NCLEX REVIEW EXAM WITH RATIONALES QUESTIONS AND ANSWERS ALL WHAT YOU NEET TO KNOW

NCLEX REVIEW EXAM WITH RATIONALES QUESTIONS AND ANSWERS ALL WHAT YOU NEET TO KNOW stuvia ProfessorWills [ NCLEX REVIEW EXAM WITH RATIONALES QUESTIONS AND ANSWERS ALL WHAT YOU NEET TO KNOW.]   NCLEX REVIEW EXAM QUESTIONS AND ANSWERS WITH RATIONALES BEST EXAM SOLUTIONS 1. To determine the standards of care for the institution, the nurse should consult? 1. Organizational Chart 2. Personnel policies 3. 4. Rationale: Policies and procedure manual Job descriptions #3 Correct Answer: It defines standards of care for an institution #1 Shows which departments exist and their relationship with each other #2 Policies for personnel not standards of care #4 Doesn’t go into detail about standards of care 2. Which of the following goals is the most important for the nurse to address for a client admitted to the cardiac rehabilitation unit? 1. Reduction of anxiety 2. Referral to community resources 3. Identification of life style changes 4. Verbalization of energy-conservation techniques Rationale: #3 Correct Answer: On admission, the best starting point is to survey what is good and what needs to be changed. #1 No, we need some anxiety to change. #2 Not yet #3 For cardiac rehab-we want to exercise not conserve at this point. Conserving energy is for times of hypoxia or angina. 3. The nurse manager is having a problem on the unit with one staff person having repetitive tardiness and leaving the unit with orders not initiated. Which action by the manager would be best? 1. Call the staff nurse in and place on work improvement after a 3 day suspension 2. Have the other staff gather additional information on the delinquent staff member 3. Call the staff nurse in for an interview to investigate the problem and possible solutions 4. Assign her a mentor to call her at home and help her get to work on time Rationale: #3 Correct Answer: Give the nurse an opportunity to explain and then together work on a plan of resolution. #1 Jumping the gun, you need to investigate first. #2 Turning the rest of the staff against the one member is not helpful in creating a team environment and causes mistrust. #4 This is enabling, not helpful or necessary. 4. A client is having a tubal ligation in the outpatient surgical clinic. Postoperatively it is priority for the nurse to determine. 1. The client’s prior experiences with outpatient surgery. 2. The client’s medical plan and the extent of coverage for outpatient surgery. 3. The client’s plan for transportation and care at home. 4. The client’s plan to spend the night at the surgical center. Rationale: to discharge. #1 The client’s prior experience would be a factor in the PRE-Operative phase, but not as important as Post Surgically. #2 The medical plan’s coverage would not be assessed by the nurse in the postoperative phase, but rather by the business office in the planning phase. #4 It would be atypical for the client to spend the night in a surgical clinic, as they are not generally open at night for overnight stays. 5. A child with newly diagnosed leukemia is receiving chemotherapy. Which would be included in his plan of care by the nurse?