Ch 1 Nclex- Nursing Today

Question 1

1. You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code?
2. Improves self–health care
3. Protects the patient’s confidentiality
4. Ensures identical care to all patients
5. Defines the principles of right and wrong to provide patient care

Answer 1

4

Question 2

2. An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?
3. Diagnosis
4. Evaluation
5. Assessment
6. Implementation

Answer 2

3

Question 3

3. A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?
4. Planning
5. Evaluation
6. Assessment
7. Implementation

Answer 3

4

Question 4

4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient’s wishes with them. The nurse is acting as the patient’s:
5. Educator.
6. Advocate.
7. Caregiver.
8. Case manager.

Answer 4

2

Question 5

5. The nurse spends time with the patient and family reviewing the dressing change procedure for the patient’s wound. The patient’s spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
6. Educator
7. Advocate
8. Caregiver
9. Case manager

Answer 5

1

Question 6

6. The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination:
7. Guarantees safe nursing care for all patients.
8. Ensures standard nursing care for all patients.
9. Ensures that honest and ethical care is provided.
10. Provides a minimal standard of knowledge for an RN in practice.

Answer 6

4

Question 7

7. Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.)
8. Caregiver
9. Autonomy and accountability
10. Patient advocate
11. Health promotion
12. Lobbyist

Answer 7

1,2,3,4

Question 8

8. Match the advanced practice nurse specialty with the statement about the role.
9. Clinical nurse specialist
10. Nurse anesthetist
11. Nurse practitioner
12. Nurse-midwife
    a. Provides independent care, including pregnancy and gynecological services
    b. Expert clinician in a specialized area of practice such as adult diabetes care
    c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions
    d. Provides care and services under the supervision of an anesthesiologist

Answer 8

1B, 2d, 3c, 4a

Question 9

9. Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform?
   12
10. Moving from an acute illness to a health promotion, illness prevention model
11. Moving from an illness prevention to a health promotion model
12. Moving from an acute illness to a disease management model
13. Moving from a chronic care to an illness prevention model

Answer 9

1

Question 10

10. A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
11. Patient-centered care
12. Safety
13. Teamwork and collaboration
14. Informatics

Answer 10

3

Question 11

11. A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
12. Patient-centered care
13. Safety
14. Teamwork and collaboration
15. Informatics

Answer 11

4

Question 12

12. How does knowledge of genomics affect patient treatment decisions?

Answer 12

See evolve

Question 13

13. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career?
14. Clinical nurse specialist
15. Nurse administrator
16. Nurse educator
17. Nurse researcher

Answer 13

4

Question 14

14. Nurses in an acute care hospital are attending a unit-based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
15. Continuing education
16. Graduate education
17. In-service education
18. Professional Registered Nurse Education

Answer 14

3

Question 15

15. Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply.)
16. WebMD
17. Hospital Compare
18. Magnet Recognition Program
19. Hospital Consumer Assessment of Healthcare
20. The American Hospital Association’s webpage.

Answer 15

2,4