NCLEX questions, answers, rationals questions and answers correct and verified A+

NCLEX questions, answers, rationals questions and answers correct and verified A+NCLEX questions, answers, rationals questions and answers correct and verified A+ Which of the following are agencies that focus on global health and development? Select all that apply. 1. World Health Organization 2. United Nations 3. National Institutes of Health 4. American Nurses Association - correct answer-1. World Health Organization 2. United Nations Rationale: The NIH and ANA deal with local health issues within the United States while the WHO and United Nations deal with global health. The number of deaths of infants younger than 28 days of age per 1000 live births is termed the: 1. infant death rate. 2. neonatal birth rate. 3. neonatal morbidity rate. 4. neonatal mortality rate. - correct answer-4. neonatal mortality rate. Rationale: Neonatal mortality rate is defined as the number of deaths of infants under age 1 year per 1000 live births. Birth rate and neonatal birth rate refer to the number of births per 1000 population in a year. Neonatal morbidity rate refers to illness. Which nursing action is the priority when a patient arrives at the clinic? 1. Prepare a plan of care. 2. Select the appropriate nursing diagnoses. 3. Administer medications as ordered. 4. Determine and document history and vital signs. - correct answer-4. Determine and document history and vital signs. Rationale: Assessment is the first step of the nursing process and includes the collection of subjective and objective patient data. Diagnosis is the second step of the nursing process. Preparing a plan of care refers to the fourth step: planning. Administering medications relates to implementation, which is the fifth step of the nursing process. Which of the following organizations sets standards of practice for nursing? 1. American Medical Association (AMA) 2. American Nurses Association (ANA) 3. Utilization review committee 4. American Academy of Pediatrics (AAP) - correct answer-2. American Nurses Association (ANA) Rationale:The ANA develops standards of practice. The AMA is a medical association that is geared toward physicians. Utilization review committee reviews appropriateness of health care services and guidelines for physicians for treatment of illness, controlling management of care to achieve cost containment. The AAP is made up of pediatricians and establishes positions of leadership in setting standards of care for children. The nurse is providing evidence-based care when he or she: 1. adheres to hospital procedures book guidelines. 2. carries out protocols learned in nursing school. 3. carries out the practice requested by the charge nurse or health care provider. 4. knows that the practice has been published in a professional journal or text. - correct answer-4. knows that the practice has been published in a professional journal or text. Rationale: Evidence-based practice starts when the nurse uses the best evidence obtained from current, valid, published research. When the nurse combines that information with his or her critical thinking process, experiences, and patients' needs, it is then possible to plan safe, effective nursing care for the patient. The other answer options are not accurate. which source would the nurse use to determine whether a specific nursing activity is within the scope of practice on an LPN/LVN? 1.Doctor's prescription record 2. Nursing procedure manual 3. Head nurse or nurse manager 4. The nurse practice act - correct answer-4. The nurse practice act Rationale: Specific activities are listed by the state nurse practice act and nurses must practice within the limitations of the nurse practice act for their state. The other answer options are not sources that determine scope of practice. Nursing organizations that suggest standards of care in maternal-child nursing are: a. AWHONN b. ANA c. QSEN d. AAP 1. c and d 2. a and b 3. b and c 4. b and d - correct answer-1. c and d c. QSEN d. AAP Rationale: QSEN has to do with delivering quality care; American Academy of Pediatrics (AAP) is managed by physicians who set standards for pediatric care delivered by physicians. AWHONN and ANA set standards for nursing care. Spermatozoa are produced in the: 1. vas deferens. 2. seminiferous tubules. 3. prostate gland. 4. Leydig cells. - correct answer-2. seminiferous tubules. Rationale: Sperm are made in the convoluted seminiferous tubules of the testes. The other answer options are not correct because sperm are produced only in the testes. A woman can keep a diary of her menstrual cycles to help determine her fertile period. She understands that after ovulation she will remain fertile for: 1. 2 hours. 2. 24 hours. 3. 3 to 5 days. 4. 7 to 14 days. - correct answer-2. 24 hours. Rationale: The egg lives for only 24 hours after ovulation; therefore it is viable for fertilization only for 24 hours. Which data indicate that a woman may have pelvic dimensions that would be inadequate for a normal vaginal delivery? A woman with a(n): 1. anthropoid-shaped pelvis with a history of pelvic inflammatory disease 2. gynecoid_shaped pelvis with a history of rickets 3. anthropoid-shaped pelvis that previously delivered a 9-lb infant 4. gynecoid-shaped pelvis with a history of poor nutrition - correct answer-2. gynecoid_shaped pelvis with a history of rickets Rationale: Although the gynecoid-shaped pelvis is considered most favorable for a vaginal delivery, a woman with a history of rickets (a disease in which normal bone formation is disturbed when bone fails to mineralize and becomes soft and distorted) would be the most likely of the choices for inadequate normal vaginal delivery. An anthropoid-shaped pelvis with a history of PID, although not most favorable, allows for possible vaginal delivery, and history of PID might interfere with conception but not delivery. Previous delivery of a large infant is evi