Nursing Leadership and Management
NCLEX Questions
1. A registered nurse is discussing treatment for a consumer who is hospitalized with acute
systemic lupus erythematosus (SLE) with a nursing scholar assigned to the consumer. The
registered nurse realized that the nursing student needs to analyze statistics approximately
the ailment if the student states that which of the subsequent is a medical manifestation of
SLE?
A) fever
b) bradycardia
c) butterfly rash at the face
d) muscular aches and pains - ANS-B
- Manifestations of acute SLE might also consist of fever, musculoskeletal aches and pains,
butterfly rash on the face, pleural effusion, basilar pneumonia, generalized
lymphadenopathy, pericarditis, tachycardia, hepatosplenomegaly, nephritis, delirium,
convulsions, psychosis, and coma.
A case manager is reviewing the statistics of the customers inside the nursing unit. Which of
the subsequent documentation, if stated in a client's report, could the nurse indicate as a
fantastic variance?
A) a purchaser in skeletal traction has a temperature of 98.6F and the pin sites are smooth
and dry
b) a postoperative consumer is appearing coughing and deep-respiration physical activities
every hour
c) a patron with congestive heart failure has clear breath sounds
d) a consumer with pneumonia is discharged to domestic 1 day in advance than anticipated
- ANS-D
- Variances are actual deviations or detours from the crucial direction. Variances are either
high-quality or negative and avoidable or unavoidable, and may be because of a ramification
of things. A fantastic variance occurs when the consumer has finished maximum advantages
and is discharged in advance than predicted on her important direction. Option 4 is the only
option that mainly identifies a positive variance. Options A, B, and C display development on
a important route, however they're no longer mainly related to the definition of a nice
variance.
A clinical nurse educator is undertaking an educational session for brand new nursing
graduates and is discussing standards of care. The nurse educator determines that a
graduate is familiar with the motive of standards of care while the graduate states that
standards of care:
a) become aware of strategies of treatment based at the most present day era
b) provide tremendous care primarily based on modern-day clinical studies
c) encompass imparting ready degrees of care primarily based on cutting-edge practice
, d) encompass presenting care based totally on area of expertise suggestions for the
patron's circumstance - ANS-C
- The motive of requirements of care is to provide a extensive path for the general exercise
of nursing that applies to all nursing situations, across distinctiveness regions, throughout
the country. Standards of care include offering competent levels of care based totally on
modern-day practice. Options A, B, and D do not specially describe requirements of care.
Option A is unique to era. Option B addresses medical research. Option D addresses forte
suggestions.
A community fitness nurse has been assigned to be the chief of a assignment force to
perceive interventions for teenagers from a local network who're abusing drugs. At the first
assembly of the undertaking force, the contributors explicit issue that extra information is
wanted to decide appropriate measures for the goal teenagers. The nurse might direct the
institution successfully by way of suggesting which of the subsequent?
A) preparing a survey that can be disbursed to network participants to decide their
knowledge of the drug abuse hassle
b) starting up a drug abuse software in all of the faculties
c) searching out the teenage drug abusers and referring them to drug abuse facilities
d) making ready posters that may be allotted to the colleges - ANS-A
- Option A is the handiest choice that addresses the problem of the question and will
discover the extra statistics required via the venture force. Options B, C, and D do no longer
provide the additional information required in order for the assignment force to continue with
the important challenge of the institution.
A network fitness nurse is working with a collection of customers at hazard for high blood
pressure. In imposing interventions by using tiers of prevention, which of the following would
be a number one prevention intervention that the nurse would use with this group?
A) Encouraging the clients to wait high blood pressure screening clinics
b) encouraging clients to visit their health practitioner regularly
c) supplying facts concerning the decreased use of salt within the weight loss program
d) undertaking a community-extensive screening to come across individuals with high blood
pressure - ANS-C
- Primary prevention interventions are the ones measures that keep contamination,
damage, or ability troubles from occurring; therefore, option C is correct. Options A,B, and D
are secondary prevention measures that are trying to find to hit upon current health troubles
or trends.
A nurse administers a fatal dose if a cardiac medicinal drug to a client. During the following
research, it turned into decided that the nurse did now not check the consumer's important
symptoms earlier than administering the medicine. This failure to complete the correct
evaluation is addressed beneath which characteristic at the Nurse Practice Act?
A) defining the specific instructional requirements for licensure
b) describing the scope of practice of certified and unlicensed care companies
c) recommending disciplinary motion for nurses who violate the regulation
d) figuring out the method for disciplinary motion if requirements of care aren't met - ANS-D
In the situation defined within the query, acceptable requirements of care have been now
not met (the nurse didn't thoroughly verify the client before administering a medication).
NCLEX Questions
1. A registered nurse is discussing treatment for a consumer who is hospitalized with acute
systemic lupus erythematosus (SLE) with a nursing scholar assigned to the consumer. The
registered nurse realized that the nursing student needs to analyze statistics approximately
the ailment if the student states that which of the subsequent is a medical manifestation of
SLE?
A) fever
b) bradycardia
c) butterfly rash at the face
d) muscular aches and pains - ANS-B
- Manifestations of acute SLE might also consist of fever, musculoskeletal aches and pains,
butterfly rash on the face, pleural effusion, basilar pneumonia, generalized
lymphadenopathy, pericarditis, tachycardia, hepatosplenomegaly, nephritis, delirium,
convulsions, psychosis, and coma.
A case manager is reviewing the statistics of the customers inside the nursing unit. Which of
the subsequent documentation, if stated in a client's report, could the nurse indicate as a
fantastic variance?
A) a purchaser in skeletal traction has a temperature of 98.6F and the pin sites are smooth
and dry
b) a postoperative consumer is appearing coughing and deep-respiration physical activities
every hour
c) a patron with congestive heart failure has clear breath sounds
d) a consumer with pneumonia is discharged to domestic 1 day in advance than anticipated
- ANS-D
- Variances are actual deviations or detours from the crucial direction. Variances are either
high-quality or negative and avoidable or unavoidable, and may be because of a ramification
of things. A fantastic variance occurs when the consumer has finished maximum advantages
and is discharged in advance than predicted on her important direction. Option 4 is the only
option that mainly identifies a positive variance. Options A, B, and C display development on
a important route, however they're no longer mainly related to the definition of a nice
variance.
A clinical nurse educator is undertaking an educational session for brand new nursing
graduates and is discussing standards of care. The nurse educator determines that a
graduate is familiar with the motive of standards of care while the graduate states that
standards of care:
a) become aware of strategies of treatment based at the most present day era
b) provide tremendous care primarily based on modern-day clinical studies
c) encompass imparting ready degrees of care primarily based on cutting-edge practice
, d) encompass presenting care based totally on area of expertise suggestions for the
patron's circumstance - ANS-C
- The motive of requirements of care is to provide a extensive path for the general exercise
of nursing that applies to all nursing situations, across distinctiveness regions, throughout
the country. Standards of care include offering competent levels of care based totally on
modern-day practice. Options A, B, and D do not specially describe requirements of care.
Option A is unique to era. Option B addresses medical research. Option D addresses forte
suggestions.
A community fitness nurse has been assigned to be the chief of a assignment force to
perceive interventions for teenagers from a local network who're abusing drugs. At the first
assembly of the undertaking force, the contributors explicit issue that extra information is
wanted to decide appropriate measures for the goal teenagers. The nurse might direct the
institution successfully by way of suggesting which of the subsequent?
A) preparing a survey that can be disbursed to network participants to decide their
knowledge of the drug abuse hassle
b) starting up a drug abuse software in all of the faculties
c) searching out the teenage drug abusers and referring them to drug abuse facilities
d) making ready posters that may be allotted to the colleges - ANS-A
- Option A is the handiest choice that addresses the problem of the question and will
discover the extra statistics required via the venture force. Options B, C, and D do no longer
provide the additional information required in order for the assignment force to continue with
the important challenge of the institution.
A network fitness nurse is working with a collection of customers at hazard for high blood
pressure. In imposing interventions by using tiers of prevention, which of the following would
be a number one prevention intervention that the nurse would use with this group?
A) Encouraging the clients to wait high blood pressure screening clinics
b) encouraging clients to visit their health practitioner regularly
c) supplying facts concerning the decreased use of salt within the weight loss program
d) undertaking a community-extensive screening to come across individuals with high blood
pressure - ANS-C
- Primary prevention interventions are the ones measures that keep contamination,
damage, or ability troubles from occurring; therefore, option C is correct. Options A,B, and D
are secondary prevention measures that are trying to find to hit upon current health troubles
or trends.
A nurse administers a fatal dose if a cardiac medicinal drug to a client. During the following
research, it turned into decided that the nurse did now not check the consumer's important
symptoms earlier than administering the medicine. This failure to complete the correct
evaluation is addressed beneath which characteristic at the Nurse Practice Act?
A) defining the specific instructional requirements for licensure
b) describing the scope of practice of certified and unlicensed care companies
c) recommending disciplinary motion for nurses who violate the regulation
d) figuring out the method for disciplinary motion if requirements of care aren't met - ANS-D
In the situation defined within the query, acceptable requirements of care have been now
not met (the nurse didn't thoroughly verify the client before administering a medication).
