Chapter 28: NCLEX-RN® Examination Test Bank MULTIPLE CHOICE

hapter 28: NCLEX-RN® Examination Test Bank MULTIPLE CHOICEC 1. Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they: a. pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). b. provide evidence of mental competency. c. supply written proof of physical fitness. d. have signed an employment contract with a health care facility. 2. Which statement concerning the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam is correct? Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate a. degree) take the same examination. b . The examination is scored on an interval scale rather than on a pass-fail basis. c. The examination is offered twice a year in major urban areas. d . The candidate has the option of choosing a pencil-and-paper format. DIF: Comprehension REF: p. 499 4. On the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of: a. assessment. b. planning. c. analysis. d. implementation. DIF: Application REF: p. 505 5. The length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam is based on the: a. last four numbers of the candidate’s social security number. b. location of testing. c. candidate’s educational preparation. d. performance of the candidate. a. DIF: Application REF: p. 499 6. The primary purpose of the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam is to: ensure that practitioners have the minimum skills and knowledge needed to provide care that will a. produce the best patient care outcomes. b . regulate nursing education. c. determine the mandatory educational level required for nurses to practice. d . accredit schools of nursing. DIF: Comprehension REF: p. 498 7. A student nurse who is preparing to graduate and take the licensure examination asks, “What is compulsory licensure?” The appropriate response of the nursing advisor is which of the following? a. All candidates wishing to take the licensure examination must pass a drug screen. b. Candidates must not have a felony conviction. c. To practice as an RN, the nurse must be licensed as an RN. d. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice. d. Impaired nurses must complete a program as specified by the state board of nursing to address limitations, but this is not the meaning of compulsory licensure. DIF: Knowledge REF: p. 497 8. The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam questions on the basis of: a. the geographic location of the candidate. b. research that indicates needed skills for positions in which most entry level nurses are employed. c. surveys conducted by employers to determine the weaknesses of entry level nurses. d. surveys of physicians performed to determine what nurses must know to provide safe care. DIF: Comprehension REF: p. 499 9. Although the NCLEX-RN® exam has new formats for questions, the most common format is the: a. fill-in-the-blank item, because candidates are not provided with clues from distracters. b. multiple-choice question item, which allows candidates to select the one correct answer. c. multiple-response item, because these questions require a higher level of critical thinking. d. hot-spot item, because these questions are written at the application level of Bloom’s analysis. DIF: Knowledge REF: p. 500 10. When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care? a. Safe and effective care environment b. Health promotion and maintenance c. Psychosocial integrity d. Teaching/learning DIF: Analysis REF: p. 503 11. A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L, and O2, 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom’s taxonomy? a. Knowledge b. Comprehension c. Application d. Analysis DIF: Application REF: p. 499 13. On the basis of changes effective with the April 2010 test plan, candidates who take the NCLEX- RN® exam: will have to answer more than 75 questions to be 95% certain that they are above the passing a. standard. b will be required to submit a 100-word essay on an important nursing topic to evaluate safe nursing . practice. should study and take practice examinations written at the application and analysis level to ensure c. that they can meet the higher standards of nursing care and health care delivery. d will have additional time to complete the examination because most questions will be prepared in . the alternate format, thereby requiring critical thinking. ...........................................continued.............................................