RN test 1 NCLEX questions and answers

RN test 1 NCLEX questions and answers 1. A nurse is planning education for a patient who is scheduled for a diagnostic procedure to rule out a cerebral aneurysm. Which aspect of nursing does the nurse use as the basis for education? a. Art of nursing b. Science of nursing c. Caring aspect of nursing d. Holistic approach to nursing - ANS-b. The science of nursing is the knowledge base for care that is provided. In contrast, the skilled application of that knowledge is the art of nursing. Providing holistic care to patients based on the science of nursing is considered the art of nursing. 1. A group of students in a community health course is discussing disaster management. Which nursing leader will the students identify as the founder of the Red Cross? a. Clara Barton b. Florence Nightingale c. Lillian Wald Lavinia Dock - ANS-a. Clara Barton established the Red Cross in the United States in 1882. Florence Nightingale elevated the status of nursing to a respected occupation, improved the quality of nursing care, and founded modern nursing education. Lillian Wald was the founder of public health nursing. Lavinia Dock was a nursing leader and women's rights activist instrumental in establishing women's right to vote. 1. A nurse is engaged in community health promotion activities. What activity best reflects this type of health promotion? a. Teaching about fall prevention and home safety at a senior center b. Holding a blood glucose screening for diabetes at a local church c. Educating hospice volunteers on therapeutic communication Providing education on crutch walking to a child with a fractured tibia - ANS-a. Nurses promote health and prevent illness primarily by teaching, through personal example and administering preventative vaccinations. Performing blood glucose screening for diabetes detects a disease after it has developed, rather than diabetes prevention. Therapeutic communication during hospice care and crutch walking are additional interventions used for diseases or health problems already present. 1. A nursing student is preparing to administer medications and asks the clinical instructor about legal liability in clinical practice. What is the most appropriate response? a. "Students are not responsible for their acts of negligence resulting in patient injury." b. "Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse." c. "Hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor." d. "Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary." - ANS-b. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. Student nurses are responsible for their own acts of negligence if these result in patient injury. A hospital may also be held liable for the negligence of a student nurse enrolled in a hospital-controlled program because the student is considered an employee of the hospital. Nursing instructors may share responsibility for damages in the event of patient injury if an assignment called for clinical skills beyond a student's competency or the instructor failed to provide reasonable and prudent clinical supervision. Most nursing programs require students to carry personal professional liability insurance. 1. A nurse historian is researching changes in professional nursing and nursing education in the mid-20th century. What trend promoted advancement of the profession and of nursing education? a. Increased need for nurses and knowledge explosion led to emphasis on education. b. Focus on the war effort slowed development of knowledge in medicine and technology. c. Role of the nurse focused on acute technical skills used in hospital settings. d. Nursing care was dependent on the medical profession to define its priorities. - ANS-a. During World War II, large numbers of women worked outside the home. They became more independent and assertive, leading to an increased emphasis on education. The war itself created a need for more nurses and resulted in a knowledge explosion in medicine and technology. 1. According to Nursing: Scope and Standards of Practice (ANA, 2021), "Nursing is the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations in recognition of the connection of all humanity. Which actions are consistent with these nursing roles? Select all that apply. a. Offering emotional support to a patient overwhelmed by a new diagnosis of ovarian cancer b. Making a diagnosis of appendicitis when a patient reports right lower quadrant pain c. Providing classes on nutrition and physical activity at a senior center d. Administering an antibiotic to a patient with a documented infection e. Working with the health department to provide free influenza vaccinations to children f. Requesting the health care provider change prescription for the patient whose pain is still unrelieved - ANS-a, c, d, e, f. Education, emotional support, nursing interventions such as administering medications, preventing influenza and infectious diseases, and advocating for improved pain management are roles of the nurse. Making a medical diagnosis is not within the scope of professional nursing practice. 1. A nurse working in a rehabilitation facility focuses on the goal of restoring health for patients. Which nursing interventions could the nurse use to meet this goal? Select all that apply. a. Counseling adolescents in a drug rehabilitation program b. Performing range-of-motion exercises for a patient on bedrest c. Demonstrating insulin injection to a patient with diabetes d. Recommending a yoga class for a busy executive e. Providing hospice care for a patient with endstage cancer f. Teaching a nutrition class at a local high school - ANS-a, b, c. Activities to restore health focus on the person with an illness and range from early detection of a disease to rehabilitation and teaching during recovery. These activities include drug counseling, teaching patients how to administer their medications, and performing range-of-motion exercises for bedridden patients. Recommending a yoga class for stress reduction helps prevent illness, and teaching a nutrition class helps promote health. A hospice nurse facilitates coping with disability and death. 1. Nursing students are learning about the criteria that establish nursing as a profession. Which statements by the students indicate they have correctly described characteristics of a profession? Select all that apply. a. Nursing is composed of a well-defined body of general knowledge. b. Nursing interventions are dependent upon medical practice. c. Nursing is a recognized authority by a professional group. d. Nursing practice is regulated by the medical profession. e. Nursing has a code of ethics. f. Nursing is influenced by ongoing research. - ANSc, e, f. Nursing is recognized increasingly as a profession based on the following defining criteria: well-defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, professional organization that sets standards, ongoing research, and autonomy and self-regulation. 1. A nurse considers returning to school to obtain a master's degree in nursing. Which practice discipline requiring graduate level education could the nurse consider? a. Rehabilitation nurse b. Critical care nurse c. Oncology nurse d. Nurse practitioner - ANS-d. A master's degree (MSN) prepares advanced practice nurses, nurse practitioners (NPs), nurse midwives, clinical specialists, or clinical nurse leaders. 1. Nurses in the United States follow regulations outlined by each state's nurse practice act. A nurse moving to a different state anticipates finding which elements are common to all states' nurse practice acts? a. Definition of the legal scope of nursing practice for those registered b. Provision of continuing education programs to meet state requirements c. Determining the scope of content covered in the NCLEX examination d. Creating institutional policies for health care practices - ANS-a. State nurse practice acts regulate practice by defining the legal scope of practice, creating a state board of nursing to make and enforce rules and regulations, define important terms and activities in nursing, and establish criteria for the education and licensure of nurses. The state's board of nursing has the legal authority define the education required to take NCLEX but does not provide that education or determine the content of the examination. The board has the legal authority to allow graduates of approved schools to take the licensing examination. Institutional policies are created by the institutions themselves. 1. Nurses of a statewide nursing organization come together to plan for the challenges to health care for the 21st century. What current trend in health care should be a focus of the plan? a. Decreasing numbers of hospitalized patients b. Increasing numbers of older and more acutely ill patients c. Decreasing health care costs owing to managed care d. Decreasing advances in medical knowledge and technology - ANS-b. The National Advisory Council on Nurse Education and Practice identifies the following critical challenges to nursing practice in the 21st century: A growing population of hospitalized patients who are older and more acutely ill, increasing health care costs, and the need to stay current with rapid advances in medical knowledge and technology. 1. A nurse working in an ambulatory care center provides care for patients experiencing varying levels of health and illness. The nurse bases care on which concepts of health and illness? Select all that apply. a. Health and illness are the same for all people. b. Health and illness are individually defined by each person. c. People with acute illnesses may consider themselves healthy. d. People with chronic illnesses have poor health beliefs. e. Health is more than the absence of illness. f. Illness is the response of a person to a disease. - ANS-b, c, e, f. Each person defines health and illness individually, based on a number of factors. Health is more than just the absence of illness; it is an active process in which a person moves toward their maximum potential. An illness is the response of the person to a disease.