EAQ NCLEX TEST BANK FINAL EXAM 75
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES ALREADY GRADED A+ NEWEST
UPDATE 2024| STUDY TO PASS!!
A client who is in the advanced stages of illness asks the nurse to contact pastoral services for support.
According to the Macmillan model, which is the correct nursing intervention?
1. Immediately involve pastoral services while caring for the client
2. Involve the family member in the client's care instead of pastoral support
3. Listen to the client's request for support and then carry on with the clinical work
4. Falsely promise that pastoral services have been contacted and plan to see the client - ANSWERS -1.
Immediately involve pastoral services while caring for the client
*The Macmillan nurse usually has the knowledge of advanced practice and possesses specialty
training. This practice enhances the nurse to gain an in-depth knowledge about spiritual, social, and
psychological needs and the pathophysiology of clients living with advanced diseases. The nurse
involves pastoral services while caring for the client. Involving a family member may decrease anxiety
in the client but may not fulfill the wishes of the client. Just listening to the client's request without
implementation of giving false promises can cause loss of trust by the client.
Which nursing process would the nurse undertake when collecting the medical history of a client?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - ANSWERS -C. Assessment
*The documentation of the client's information is part of an assessment. The nurse will collect all the
relevant medical data of the client to help the health care provider understand the client's history and
make an accurate diagnosis. During diagnosis, the collected data is analyzed to find out the clients
problems or issues. Evaluation is the process to see if the expected outcomes of the treatment are
,achieved or not. Before an evaluation, a plan is made to solve all the client's problems and then the
plan is implemented.
The nurse applies a cold pack to relieve musculoskeletal pain. Which rational explains the analgesic
properties of cold therapy?
1. Promoting analgesic and circulation
2. Numbing the nerves and dilating the blood vessels
3. Promoting circulation and reducing muscle spasms
4. Causing local vasoconstriction, preventing edema and muscle spasm - ANSWERS -4. Causing local
vasoconstriction, preventing edema and muscle spasm
*Cold causes the blood vessels to constrict, which reduces the leakage of fluid into the tissues and
prevents swelling and muscle spasms. Cold does promote analgesic but not circulation. It may numb
nerves but does not dilate blood vessels. Cold therapy also may numb the nerves and surrounding
tissues, this reducing pain.
Which group benefits from Medicare?
1. Self-insured employers
2. People who are 65 years or older
3. Members of low-income families
4. Children who are not poor enough for Medicaid - ANSWERS -2. People who are 65 years or older
*Medicare is a health insurance program for people 65 years or older. The payment for the plan is
deducted from monthly individual Social Security checks. A preferred provider organization (PPO) plan
is a contractual agreement between a set of providers and self-insured employers. It offers
comprehensive health services at a discount to companies under contract. The Medicaid plan is a
federally funded, state-run program that provides health insurance for low-income families. It
finances a large portion of care for poor children, their parents, pregnant women, and disabled very
poor adults. The State Children's Health Insurance Programs (SCHIP) is a federally funded, state-run
program for children who are not poor enough for Medicaid.
Which database can be used to find studies related to allied health sciences?
1. EMBASE
2. MEDLINE
3. National Guidelines Clearinghouse
, 4. Cochrane Database of Systemic Reviews - ANSWERS -2. MEDLINE
*The MEDLINE database includes studies in medicine, nursing dentistry, psychiatry, veterinary
medicine, and allied health. EMBASE includes biochemical and pharmaceutical studies. The National
Guideline Clearinghouse includes a repository for structured abstracts about clinical guidelines and
their development. It also includes a condensed version of the guidelines. The Cochrane Database
includes full text of regularly updated systemic reviews prepared by the Cochrane Collaboration as
well as completed reviews and protocols.
How will the nurse researcher categorize research in which subjects are given chlorhexidine and
povidone-iodine as antiseptics?
1. Evaluation research
2. Descriptive research
3. Correlational research
4. Experimental research - ANSWERS -4. Experimental research
*The nurse will categorize this study as experimental research. In experimental research, the
investigator gives variables randomly to the subjects. In this case subjects are given chlorhexidine and
povidone-iodine to test the efficacy in reducing infection. Evaluation research is an initial study that
refines a hypothesis, such as testing a new exercise in older clients with dementia. In a descriptive study,
the characteristics of a person or a situation are measured. For example, a researcher may examine
nurses' bias while caring for obese clients. Correlation research is used to find out the relationship
between different variables without the interference of a a researcher. An example is determining the
educational status of nurses and their satisfaction with their jobs.
Which of these programs is least likely to focus on medication delivery process modification?
1. Evaluation research
2. Quality improvement
3. Experimental research
4. Performance improvement - ANSWERS -3. Experimental research
*Experimental research is least likely to focus on medication delivery process modification. Quality
improvement, evaluation research, and performance improvement are all likely to focus on medication
delivery process modification to make the process better for the client.
The client reports difficulty in breathing. The nurse auscultates lung sounds and assess the respiratory
rate. Which is the purpose of the nurses' action?
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES ALREADY GRADED A+ NEWEST
UPDATE 2024| STUDY TO PASS!!
A client who is in the advanced stages of illness asks the nurse to contact pastoral services for support.
According to the Macmillan model, which is the correct nursing intervention?
1. Immediately involve pastoral services while caring for the client
2. Involve the family member in the client's care instead of pastoral support
3. Listen to the client's request for support and then carry on with the clinical work
4. Falsely promise that pastoral services have been contacted and plan to see the client - ANSWERS -1.
Immediately involve pastoral services while caring for the client
*The Macmillan nurse usually has the knowledge of advanced practice and possesses specialty
training. This practice enhances the nurse to gain an in-depth knowledge about spiritual, social, and
psychological needs and the pathophysiology of clients living with advanced diseases. The nurse
involves pastoral services while caring for the client. Involving a family member may decrease anxiety
in the client but may not fulfill the wishes of the client. Just listening to the client's request without
implementation of giving false promises can cause loss of trust by the client.
Which nursing process would the nurse undertake when collecting the medical history of a client?
1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - ANSWERS -C. Assessment
*The documentation of the client's information is part of an assessment. The nurse will collect all the
relevant medical data of the client to help the health care provider understand the client's history and
make an accurate diagnosis. During diagnosis, the collected data is analyzed to find out the clients
problems or issues. Evaluation is the process to see if the expected outcomes of the treatment are
,achieved or not. Before an evaluation, a plan is made to solve all the client's problems and then the
plan is implemented.
The nurse applies a cold pack to relieve musculoskeletal pain. Which rational explains the analgesic
properties of cold therapy?
1. Promoting analgesic and circulation
2. Numbing the nerves and dilating the blood vessels
3. Promoting circulation and reducing muscle spasms
4. Causing local vasoconstriction, preventing edema and muscle spasm - ANSWERS -4. Causing local
vasoconstriction, preventing edema and muscle spasm
*Cold causes the blood vessels to constrict, which reduces the leakage of fluid into the tissues and
prevents swelling and muscle spasms. Cold does promote analgesic but not circulation. It may numb
nerves but does not dilate blood vessels. Cold therapy also may numb the nerves and surrounding
tissues, this reducing pain.
Which group benefits from Medicare?
1. Self-insured employers
2. People who are 65 years or older
3. Members of low-income families
4. Children who are not poor enough for Medicaid - ANSWERS -2. People who are 65 years or older
*Medicare is a health insurance program for people 65 years or older. The payment for the plan is
deducted from monthly individual Social Security checks. A preferred provider organization (PPO) plan
is a contractual agreement between a set of providers and self-insured employers. It offers
comprehensive health services at a discount to companies under contract. The Medicaid plan is a
federally funded, state-run program that provides health insurance for low-income families. It
finances a large portion of care for poor children, their parents, pregnant women, and disabled very
poor adults. The State Children's Health Insurance Programs (SCHIP) is a federally funded, state-run
program for children who are not poor enough for Medicaid.
Which database can be used to find studies related to allied health sciences?
1. EMBASE
2. MEDLINE
3. National Guidelines Clearinghouse
, 4. Cochrane Database of Systemic Reviews - ANSWERS -2. MEDLINE
*The MEDLINE database includes studies in medicine, nursing dentistry, psychiatry, veterinary
medicine, and allied health. EMBASE includes biochemical and pharmaceutical studies. The National
Guideline Clearinghouse includes a repository for structured abstracts about clinical guidelines and
their development. It also includes a condensed version of the guidelines. The Cochrane Database
includes full text of regularly updated systemic reviews prepared by the Cochrane Collaboration as
well as completed reviews and protocols.
How will the nurse researcher categorize research in which subjects are given chlorhexidine and
povidone-iodine as antiseptics?
1. Evaluation research
2. Descriptive research
3. Correlational research
4. Experimental research - ANSWERS -4. Experimental research
*The nurse will categorize this study as experimental research. In experimental research, the
investigator gives variables randomly to the subjects. In this case subjects are given chlorhexidine and
povidone-iodine to test the efficacy in reducing infection. Evaluation research is an initial study that
refines a hypothesis, such as testing a new exercise in older clients with dementia. In a descriptive study,
the characteristics of a person or a situation are measured. For example, a researcher may examine
nurses' bias while caring for obese clients. Correlation research is used to find out the relationship
between different variables without the interference of a a researcher. An example is determining the
educational status of nurses and their satisfaction with their jobs.
Which of these programs is least likely to focus on medication delivery process modification?
1. Evaluation research
2. Quality improvement
3. Experimental research
4. Performance improvement - ANSWERS -3. Experimental research
*Experimental research is least likely to focus on medication delivery process modification. Quality
improvement, evaluation research, and performance improvement are all likely to focus on medication
delivery process modification to make the process better for the client.
The client reports difficulty in breathing. The nurse auscultates lung sounds and assess the respiratory
rate. Which is the purpose of the nurses' action?
