Nur 212 Nclex exam questions with verified correct answers latest update 2024, Exams of Nursing

Download Nur 212 Nclex exam questions with verified correct answers latest update 2024 and more Exams Nursing in PDF only on Docsity! Nur 212 Nclex exam questions with verified correct answers latest update 2024 A client being treated with sodium warfarin has a Prothrombin time of 120 seconds. Which interventionwould be most important to include in the nursing care plan? Assess for signs of abnormal bleeding A student nurse is doing an EBP article "KWL" regarding the numbers of underinsured and uninsuredadults and children in America due to the cost of health insurance. The student has learned that a consequence of a patient not having health insurance is that: Delays in health coverage for children put the health care provider at risk for litigation The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate.Which finding should be reported to the doctor? Heart rate of 60bpm A RN on a busy MS unit is planning the assignments for the day and is leading a team composed of a LPNand a NA. Based on the required skill level, which client is the best for the nurse to assign to the LPN versus the NA? One-day postoperative mastectomy client An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation ofcomplications of anesthesia and narcotic administration, the nurse should: Have narcan (naloxone) available Based on national guidelines rather than practice within any specific state or facility, which function canonly be performed by the RN and not the LPN Assessing and documenting a client's initial pressure ulcer assessment In the NCBON EBP article, "Continuing Competence Self-Assessment: Have you met your professionalresponsibility?" new graduate nurses are reminded to: SATA Talk with peers to get feedback about performances. Assess his or her practice Use the competency worksheets to identify strengths and weakness The health care provider prescribes these actions for a client who was admitted with acute substernal chest pain. Which actions are appropriate to delegate to an experienced LPN/LVN who is working with you in the ED? SATA Having the client chew and swallow aspirin 162 mg Attaching cardiac monitor leads Obtaining a 12-lead ECG A nurse working in a home health agency has been asked to participate on a shared governance committee planning to incorporate best practice research for NG tube insertion. The nurse knows thatthe next step in the process is to: Complete a list of relevant questions to consider about the current practice of NG tube insertion A preceptor is mentoring a new nurse regarding Foley catheter care to prevent catheter-associated infections. During care of a pt. the new nurse shares an EBP technique research indicates is being usedwith much success. The new nurse is attempting to: Understand and apply knowledge gained through an ongoing review of literature A nurse is receiving reports on four clients and is preparing to do walking rounds with the off-goingnurse. Which client should the nurse ask to see first? A client with a new tracheostomy A nurse is making post discharge phone calls to determine patient satisfaction with hospital care. Duringone call a patient that received an upper extremity cast yesterday reports, "I can't feel my fingers in myright hand today." What action should the nurse take? Take the client's number and ask the client to "Hold please, while I contact your doctor." A new nurse manager has called a staff meeting. The manager tells the staff "I have been employed tobring about change and performance improvement." The manager provides a plan, list of tasks and activities for each member. What type of leadership style does the new manager's characteristic suggest? Autocratic A precepting nurse is teaching a new nurse about Scope of Practice and nurse sensitive indicators. Whichis an example of a caring intervention related to Scope of Practice and the identified NDNQI nurse sensitive indicators? SATA Hand hygiene to prevent CLI (central line infections) Reviewing and revising policies to prevent peripheral IV infections Turning and repositioning a client Q2H after a wound debridement The nurse is admitting a 54 yr. old female executive with a complaint of chest pain and a troponin-T level of 0.1 µg/L. The client reports after a stressful day she enjoys yoga and jogging with her live-in, same sex partner of 20 years. Based on the assessment findings, a competent nurse would develop a best practice teaching plan that includes goals for which level of health and wellness? Health Promotion and Secondary Prevention A nurse educator is conducting a continuing education in-service for the nurses in a pediatric intensivecare unit. Why is it so important for the professional nurse to attend these in-services? As a part of the homework assignment the students watched an EBP video demonstrating "best practice" for NG tube placement after watching the video the nursing students determined whichmethod should be used in practice? Aspirating a small amount of secretions and testing to determine if the pH is consistent w/gastriccontents. <or> Requesting a physician's order for an X-Ray to confirm placement. A 2-year-old child with multiple birth defects and ventilator-dependent has a trended baseline O2 sat of 93-94%. The family expresses a desire to care for the child at home, but does not have the resources for 24-hour care. To ensure the client is ready for discharge, the case manager intervenes by implementing which caring intervention? Collaborating with community agencies and making health referrals. The nurse in an urgent care center is assessing a 48-year-old patient who has been diagnosed with the flu. The nurse discusses the need for flu shots annually with the patient, who states, "I cannot afford theshots at my doctor's office. I do not have the co-payment." The nurse suggests that in the future the patient: Visit the local health department for this preventive service. The nurse is suspected of charting medication administration that he did not give. After talking to thenurse, the charge nurse should: File a formal reprimand with the manager A 52-year old male client is seen in the physician's office for a physical examination after experiencing unusual fatigue over the last several weeks. The client's height is 5 feet, 8 inches, and his weight is 200 pounds. Vital signs are: temperature 37.1 C orally, pulse 86 beats per minute, and respirations 18 breathsper minute. The blood pressure is 174/92 mm Hg. Random blood sugar glucose is 182 mg/dL. Which of the following questions should the nurse ask the client first? How often do you check your blood pressure?' A new nurse aware of Hospital Core Measures is assessing a diabetic client admitted with a BNP level of500 pg./mL. The client is complaining of weakness, nausea and a loss of appetite. Which action should the nurse expect to find listed on the standardized checklist and subsequently take first? Encourage the client to check his/her vital signs and weight at least daily. A health care consumer is concerned a nurse at the local medical clinic is negligent, incompetent orunsafe. Which behaviors should be reported immediately? SATA: Is observed drinking from a flask between patient encounters (under the influence; stealing;providing care out of scope; abusing pts., criminal conduct) The nurse is performing thermal or chemical debridement procedures Nursing practice is defined by the State Nurse Practice Act, Which of the following nursing actions is/areconsidered independent nursing functions in accordance with the scope of practice? (SATA) Initiating a falls prevention protocol that includes frequent reassessments Delegating tasks and supervising UAP's to collect urine sample of a DKA patient Repeat 4, 3, 1, 2 ... According to the NPA, the responsibilities which any RN can safely accept are determined by the variables in each nursing practice setting. These include implementation of nursing activities, which isthe initiating and delivering of nursing care according to an established plan. This includes, but is notlimited to: SATA Assigning, delegating and supervising nursing activities of other licensed and unlicensedpersonnel Prioritizing and performing interventions Analyzing responses to interventions The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans wouldthe nurse expect the client to select? Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor hasordered for sliding-scale insulin. The most likely explanation for this order is: Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels. The RN is responsible for ensuring the competence of supervised staff. Which action by the healthcareworker indicates a need for further teaching? The nurse wears gloves to monitor the IV infusion rate Nurse would like to implement hourly rounding as an EBP change that will influence patient care on the unit. The nurse works with the nurse manager and other members of leadership to write a new policy and produce education for the staff and patients. The nurse is demonstrating use of which organizationaltheory? Best answer? Systems theory because the nurse is using a systematic framework to address the problems A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge.The nurse should teach the client that Lovenox injections should: Be injected into the abdomen A client is admitted complaining of chest pain. Which of the following drug orders should the nursequestion? Ampicillin A registered nurse is delegating activities to the nursing staff. Which activity is least appropriate for theUAP? Assisting a post-cardiac catheterization client who needs to eat lunch The nurse is teaching the client with polycythemia about prevention of complications. Which of thefollowing statements by the client indicates a need for further teaching? I do not need Enoxaprin since I am able to work A client with a PMH of MRSA is being admitted within 30 days of discharge. In collaboration with thehealth team, which action should the nurse initiate first? Request the needed supplies and initiate contact precautions The nurse is aware that the best way to prevent post-operative wound infection in the surgical client isto: Wash her hands for 2 minutes before care You are the nurse caring for an elderly, abused client being admitted to your facility. After prioritizing theplan of care, determine as the nurse which action should be taken first. Ensure the bed is in the lowest position and call light is in reach. The nurse in a rehab and treatment facility establishes a relationship with a substance abuse client afterhis discharge from the facility. According to the professional boundaries guidelines: The nurse has violated the professional boundaries standards The registered nurse is making assignments for the day. Which client should the pregnant nurse refuse toaccept the assignment for? SATA The client with cytomegalovirus The client with a radium implant for cervical cancer The client with RSV Which of the following actions by the nurse would be considered negligence? Massaging lotion on the abdomen of a 3 year old with Wilm's tumor A nursing leader wishes to maintain an image of power on an interprofessional team in a meeting a teammember continuously makes statements about the DVT prophylaxis protocol in error. How should the nurse leader respond? Can you tell us what evidence supports this statement as accurate? 76. Repeat The 58 yr. old diabetic patient with worsening chest pain rated at 3/10 ... While caring for a client receiving TPN through a central line, the nurse notices a small trickle of opaquefluid leaking from around the central line dressing. It is MOST important for the nurse to take which of the following actions? Place the client's head lower than his feet Which information should be reported to the state Board of Nursing? The narcotic count has been incorrect on the unit for the past 3 days. An educator is working with a group of nurses interested in conducting a research study to examine theimpact of the changing demographics in the US on health care. Which of the following would be the most important study to conduct? A study examining the ability of the aging population to provide self-care The nurse has just received the shift report and is planning daily care for two medical-surgical patients. One patient needs postoperative teaching in preparation for discharge. The other patient, who has beendiagnosed with pneumonia, has a PaCO2 of 65. The nurse has decided that the patient with pneumoniarequires the first assessment because: The patient with pneumonia may be experiencing acute respiratory distress. You are working as the triage nurse in the ED when the following clients arrive. As a prudent/competentnurse you understand which client requires isolation to protect other clients in the ED from infection 5 year old who has a new pruritic rash and diagnosis of chickenpox infection The Charge Nurse is conducting HCAPPS surveys. A client with chronic pain reports the nurses have notbeen responding to requests for pain meds. What should be the charge nurse's initial action? Have a conference with the nurses responsible for the care of this client The nurse is assigned to care for the client with a Steinmen pin. During pin care, she notes that the LPNuses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time? Assisting the LPN with opening sterile packages and peroxide A nurse is planning the client assignments for the shift. Which to the UAP? A client requiring frequent ambulation The nurse is conducting a physical assessment on a client with anemia. Which of the following clinicalmanifestations would be most indicative of the anemia? Respirations 28 shallow (Due to poor oxygenation) A nurse attends a local seminar discussing health care resources. The keynote speaker states that the cost of health care is steadily increasing. An older adult in attendance asks the nurse why this is true. What is the best response? Health care cost tends to increase with increasing legal liability and lawsuits According to G.S. 90-171.20(7) of the North Carolina RN Nursing Practice Act (NPA), "The "practice ofnursing by a registered nurse" consists of ten components. Which of the following best represents components of supervision? Throughout the shift, the preceptor asks the new nurse if the assignment is manageable. The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to theclient with hypertension. The nurse should: Administer the medications The nursing instructor is reviewing the NCLEX-RN Test Plan with senior nursing students. Which of thefollowing is an essential component of Safety and infection control from the test plan? Acknowledge and document practice error (e.g. incident report for medication error) The nurse is caring for clients in the outpatient clinic. Which of the following phone calls should thenurse return first? Cast on right leg that states, "I have a funny feeling in my right leg." (Compartment syndrome) "The nurse planning care for the client who has had an abdominal-perineal resection for cancer of thecolon. Which interventions should the nurse implement? SATA Provide meticulous skin care to stoma Irrigate the JP drains every shift Maintain the indwelling catheter Position the client semi recumbent" A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions.Which statement is true regarding precautions for infections spread by contact? Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown. A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should beinstructed to: Have a Prothrombin time done monthly A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following ordersshould be questioned by the nurse? Morphine 8mg IM q 4 hours PRN pain The nurse is assessing the client with a total knee replacement 2 hours post-operative. Whichinformation requires notification of the doctor? The client's hematocrit is 26%.