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NCLEX Practice Questions for Exam 1 (New Update) Questions & Answers -Grade A- 100- Correct (Verified Solutions).

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NCLEX Practice Questions for Exam 1 (New Update) Questions & Answers -Grade A- 100- Correct (Verified Solutions).

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NCLEX Practice Questions for Exam 1 (New
2026/ 2027 Update) Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)

A nurse caring for patients in a primary care setting submits paperwork for


reimbursement from managed care plans for services performed. Which purpose best


describes managed care as a framework for health care?




a. A design to control the cost of care while maintaining the quality of care


b. Care coordination to maximize positive outcomes to contain costs


c. The delivery of services from initial contact through ongoing care


d. Based on a philosophy of ensuring death in comfort and dignity - Correct answer a.


Managed care is a way of providing care designed to control costs while maintaining


the quality of care.




A nurse cares for dying patients by providing physical, psychological, social, and


spiritual care for the patients, their families, and other loved ones. This service is

known as:

,a. Respite care


b. Palliative care


c. Hospice care


d. Extended care - Correct answer c. The hospice nurse combines the skills of the


home care nurse with the ability to provide daily emotional support to dying patients


and their families. Respite care is a type of care provided for caregivers of homebound


ill, disabled, or older patients. Palliative care, which can be used inconjunction with


medical treatment and in all types of health care settings, is focused on the relief of


physical, mental, and spiritual distress. Extended-care facilities include transitional


subacute care, assisted-living facilities, intermediate and long-term care, homes for


medically fragile children, retirement centers, and residential institutions for mentally


and developmentally or physically disabled patients of all ages.




A nurse is evaluating a patient diagnosed with renaldisease for treatment in a Hospital


at Home program. Whichstatement accurately describes a step in this program?

,a. The patient is evaluated upon hospital admission and is given daily nursing care in


the home after discharge for as long as necessary.


b. Any urgent or emergent situation requires an ambulance trip from the home to the


hospital.


c. Patients are transported to physicians' offices from the home for weekly


evaluations.


d. The clinicians use care pathways, clinical outcome evaluations, and specific discharge


criteria. - Correct answer d. In the Hospital at Home program, the clinicians use care


pathways including illness-specific care maps, clinical outcome evaluations, and


specific discharge criteria. A patient requiring admission for one of the target illnesses


is identified in the emergency department or ambulatory site. Staff assess whether the


patient is a good candidate for the program using validated criteria. If the patient is


eligible and consents to participate, the Hospital at Home physician evaluates the

patient, who is then transported home, usually by ambulance. Nurses are available 24


hours a day/7 days a week for any urgent or emergent situations. The patient is


evaluated daily in the home by the Hospital at Home physician, who completes an


assessment and continues to implement appropriate diagnostic and therapeutic

measures.

, A nurse is providing care based on Maslow's hierarchy of basic human needs. For


which nursing activities is this approach useful?




a. Making accurate nursing diagnoses


b. Establishing priorities of care


c. Communicating concerns more concisely


d. Integrating science into nursing care - Correct answer b. Maslow's hierarchy of


basic human needs is useful for establishing priorities of care.




The nurse is prioritizing nursing care for a patient in a long-term care facility. Which


examples of nursing interventions help meet physiologic needs? Select all that apply.




a. Preventing falls in the facility


b. Changing a patient's oxygen tank


c. Providing materials for a patient who likes to draw


d. Helping a patient eat his dinner

e. Facilitating a visit from a spouse

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