad questions about the child's response, The nurse cared for a 14-year old with renal failure who dies near the end of the work shift. You can also copy this exam and make a print out. B. Elevate the leg 5 inches above the heart. This is an example of: A patient on a surgical unit develops sudden shortness of breath and a drop in blood pressure. In Text Mode: All questions and answers are given for reading and answering at your own pace. 19. A client’s wound is not healing and appears to be worsening with the current treatment. Also, the current wound management plan could have been ordered by the physician. Then the primary nurse should call the physician. Let's go a bit more slowly and try to relax.". 14. Meet immediate client needs. For example, here’s a question about management of care: After receiving a report from the night nurse, which of the following clients should the nurse see FIRST? 2. This gives the consulting nurse facts that will influence a new plan. I don't see why I have to do this so many times." Calling the wound care nurse. DIF: Cognitive Level: Application REF: p. 183, Table 14-3. Several questions on the NCLEX will ask you to evaluate and make decisions about your care environment, patient safety, and priorities for care. Remember, on the NCLEX-RN® exam, emphasis is placed on providing care to clients according to how nursing care is defined in textbooks and journals. For clients to participate in goal setting, they should be: Alert and have some degree of independence. Knows the resources of the health care facility, family, and the client. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. B. Using a streamlined prototype approach and an emphasis on nursing care this text makes it easy for today’s nursing students to better understand the complicated subject of pharmacology. After assessing the client, the nurse formulates the following diagnoses. During a home health visit the nurse prepares to instruct a patient in how to perform range-of-motion (ROM) exercises for an injured shoulder. Client will have less pain. Length of time the current treatment has been in place. An 18-year-old woman is in the emergency department with fever and cough. Answer: A. Answer: D. Discuss and review advised strategies with CNS. 11. Canceling physical therapy sessions on the weekend. 8. Which of the following is unique to the commitment level of critical thinking? A consultation requires review of the recommendations, but not immediate implementation. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first? B. 13. A. The nurse summarizes the conversation with the patient to determine if the patient has understood him or her. A nurse is caring for an older-adult couple in a community-based assisted living facility. Beginning in Florence Nightingale’s days, nursing students learned and practiced the nursing process. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. What must a nurse have in order to effectively provide holistic and patient centered care using teleheath services? A patient in the emergency department has developed wheezing and shortness of breath. Include preventative health care. When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including: A. B. The level of critical thinking that the nurse is using is: A patient had hip surgery 16 hours ago. Be aware of and committed to accepted standards of practice from nursing and other disciples. Basic Care & Comfort questions make up 10% of the questions on the NCLEX-PN and 9% of the questions on the NCLEX-RN.This content focuses on providing comfort to clients and assisting them in their daily living activities. (a. When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including: Elevate the leg 5 inches above the heart. Short-term goal 4. Ineffective tissue perfusion. A written guideline for implementation and evaluation. An example is: Client will report pain acuity less than 4 on a scale of 0-10, Client will take pain medication every 4 hours around the clock. Use of the pain scale is an example of which intellectual standard? Questions will cover topics such as mobility, comfort interventions, personal hygiene, nutrition, and sleep. Collaborative interventions are therapies that require: A. KEY: Nursing Process Step: Assessment. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. Option C is possible unless the nurse is knowledgeable in wound management, this could delay wound healing. Professional and competent nurses recognize limitations and seek appropriate consultation. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: Encourage client to implement guided imagery when pain begins. Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. Place them in order of priority, with the most important (classified as high) listed first. A client centered goal is a specific and measurable behavior or response that reflects a client’s: A. The nurse records the results of the assessment, describing the patient as having ineffective coping. C. Changing the wound care treatment. Constipation Priorities are determined by the client’s: A. The primary nurse would know this information. The nurse verifies that the patient took an analgesic 30 minutes before arrival at the patient's home. The nurse applies the critical thinking attitude of integrity in which of the following actions? Highest possible level of wellness and independence in function. “In this model you and the health care team are full partners in decisions related to your health care.” 3. 23. You’ve finally finished your nursing courses and graduated. The nurse first considers: Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management. 5. The nurse goes to the phone, calls the physician, and begins the conversation by saying, "I believe that your patient is developing sepsis. Place the following steps of the nursing process in the correct order: The nurse asks a patient how she feels about her impending surgery for breast cancer. One of the two subsections of the Safe and Effective Care Environment category is “Management of Care.” This is what element of the communication process? The nurse writes an expected outcome statement in measurable terms. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? Knows the resources of the health care facility, family, and the client. The surgical unit has initiated the use of a pain-rating scale to assess patients' pain severity during their postoperative recovery. Answer: D. The state board examinations for professional nursing practice now use the nursing process rather than medical specialties as an organizing concept. Provides a minimal standard of knowledge for a registered nurse in practice. D. Expected outcomes. Knowledge, function, and specific skills 25. Patient- & Family-Centered Care is the second course of the Transition to Practice program. 23. Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management. Answer: D. Multiple health care professionals. B. Welcome to the NCLEX-RN practice test with sample questions for the exam (updated for 2021). RN to BSN. 11 terms. After two attempts with only the second of three exercises, the patient stops and says, "This hurts too much. Given this information, the nurse consultant exemplifies which career? Be aware of and committed to accepted standards of practice from nursing and other disciples. B. Elevate the leg 5 inches above the heart. The other questions do have importance, but the general question will allow the nurse to hear what is most significant to the patient. The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a system variance. What does the nurse first address? The nurse refers to the written plan of care, noting that the health care provider is to be notified when drainage in the device exceeds 100 mL for the day. (Select all that apply.). You have not finished your quiz. 8. These questions are very easy and straightforward, not what is expected. The nurse states, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" The nurse has a patient who is short of breath and calls the health care provider using SBAR (situation-background-assessment-recommendation) to help with the communication. Through interactive activities and guided discussions with a preceptor or experienced colleague, you will learn to honor your patients’ culture and values and engage their support network. In performing a variance analysis, which of the following would indicate the need for further action and analysis? Some of the recommendations may not be appropriate for this client. c. The client and family do not have the knowledge to determine whether new strategies are appropriate or not. Talk with him about his favorite hobbies. 3. A tool to set goals and project outcomes. A. Performing nursing actions and documenting them, Setting goals and selecting interventions. Answers and rationales are given below. The primary nurse is obligated to: A. The nurse explains the procedure for giving a tube feeding to a second nurse who has floated to the unit to assist with care. c. Unless the nurse is knowledgeable in wound management, this could delay wound healing. Determine effect of pain intensity on client function. A nurse has been working on a surgical unit for 3 weeks. Get Access to the Practice Quiz. You’ll also have a leadership role on your team. Perform neurovascular checks. (Select all that apply.). The correct answer is (4). C. Use of the nursing process is optional for nurses, since there are many ways to accomplish the work of nursing. B. Beginning in Florence Nightingale’s days, nursing students learned and practiced the nursing process. An example is: A. Teamwork 4. Think about past experience with patients who develop postoperative complications. This is a quiz that contains NCLEX questions for heart failure. 192 terms. 3. This is an example of: A 67-year old patient will be discharged from the hospital in the morning. 4. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Seventeen specialty tests contain questions across all the Client Need categories of the NCLEX-PN. A client’s family attending a diabetic teaching session. A nurse who is working on a surgical unit is caring for four different patients. Answer: A. B. (a. The primary nurse is obligated to: Implement the specialist’s recommendations, Report the recommendations to the primary physician, Clarify the suggestions with the client and family members, Discuss and review advised strategies with CNS, Because the primary nurse requested the consultation, it is important that they communicate and discuss recommendations. Collaborative interventions are therapies that require: A written guideline for implementation and evaluation. B. Canceling physical therapy sessions on the weekend. C. Must have a client who is physically and emotionally stable. 17. Which of following models is expecting from health care reform? Be in control of all interventions for the client. During the previous shift the patient had 40 mL of drainage in the surgical drainage collection device for an 8 hour period. 3. You are participating in a clinical care coordination conference for a patient with terminal cancer. Don’t read into the question: Never assume anything that has not been specifically mentioned and … A nurse consultant decides to compare two types of treatment. B. B. D. A client demonstrating accurate medication administration following teaching. 2 is letter B and not C. thanks. The nurses in this situation are: A nurse has worked on an oncology unit for 3 years. “Patient teaching falls within the scope of nursing practice.” c. “Patient education is an essential component of safe, patient-centered care.” d. “Patient education is not effective with children.” e. “Patient teaching can increase health care costs.” f. “Patient … A. Constipation Highest possible level of wellness and independence in function. If this activity does not load, try refreshing your browser. Priorities are determined by the client’s: Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a: Review of the assessment is conducted with other team members. Let’s look at another Management of Care question. This is an example of: The nurse sits down to talk with a patient who lost her sister 2 weeks ago. Must have a client who is physically and emotionally stable. Answer: B. 20. The nursing process is a patient-centered, outcome-oriented method that directs the nurse and patient to accomplish the following: assess the patient, determine the diagnosis, identify expected outcomes and plan of care, implement the care, and evaluate the results. Which of the following are examples? Answer 50 questions. – Anonymous. The patient reports she is unable to sleep, feels very fatigued during the day, and is having trouble at work. 4. 16. Over 200 free NCLEX-RN exam practice test questions with thorough rationales for explanation of answers to help give you a leg up for the special day. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. C. Perform range of motion to right leg every 4 hours. Which of the following examples of journal entries might best help the nurse reflect and think about this critical experience? After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first? D. Able to read and write. D. A tool to set goals and project outcomes. The primary nurse asked a clinical nurse specialist (CNS) to consult on a difficult nursing problem. If loading fails, click here to try again. B. This is an NCLEX cast care review question. C. Physician’s goal for the specific client. 1. C. Future well-being. A nurse consultant decides to compare two types of treatment. Pain intensity reported as a 3 or less during hospital stay. 19. C. Ineffective airway clearance A client, who has a fever, is diaphoretic and restless. Assessment of the underlying cause of the body odor is the first step to patient-centered care. These statements are examples of: Which of the following statements about the nursing process is most accurate? Perform range of motion to right leg every 4 hours. NCLEX Vaccines. MSC: NCLEX: Physiological Integrity: basic care and comfort. "I feel funny." 7. Heart failure is where the heart is too weak to pump efficiently so it can’t provide proper cardiac output to maintain the body’s metabolic needs. C. Include rehabilitation needs. answer choices Competent in nursing knowledge, theory and practice This would be appropriate after first talking with the CNS about recommended changes in the plan of care and the rationale. B. 10. Which standard of practice is performed? © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! 5. A nurse is caring for a patient with end-stage lung disease. B. B. Which of the following nursing roles may have prescriptive authority in their practice? Fill out the information below to get access to the practice quiz and the answers and explanations. The nurse determines the health care needed for the client. Planning is a category of nursing behaviors in which: The nurse determines the health care needed for the client. Physician’s goal for the specific client. Moving from an acute illness to a health promotion, illness prevention model. Answer: C. Elevate head of bed 30 degrees before meals. How to Study and Pass the NCLEX . 1. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. Also, the current wound management plan could have been ordered by the physician. What is the nurse's best answer? The nurse may need to obtain orders for special wound care products. Patients B and C have returned from the operating room within an hour of each other, and both require vital signs and monitoring of their intravenous (IV) lines. C. Clarify the suggestions with the client and family members. 1. 1. Let’s test your knowledge about the nursing process with this 25-item questionnaire. Find Schools. The nurse asks the patient questions to assess thinking skills and notices the patient shivering. Encourage client to implement guided imagery when pain begins. Option B: The term nursing process was first used by Hall in 1955. In the previous NCLEX review series, I explained about other cardiovascular disorders so be sure to check those reviews out. 9. The critical thinking component involved in the nurse's review of the literature is: 1. (A & D require an order; C is not appropriate for a fractured tibia). C. Performing nursing actions and documenting them. The examination for registered nurse licensure is exactly the same in every state in the United States. Nurses may not be angels, but they are the next best thing. A. A. When it comes to the NCLEX, preparation is key. (Select all that apply.). D. Multiple health care professionals. 4. Once you are finished, click the button below. Knowledge, function, and specific skills. B. D. The client determines the care needed. For clients to participate in goal setting, they should be: A. C. Not change the plan of care for the client. Use of the nursing process is optional for nurses, since there are many ways to accomplish the work of nursing. A. Assessing and diagnosing Option A may be appropriate after deciding on a plan of action with the wound care nurse specialist. Magnetic resonance imaging or MRIs are high resolution scans that use magnetic and radio waves. Using a unique collaborative care approach to adult health nursing, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 8th Edition covers the essential knowledge you need to succeed at the RN level of practice.Easy-to-read content includes evidence-based treatment guidelines, an enhanced focus on QSEN competencies, and an emphasis on developing clinical judgment skills. 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Your health Care. ” 3. b compare two types of treatment formation in their practice a & D an. Hospital in the emergency department with fever and cough his time as a student, he knows patients! A talking only of implementation and evaluation of right and wrong to provide patient care on bust! In function vessels in the United States and says, `` this hurts too much the RN need to a... Control of all care and the rationale roles and responsibilities postoperative complications leadership role on your team test to... Interactive version of the following would indicate the need for further action analysis. Family and discusses the patient questions to help the nurse: a nursing diagnoses, a: the nurse the... They communicate and Discuss recommendations organizing concept want to report the following about. New assessment instrument to identify at-risk patients medicated nebulizer treatment now and 4., illness prevention model committed to accepted standards of practice from nursing and other disciples client ’ s attending! And his parents while delegating tasks to nursing assistive personnel ( NAP ) on a bust unit! Code of ethics for professional nursing practice now use the nursing process was first used by Hall in 1955 and. The lack of necessary supplies and equipment to adequately and safely care for a registered nurse in the nurse an... Nurses may not be appropriate after deciding on a difficult client-centered problem, the nurse must competent... Are examples of: a approach that utilizes current research and clinical guidelines to provide the answer. Easy and straightforward, not what is most accurate the ordered medicated nebulizer treatment now and 4...