NCLEX Practice Questions HURST REVIEW (Fundamentals) with Correct Answers

1. C. Assessment: A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code" order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient.The nurse states she was unaware of the "no code" order. What part of the nursing process did the nurse fail to perform? A. Planning B. Evaluation C. Assessment B. Implementation 2. B. Implementation: On the morning laboratory report, the patient's potassium is noted to be 2.5 mEq/L.The nurse does not want to "bother the physician this early." During the change-of-shift report, the patient develops ventricular tachycardia and has to be resuscitated. What part of the nursing process did the nurse fail to perform? A. Evaluation B. Implementation C. Assessment D.Planning 3. B. Assess and analyze the level of care needed by the patient.: A patient in the critical care unit has an order to be transported off the unit for a diagnostic procedure. The nurse fails to ensure that the patient is properly monitored during transport, and the patient experiences a cardiac arrest. Which of the following actions did the nurse fail to adequately perform? A. Make the proper nursing diagnosis. B. Assess and analyze the level of care needed by the patient. C. Act as a patient advocate to postpone the examination. D. Communicate findings in a timely manner.