NCLEX Questions (2019) with Complete Solutions

NCLEX Questions (2019) with Complete Solutions An example of a nurse activity that best reflects the American Nurses Association's definition of nursing is a. treating dysrhythmias that occur in a patient in the coronary care unit b. diagnosing a patient w/ a feeding tube as being @ risk for aspiration c. Establishing protocols for treating patients in the emergency department d. Providing antianxiety drugs for a patient who has disturbed sleep patterns. B. Diagnosing a patient w/ a feeding tube as being @ risk for aspiration. Rationale: The American Nurses Association (ANA) defines nursing as "the protection, promotion, & optimization of health & abilities, prevention of illness & injury, alleviation of suffering through the diagnosis & treatment of human response, & advocacy in the care of individuals, families, communities, & populations." The nursing activity described in option A. is r/t the prevention of injury A nurse working on the medical-surgical unit @ an urban hospital would like to become certified in medical-surgical nursing. The nurse knows that this process would most likely require a. A bachelor's degree in nursing b. Formal education in advanced nursing practice c. Experience for a specific period in medical-surgical nursing d. Membership in a medical-surgical nursing specialty organization C. Experience for a specific period in medical-surgical nursing Rationale: Certification in nursing specialties usually requires a certain amount of clinical experience A nurse is providing care for a patient after right hip surgery. Within a pay-for-performance system, a critical role of the nurse is to a. ensure that care is provided using minimal amount of supplies b. Discharge the patient @ completion of the # of approved days of care c. Implement measure to decrease the risk of the patient acquiring an infection d. Asses the patient's ability to pay for health care services @ the time of admission C. Implement measures to decrease the risk of the patient acquiring an infection Rationale: Pay-for-performance programs reimburse hospitals for performance on quality-of-care measures. Payment for care can be withheld if a patient develop certain health conditions during the hospital stay or if something happens to the patient that is considered preventable. The nurse is assigned to care for a newly admitted patient. Number in order the steps for using the nursing process to prioritize care ______Evaluate whether the plan was effective ______Identify any health problems ______Collect patient information ______Carry out the plan ______Determine a plan of care 5, 2, 1, 4, 3 Rationale: The basic order of the nursing process is assessment, problem identification, planning implementation, & evaluation The linkages among the NANDA-I nursing diagnoses, NOC patient outcomes, & NIC nursing interventions can be used to a. Evaluate patient outcomes b. Provide guides for planning care c. Predict the results of nursing care d. Shorten written care plans for individual patients B. Providing guides for planning care Rationale: Standardized care plans offered by the North American Nursing Diagnosis Association (NANDA), Nursing outcomes Classification (NOC), & Nursing Interventions Classification(NIC) groups may be used as guides for routine nursing care. The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone debridement of an infected toe. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel (CNA)? a. Check the patient's vital signs b. Monitor the patient's pain level c. Assess the patient's pain level d. Evaluate the patient's tibial & perdal pulses A. Check the patient's vital signs Rationale: You may delegate routine measurement of vital signs on a stable postoperative patient to unlicensed assistive personnel. Nursing interventions that require independent nursing knowledge, skill, or judgment, such as assessment & evaluation of care, are your responsibility & cannot be delegated The nurse's role in addressing the National Patient Safety Goals established by The Joint Commission includes (select all that apply) A. Answering monitoring alarms in a timely manner B. Using side rails & alarm systems as necessary to prevent patient falls C. Obtaining complete, accurate list of the pateint's medications on admission D. Memorizing & implementing all the rules published by The Joint Commission E. Encouraging patients to be actively involved in & question their own health care A. Answering monitoring alarms in a timely manner B. Using side rails & alarm systems as necessary to prevent patient falls C. Obtain a complete, accurate list of the patient's medication on admission Rationale: Review the National Patient Safety Goals in Table 1-5. The goals r/t the correct options are to reduce the risk of patient harm resulting from falls, reduce the occurrence of alarm fatigue, & to accurately & completely reconcile medications across the continuum of care Advantages of using informatics in health care delivery are (select all that apply) A. Reduced need for nurses in acute care B. Increased patient anonymity & confidentiality C. The ability to achieve & maintain high stand