NURS 313 Test #1 NCLEX Review Questions With
Complete Solutions
A 44-year-old male patient has just been told that his wife and
child were killed in an auto accident while coming to visit him
in the hospital. Which of the following statements are defining
characteristics that support a nursing diagnosis of Spiritual
Distress related to loss of family members? Correct Answers "I
have nothing to live for now."
"Why would my God do this to me?"
A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
Correct Answers beneficence
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency? Correct Answers informatics
A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication? Correct Answers Include
communication while performing tasks such as changing
dressings and checking vital signs.
,A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient? Correct Answers The nurse asks
the patient, "Tell me about the main problems you have had with
your health from not having a home."
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem? Correct
Answers Talk with the preceptor or manager and ask for
assistance in handling this issue
A nurse asks a nursing assistive personnel (NAP) to help the
patient in room 418 walk to the bathroom right now. The nurse
tells the NAP that the patient needs the assistance of one person
and the use of a walker. The nurse also tells the NAP that the
patient's oxygen can be removed while he goes to the bathroom
but to make sure that it is put back on at 2 L. The nurse also
instructs the NAP to make sure the side rails are up and the bed
alarm is reset after the patient gets back in bed. Which of the
following components of the "Five Rights of Delegation" were
used by the nurse? Correct Answers right task
right circumstances
right person
right direction/communication
A nurse assesses patients and uses assessment findings to
identify patient problems and develop an individualized plan of
care. The nurse is displaying: Correct Answers clinical decision
making
, A nurse begins a night shift, assuming care for a critically ill
patient who was resuscitated earlier in the day from cardiac
arrest. He survived and is physically stable, alert, oriented, and
responding appropriately to the nurse's questions. Knowing that
the patient experienced a period when his heart stopped beating,
what would be the best approach for the nurse to use with him?
Correct Answers Sit and encourage the patient to share what he
experienced during resuscitation
A nurse changed a patient's surgical wound dressing the day
before and now prepares for another dressing change. The nurse
had difficulty removing the gauze from the wound bed
yesterday, causing the patient discomfort. Today he gives the
patient an analgesic 30 minutes before the dressing change.
Then he adds some sterile saline to loosen the gauze for a few
minutes before removing it. The patient reports that the
procedure was much more comfortable. Which of the following
describes the nurse's approach to the dressing change? Correct
Answers complex critical thinking
experience
A nurse enters a 72-year-old patient's home and begins to
observe her behaviors and examine her physical condition. The
nurse learns that the patient lives alone and notices bruising on
the patient's leg. When watching the patient walk, the nurse
notes that she has an unsteady gait and leans to one side. The
patient admits to having fallen in the past. The nurse identifies
the patient as having the nursing diagnosis of Risk for Falls.
This scenario is an example of: Correct Answers diagnostic
reasoning
Complete Solutions
A 44-year-old male patient has just been told that his wife and
child were killed in an auto accident while coming to visit him
in the hospital. Which of the following statements are defining
characteristics that support a nursing diagnosis of Spiritual
Distress related to loss of family members? Correct Answers "I
have nothing to live for now."
"Why would my God do this to me?"
A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
Correct Answers beneficence
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency? Correct Answers informatics
A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication? Correct Answers Include
communication while performing tasks such as changing
dressings and checking vital signs.
,A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient? Correct Answers The nurse asks
the patient, "Tell me about the main problems you have had with
your health from not having a home."
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem? Correct
Answers Talk with the preceptor or manager and ask for
assistance in handling this issue
A nurse asks a nursing assistive personnel (NAP) to help the
patient in room 418 walk to the bathroom right now. The nurse
tells the NAP that the patient needs the assistance of one person
and the use of a walker. The nurse also tells the NAP that the
patient's oxygen can be removed while he goes to the bathroom
but to make sure that it is put back on at 2 L. The nurse also
instructs the NAP to make sure the side rails are up and the bed
alarm is reset after the patient gets back in bed. Which of the
following components of the "Five Rights of Delegation" were
used by the nurse? Correct Answers right task
right circumstances
right person
right direction/communication
A nurse assesses patients and uses assessment findings to
identify patient problems and develop an individualized plan of
care. The nurse is displaying: Correct Answers clinical decision
making
, A nurse begins a night shift, assuming care for a critically ill
patient who was resuscitated earlier in the day from cardiac
arrest. He survived and is physically stable, alert, oriented, and
responding appropriately to the nurse's questions. Knowing that
the patient experienced a period when his heart stopped beating,
what would be the best approach for the nurse to use with him?
Correct Answers Sit and encourage the patient to share what he
experienced during resuscitation
A nurse changed a patient's surgical wound dressing the day
before and now prepares for another dressing change. The nurse
had difficulty removing the gauze from the wound bed
yesterday, causing the patient discomfort. Today he gives the
patient an analgesic 30 minutes before the dressing change.
Then he adds some sterile saline to loosen the gauze for a few
minutes before removing it. The patient reports that the
procedure was much more comfortable. Which of the following
describes the nurse's approach to the dressing change? Correct
Answers complex critical thinking
experience
A nurse enters a 72-year-old patient's home and begins to
observe her behaviors and examine her physical condition. The
nurse learns that the patient lives alone and notices bruising on
the patient's leg. When watching the patient walk, the nurse
notes that she has an unsteady gait and leans to one side. The
patient admits to having fallen in the past. The nurse identifies
the patient as having the nursing diagnosis of Risk for Falls.
This scenario is an example of: Correct Answers diagnostic
reasoning
